The nurse is caring for a client who is being treated in the emergency department for a panic attack. Which of the following nursing interventions would be most appropriate?
A) Demonstrate empathy for the client by trying to mimic the client's state of anxiety.
B) Tell the client that you must leave to go report his symptoms to the psychiatrist on duty.
C) Tell the client this is an acute exacerbation with a positive prognosis and low morbidity.
D) Stay with the client, emphasizing that he is safe and that you will remain with him.
C
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The care plan for an engineer with agoraphobia includes increasing self-esteem with cognitive
restructuring. When the client tells the nurse "I'm not smart enough to get that job," the nurse should say a. "It must be difficult to be in that position.". b. "You should not demean your abilities.". c. "Let's think about what you just said.". d. "You seem intelligent to me.".
A client has an increased BUN/creatinine ratio. Which action by the nurse is most appropriate?
a. Assess the client's dietary habits. b. Inquire about the use of NSAIDs. c. Hold the client's metformin (Glucophage). d. Notify the health care provider imme-diately.
During an assessment of the lungs of a patient with pneumonia, the nurse finds increased tactile fremitus. What technique was used to detect this finding?
A) Inspection B) Palpation C) Percussion D) Auscultation
After 12 weeks in treatment, a client with a dual diagnosis is scheduled to begin a phased return to the community. Why is the evaluation of treatment in the care of a client with a dual diagnosis an ongoing process?
A) New goals are set every 1 to 2 months for clients with dual diagnoses. B) Clients with a dual diagnosis have a high rate of relapse. C) The goals of treatment all specify a 36- to 48-month time frame. D) Goals and specific outcomes are not normally used in the nursing process with clients who have dual diagnoses.