The client receives lorazepam (Ativan) for chronic anxiety. The nurse determines that medication education has been most effective when the client makes which statement?
1. "I will probably always need this medication for my anxiety."
2. "This medication will help me relax so I can focus on problem solving."
3. "This medication is not addictive."
4. "My anxiety will be eliminated when I take this medication."
2
Rationale 1:"I will probably always need this medication for my anxiety" is incorrect because benzodiazepines provide short-term relief of anxiety while the client focuses on alternative therapies. Clients should be encouraged to explore and develop coping strategies for dealing with stress.
Rationale 2:"This medication will help me relax so I can focus on problem solving." Benzodiazepines do not cure anxiety; they provide short-term relief of anxiety while the client focuses on alternative therapies. Clients should be encouraged to explore and develop coping strategies for dealing with stress.
Rationale 3:"This medication is not addictive" is incorrect because all benzodiazepines are addictive, but most clients should not need to take benzodiazepines indefinitely for anxiety.
Rationale 4:"My anxiety will be eliminated when I take this medication" is incorrect because benzodiazepines provide short-term relief of anxiety while the client focuses on alternative therapies. Clients should be encouraged to explore and develop coping strategies for dealing with stress.
Global Rationale: "This medication will help me relax so I can focus on problem solving." Benzodiazepines do not cure anxiety; they provide short-term relief of anxiety while the client focuses on alternative therapies. Clients should be encouraged to explore and develop coping strategies for dealing with stress. "I will probably always need this medication for my anxiety" is incorrect because benzodiazepines provide short-term relief of anxiety while the client focuses on alternative therapies. Clients should be encouraged to explore and develop coping strategies for dealing with stress. "This medication is not addictive" is incorrect because all benzodiazepines are addictive, but most clients should not need to take benzodiazepines indefinitely for anxiety. "My anxiety will be eliminated when I take this medication" is incorrect because benzodiazepines provide short-term relief of anxiety while the client focuses on alternative therapies. Clients should be encouraged to explore and develop coping strategies for dealing with stress.
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A 45-year-old woman presents at the free clinic stating that she needs help. While talking with this patient, the nurse illicit information about the woman's situation, including the fact that her husband "drinks heavily."
Because of this, the patient feels that her family is being ruined. What nursing intervention would be the best for this patient? A) Call husband's family and friends to obtain support for an intervention. B) Allow the woman to express her feelings and assess for codependent behaviors. C) Call the police and have the man arrested for alcohol abuse and have him hospitalized. D) Remind the woman that her husband's alcohol problem is not her fault and that it is simply a defect in her husband's character.
A nurse feels that his patient needs to be placed in a protective-restraint device to protect him from injury. To place a patient in restraints,
1. The patient must give his or her consent for restraints to be used. 2. A family member must give his or her consent to use restraints. 3. The nurse must have documentation that other methods have been used and failed to protect the patient. 4. The patient must be alert and oriented.
The most critical nursing action when caring for the newborn immediately after birth is:
1. keeping the newborn's airway clear. 2. fostering parent-newborn attachment. 3. drying the newborn and wrapping him or her in a blanket. 4. administering eye drops and vitamin K.
A nurse is discussing phentolamine (OraVerse) with a nursing student. Which statement by the student indicates the need for further teaching?
a. "Phentolamine can be used to block both epinephrine- and norepinephrine-mediated vasoconstriction." b. "Phentolamine can be used to treat pheochromocytoma." c. "Phentolamine is a competitive adrenergic agonist that acts selectively on alpha1 receptors." d. "Side effects of phentolamine may include tachycardia and hypotension."