Health Nursing A Clinical 9th Edition UPDATED 2022
a. Notify the health care provider of this change in the patient‘s behavior.
b. Engage the patient in a physical activity such as exercise.
c. Isolate the patient until the sensation has diminished.
d. Administer a prn dose of antianxiety medication.
ANSWERED : B
Helping the patient apply a grounding technique, such as exercise, assists the patient to
interrupt the dissociative process. Medication can help reduce anxiety but does not directly
interrupt the dissociative process. Isolation would allow the sensation to overpower the
patient. It is not necessary to notify the health care provider.
13. A person runs from a crowded nightclub after a pyrotechnics show causes the building to catch
fire. Which division of the autonomic nervous system will be stimulated in response to this
experience?
a. Limbic system
b. Peripheral nervous system
c. Sympathetic nervous system
d. Parasympathetic nervous system
ANSWERED : C
The autonomic nervous system is comprised of the sympathetic (fight or flight response) and
parasympathetic nervous system (relaxation response). In times of stress, the sympathetic
nervous system is stimulated. A person would experience stress associated with the
experience of being in danger. The peripheral nervous system responds to messages from the
sympathetic nervous system. The limbic system processes emotional responses but is not
specifically part of the autonomic nervous system.
14. The gas pedal on a person‘s car became stuck on a busy interstate highway, causing the car to
accelerate rapidly. For 20 minutes, the car was very difficult to control. In the months after this
experience, afterward, which assessment finding would the nurse expect? a. Weight gain
b. Flashbacks
c. Headache
d. Diuresis
ANSWERED : B
The scenario depicts a frightening, traumatic, and stressful situation. Severe dissociation or