A client recently admitted to the psychiatric unit is pacing the floor and acting aloof
and suspicious. The client tells the nurse that other people have all the control. What
initial nursing intervention will be most helpful to the client?
1
Reviewing the client's history
2
Setting limits on the client's inappropriate behavior
3
Accepting the client's behavior because it is not directed specifically at the nurse
4
Meeting privately with family members to learn more about the client's behavior
Give this one a try later!
3
Clients who are aloof, suspicious, and accusatory can elicit negative
feelings in the nurse. The nurse should recognize that these behaviors are
indicative of the illness. Reviewing the client's history initially is not vital to
helping the client; the nurse should try to meet the client's immediate
needs. Setting limits at this time is not therapeutic and will increase the
client's anxiety and suspiciousness. Meeting privately with family members
, to learn more about the client's behavior initially is not vital to help the
client; the nurse should try to meet the client's needs at this time.
A client is admitted to the psychiatric unit of the hospital with a diagnosis of
conversion disorder. The client is unable to move either leg. Which finding should the
nurse consider consistent with this diagnosis?
1
Feeling depressed
2
Appearing composed
3
Demonstrating free-floating anxiety
4
Exhibiting tension when discussing symptoms
Give this one a try later!
2
The client with a conversion disorder literally converts the anxiety to the
symptom. Once the symptom develops, it serves as a defense against the
anxiety and the client is diagnostically almost anxiety-free. In a conversion
disorder, the reactions the nurse should expect to encounter are not in
proportion to the disability; therefore the affected client is usually not
depressed. The conflict is resolved by the paralysis of the legs; therefore
the anxiety is under control. These clients usually are calm and composed,
not tense, when discussing symptoms.
A new father tells the nurse that he is anxious about not feeling like a father. What is
the priority nursing action to meet this father's needs?
1
Encouraging the father's participation in a parenting class
2
Providing time for the father to be alone with and get to know the baby
3
, Offering the father a demonstration on newborn diapering, feeding, and bathing
4
Allowing time for the father to ask questions after viewing a film about a new baby
Give this one a try later!
2
Time alone provides the opportunity for paternal-infant
attachment/bonding. Touching the infant may reduce some of the father's
anxiety. Although helpful, a parenting class does not meet the need for
paternal-infant attachment/bonding. A demonstration on newborn
diapering, feeding, and bathing does not acknowledge the father's anxiety;
also, he may not be ready to absorb this information. Allowing time for the
father to ask questions after viewing a film about a new baby is a simplistic
approach to the father's emotional needs and does not address the father's
concerns.
The following data are recorded during the assessment of a client being treated in the
emergency department for minor injuries resulting from a mugging and robbery. In
light of this information, the nurse should initially do what?
1
Encourage the client to breathe deeply to minimize anxious feelings.
2
Explain that feeling anxious is a common response to such an experience.
3
Keep the auditory and visual stimuli in the client's environment to a minimum.
4
Assign unlicensed assistive personnel to remain with the client to prevent falls.
Give this one a try later!
2
The initial intervention is to help the client identify and deal with the
emotional and physical reactions to the recent trauma. Providing this
information about the anxiety being experienced will facilitate the process
of relaxation for the client. Encouraging deep breathing and other
relaxation techniques and creating a low-stimulus environment are
and suspicious. The client tells the nurse that other people have all the control. What
initial nursing intervention will be most helpful to the client?
1
Reviewing the client's history
2
Setting limits on the client's inappropriate behavior
3
Accepting the client's behavior because it is not directed specifically at the nurse
4
Meeting privately with family members to learn more about the client's behavior
Give this one a try later!
3
Clients who are aloof, suspicious, and accusatory can elicit negative
feelings in the nurse. The nurse should recognize that these behaviors are
indicative of the illness. Reviewing the client's history initially is not vital to
helping the client; the nurse should try to meet the client's immediate
needs. Setting limits at this time is not therapeutic and will increase the
client's anxiety and suspiciousness. Meeting privately with family members
, to learn more about the client's behavior initially is not vital to help the
client; the nurse should try to meet the client's needs at this time.
A client is admitted to the psychiatric unit of the hospital with a diagnosis of
conversion disorder. The client is unable to move either leg. Which finding should the
nurse consider consistent with this diagnosis?
1
Feeling depressed
2
Appearing composed
3
Demonstrating free-floating anxiety
4
Exhibiting tension when discussing symptoms
Give this one a try later!
2
The client with a conversion disorder literally converts the anxiety to the
symptom. Once the symptom develops, it serves as a defense against the
anxiety and the client is diagnostically almost anxiety-free. In a conversion
disorder, the reactions the nurse should expect to encounter are not in
proportion to the disability; therefore the affected client is usually not
depressed. The conflict is resolved by the paralysis of the legs; therefore
the anxiety is under control. These clients usually are calm and composed,
not tense, when discussing symptoms.
A new father tells the nurse that he is anxious about not feeling like a father. What is
the priority nursing action to meet this father's needs?
1
Encouraging the father's participation in a parenting class
2
Providing time for the father to be alone with and get to know the baby
3
, Offering the father a demonstration on newborn diapering, feeding, and bathing
4
Allowing time for the father to ask questions after viewing a film about a new baby
Give this one a try later!
2
Time alone provides the opportunity for paternal-infant
attachment/bonding. Touching the infant may reduce some of the father's
anxiety. Although helpful, a parenting class does not meet the need for
paternal-infant attachment/bonding. A demonstration on newborn
diapering, feeding, and bathing does not acknowledge the father's anxiety;
also, he may not be ready to absorb this information. Allowing time for the
father to ask questions after viewing a film about a new baby is a simplistic
approach to the father's emotional needs and does not address the father's
concerns.
The following data are recorded during the assessment of a client being treated in the
emergency department for minor injuries resulting from a mugging and robbery. In
light of this information, the nurse should initially do what?
1
Encourage the client to breathe deeply to minimize anxious feelings.
2
Explain that feeling anxious is a common response to such an experience.
3
Keep the auditory and visual stimuli in the client's environment to a minimum.
4
Assign unlicensed assistive personnel to remain with the client to prevent falls.
Give this one a try later!
2
The initial intervention is to help the client identify and deal with the
emotional and physical reactions to the recent trauma. Providing this
information about the anxiety being experienced will facilitate the process
of relaxation for the client. Encouraging deep breathing and other
relaxation techniques and creating a low-stimulus environment are
