Author Question: A patient experiencing delirium secondary to drug toxicity is manifesting paranoid thinking and ... (Read 27 times)

Mr. Wonderful · **on:** Jul 19, 2018

A patient experiencing delirium secondary to drug toxicity is manifesting paranoid thinking and noisy, assaultive behavior and is currently pacing the room. The nurse's initial intervention is to:

a. prepare to apply supervised restraints.
b. request an intravenous sedative.
c. calmly attempt to quiet the patient.
d. attempt to divert the patient's attention.

Question 2

A major difference between coping resources and coping mechanisms is that:

a. coping resources are adaptive, whereas coping mechanisms are usually maladaptive.
b. coping resources are assets, whereas coping mechanisms can be assets or liabilities.
c. individuals have multiple coping resources, but coping mechanisms are limited in number.
d. available coping resources are more predictive of outcome than are the coping mechanisms used.

karlss · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

C
Restraints may be ordered to protect the delirious patient from self-injury or from injuring others. Initially an attempt should be made to calm the patient by addressing him in a quiet, controlled manner.

Answer to Question 2

B
Coping resources include economic assets, abilities, skills, defensive techniques, social supports, and motivation. Coping mechanisms can be defined as any effort directed at stress management and include problem-focused, cognitive-focused, and emotion-focused mechanisms that can be constructive (assets) or destructive (liabilities).