A client who is a university student states that before taking an ...

[BRWH]

A client who is a university student states that before taking an examination he feels a heightened
  sense of awareness and a sense of restlessness. The nursing intervention most suitable for assisting
  the client is to
 
  a. explain his symptoms as resulting from mild anxiety and discuss the helpful
  aspects of mild anxiety.
  b. advise the client to discuss his experience with a physician or psychologist.
  c. offer to obtain an order for an anxiolytic to be used when necessary.
  d. listen without comment.

Question 2

A nurse who is to provide health education for a client who will be receiving warfarin (Coumadin)
  for several weeks after knee replacement surgery should include caution to avoid the CAM remedy
  of
 
  a. black cohosh.
  b. kava kava.
  c. valerian.
  d. ginkgo biloba.

[snackralk]

Answer to Question 1

ANS: A
Teaching about symptoms of anxiety, their relation to precipitating stressors, and, in this case, the
positive effects of anxiety will serve to reassure the client. Options B and C imply a serious problem.
Option C will do no harm but deprives the client of health teaching.

Answer to Question 2

D
Ginkgo biloba has anticoagulant effects and can cause bleeding in individuals using anticoagulants
and antiplatelet agents. Option A: Black cohosh is a popular treatment for hot flashes. Option B:
Kava kava is considered to have analgesic properties and may potentiate the effects of alcohol and
benzodiazepines. Option C: Valerian has calming, sleep-inducing effects.

[BRWH]

Excellent

[FergA]

Gracias!