A patient with a history of anger and impulsivity is hospitalized after an accident resulting in injuries. When in pain, the patient loudly scolds the nursing staff for not knowing enough to give me pain medicine when I need it.
Which nursing intervention would best address this problem?
a. Tell the patient to notify nursing staff 30 minutes before the pain returns so the medication can be prepared.
b. Urge the health care provider to change the prescription for pain medication from as needed to a regular schedule.
c. Tell the patient that verbal assaults on nurses will not shorten the wait for pain medication.
d. Have the clinical nurse leader request a psychiatric consultation.
Question 2
A patient with severe injuries is irritable, angry, and belittles the nurses. As a nurse changes a dressing, the patient screams, Don't touch me You are so stupid. You will make it worse
Which intervention uses a cognitive technique to help the patient?
a. Wordlessly discontinue the dressing change, and then leave the room.
b. Stop the dressing change, saying, Perhaps you would like to change your own dressing.
c. Continue the dressing change, saying, Do you know this dressing change is needed so your wound will not get infected?
d. Continue the dressing change, saying, Unfortunately, you have no choice in this because your doctor ordered this dressing change.
The health history can be gathered from many sources
A patient centered care approach
History of Art
An example of a medical history sheet to list patient problems.
Symptoms of a patient in shock.
Patient Physical Status Classification