Author Question: A patient fearfully runs from chair to chair crying, They're coming They're coming The patient does ... (Read 74 times)

a0266361136 · **on:** Jul 19, 2018

A patient fearfully runs from chair to chair crying, They're coming They're coming The patient does not follow the staff's directions or respond to verbal interventions. The initial nursing intervention of highest priority is to:

a. provide for the patient's safety.
b. encourage clarification of feelings.
c. respect the patient's personal space.
d. offer an outlet for the patient's energy.

Question 2

A woman is 5'7, 160 lbs, and wears a size 8 shoe. She says, My feet are huge. I've asked three orthopedists to surgically reduce my feet.

This person tries to buy shoes to make her feet look smaller and, in social settings, conceals both feet under a table or chair. Which health problem is likely?

a. Social anxiety disorder
b. Body dysmorphic disorder
c. Separation anxiety disorder
d. Obsessive-compulsive disorder due to a medical condition

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

Answer to Question 1

ANS: A
Safety is of highest priority because the patient experiencing panic is at high risk for self-injury related to increased non-goal-directed motor activity, distorted perceptions, and disordered thoughts. Offering an outlet for the patient's energy can occur when the current panic level subsides. Respecting the patient's personal space is a lower priority than safety. Clarification of feelings cannot take place until the level of anxiety is lowered.

Answer to Question 2

ANS: B
Body dysmorphic disorder refers to a preoccupation with an imagined defect in appearance in a normal-appearing person. The patient's feet are proportional to the rest of the body. In obsessive-compulsive or related disorder due to a medical condition, the individual's symptoms of obsessions and compulsions are a direct physiological result of a medical condition. Social anxiety disorder, also called social phobia, is characterized by severe anxiety or fear provoked by exposure to a social or a performance situation that will be evaluated negatively by others. People with separation anxiety disorder exhibit developmentally inappropriate levels of concern over being away from a significant other.