Eight months ago, a client was in a hotel fire and was the last ...

[Jkov05]

Eight months ago, a client was in a hotel fire and was the last person to be rescued from the roof. She watched her husband burn to death from the helicopter. She continues to have nightmares and is fearful that she will die in a fire.
 
  An appropriate nursing diagnosis for the client is what?
 
  A) Anxiety related to illusions
  B) Unrealistic fear of fire related to conversion reaction
  C) Sleep pattern disturbance related to recurrent nightmares
  D) Ego disintegration related to severe anxiety

Question 2

All of the following pharmacological agents are useful in treating anxiety disorders except which ones?
 
  A) Tricyclic antidepressants
  B) SSRIs
  C) Benzodiazepines
  D) Calcium channel blockers

[tmlewis4706]

Answer to Question 1

Ans: C
The appropriate nursing diagnosis is sleep pattern disturbance. The client is not having illusions, nor is her fear of the fire unrealistic. She is not experiencing ego disintegration.

Answer to Question 2

Ans: D
Tricyclic antidepressants and SSRIs are known to be useful in reducing anxiety and are sometimes useful in treating the anxiety disorders. Benzodiazepines are an excellent choice for the treatment of symptoms of anxiety; however, they are extremely addictive and should only be given in the case of true anxiety disorders. Calcium channel blockers are not used in treating anxiety disorders.

[Jkov05]

Wow, this really help

[shewald78]

Excellent