Author Question: A patient telephones a crisis intervention hot line. The nurse assigned to this center assesses that ... (Read 55 times)

joesmith1212 · **on:** Jul 22, 2018

A patient telephones a crisis intervention hot line. The nurse assigned to this center assesses that the patient is experiencing a crisis. What is the most appropriate action for the nurse to take?

A. Recommending ongoing therapy
B. Focusing on the problem at hand
C. Allowing the patient to work through stress
D. Completing an in-depth evaluation of the situation

Question 2

Jeannie is a nurse who works in a nursing home. One of the patients, 83-year-old Mrs. Stoll, is bedridden.

Jeannie needs to pull her up in bed and instructs Fiona, the student nurse who is with her, that they need to make sure that they use the draw sheet to pull her up to avoid which of the following factors that would contribute to pressure ulcer formation? A. Hyperemia
B. Shear
C. Tissue ischemia
D. Cachexia

chloejackso · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

B
When assessing a patient's stress and coping interventions, develop a partnership with the patient. It is necessary to prioritize the patient's needs during this time of stress. This requires that the nurse focus the patient, learn about the patient's perception of the event, and making sure the safety of the patient and/or family is at the highest priority.

Answer to Question 2

B
Shear is the force exerted against the skin while the skin remains stationary and the bony struc-tures move. For example, when the head of the bed is elevated, gravity causes the bony skeleton to pull toward the foot of the bed, while the skin remains against the sheets.