Author Question: Which remark by a patient indicates movement from orientation to the working phase of a ... (Read 89 times)

jhjkgdfhk

  • Hero Member
  • *****
  • Posts: 569
Which remark by a patient indicates movement from orientation to the working phase of a nurse-patient relationship?
 
  a. I don't have any problems.
  b. It is so difficult for me to talk about problems.
  c. I don't know how talking about things twice a week can help.
  d. I want to find ways to deal with my anger without blowing up.

Question 2

A widow, aged 72 years, lives alone and is visited weekly by her son. She takes digoxin, hydrochlorothiazide, and an antihypertensive drug. She also has a prescription for diazepam (Valium) as needed for moderate to severe anxiety.
 
  When the son visited today, he found his mother confused. Her speech was thick and slurred and she had an unsteady gait. She was taken to the emergency department, and hospital admission followed. The nurse assessed the patient as having several cognitive problems, including memory and attention deficits and fluctuating levels of orientation. The nurse confirms that the patient's symptoms developed over a 2-day period. The patient's symptoms are most characteristic of: a. delirium.
  b. dementia.
  c. amnestic syndrome.
  d. Alzheimer's disease.



irishcancer18

  • Sr. Member
  • ****
  • Posts: 310
Answer to Question 1

D
Thinking about a more constructive approach to dealing with anger indicates a readiness to make a behavioral change. Behavioral change is associated with the working phase of the relationship. Denial or avoidance are often seen in the orientation phase.

Answer to Question 2

A
Delirium is characterized by an abrupt onset of fluctuating levels of awareness, clouded and/or fluctuating consciousness, perceptual disturbances, and disturbed memory and orientation. The onset of dementia or Alzheimer's disease, a type of dementia, is more insidious. Amnestic syndrome involves memory impairment without other cognitive problems.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

Human neurons are so small that they require a microscope in order to be seen. However, some neurons can be up to 3 feet long, such as those that extend from the spinal cord to the toes.

Did you know?

During the twentieth century, a variant of the metric system was used in Russia and France in which the base unit of mass was the tonne. Instead of kilograms, this system used millitonnes (mt).

Did you know?

Medication errors are three times higher among children and infants than with adults.

Did you know?

All patients with hyperparathyroidism will develop osteoporosis. The parathyroid glands maintain blood calcium within the normal range. All patients with this disease will continue to lose calcium from their bones every day, and there is no way to prevent the development of osteoporosis as a result.

Did you know?

The term bacteria was devised in the 19th century by German biologist Ferdinand Cohn. He based it on the Greek word "bakterion" meaning a small rod or staff. Cohn is considered to be the father of modern bacteriology.

For a complete list of videos, visit our video library