Author Question: Which remark by a patient indicates movement from orientation to the working phase of a ... (Read 90 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?

Historic treatments for rheumatoid arthritis have included gold salts, acupuncture, a diet consisting of apples or rhubarb, nutmeg, nettles, bee venom, bracelets made of copper, prayer, rest, tooth extractions, fasting, honey, vitamins, insulin, snow collected on Christmas, magnets, and electric convulsion therapy.

Did you know?

Prostaglandins were first isolated from human semen in Sweden in the 1930s. They were so named because the researcher thought that they came from the prostate gland. In fact, prostaglandins exist and are synthesized in almost every cell of the body.

Did you know?

More than 30% of American adults, and about 12% of children utilize health care approaches that were developed outside of conventional medicine.

Did you know?

Though Candida and Aspergillus species are the most common fungal pathogens causing invasive fungal disease in the immunocompromised, infections due to previously uncommon hyaline and dematiaceous filamentous fungi are occurring more often today. Rare fungal infections, once accurately diagnosed, may require surgical debridement, immunotherapy, and newer antifungals used singly or in combination with older antifungals, on a case-by-case basis.

Did you know?

Lower drug doses for elderly patients should be used first, with titrations of the dose as tolerated to prevent unwanted drug-related pharmacodynamic effects.

For a complete list of videos, visit our video library