The nurse plans to encourage an anxious patient to talk about his ...

[nramada]

The nurse plans to encourage an anxious patient to talk about his feelings and concerns. The rationale for this intervention is that:
 
  a. talking serves as constructive distraction and reduces the patient's anxiety.
  b. stating concerns aloud becomes less overwhelming and promotes problem solving.
  c. focusing on and validating what is occurring in the environment reduces anxiety.
  d. exploring feelings reduces one's sense of powerlessness and lessens anxiety.

Question 2

A nursing instructor is preparing a lesson plan related to the history of the diagnosis of post-traumatic stress disorder (PTSD). Which of the following facts would be appropriate to include? (Select all that apply.)
 
  1. Between 1950 and 1970, little was written about PTSD.
  2. During the 1970s and 1980s, there was a major increase in research on PTSD.
  3. During the 1970s and 1980s, much research was related to World War II veterans.
  4. PTSD did not appear until the third edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-III).
  5. PTSD did not appear until the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).

[kbennett34]

Answer to Question 1

B
Assisting the patient to talk about feelings and concerns can reduce isolation and facilitate problem solving. Distraction can temporarily aid in reducing anxiety levels but is not the intent of exploring one's feelings. Identifying and validating events in the environment can increase self awareness but is not the intention of exploring feelings. Exploring feelings, particularly those for which there is no ready solution, can intensify powerlessness rather than reduce it.

Answer to Question 2

1, 2, 4
Rationale: Very little was written about PTSD during the years between 1950 and 1970. This absence was followed in the 1970s and 1980s with an explosion in the amount of research and writing on the subject. During this time, much research was related to Vietnam not World War II veterans. PTSD did not appear until the third edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-III).

[nramada]

Excellent

[bblaney]

TYSM