Answer to Question 1
1, 2, 4
Rationale: The nurse should determine that, when working with an inpatient client with difficulty expressing anger appropriately, it is important to maintain a calm demeanor, clearly define the consequences, and set limits on the behavior. The use of therapeutic touch may not be appropriate and could increase the client's anger. Teaching would not be appropriate when a client is agitated.
Answer to Question 2
1, 2, 4
Rationale: The essential features of a personality disorder are impairments in personality (self and interpersonal) functioning and the presence of pathological personality traits. Pathological personality traits of antagonism and disinhibition must occur in order to meet the criteria for the diagnosis of antisocial personality disorder. Frequent feelings of being down, miserable, and/or hopeless and intense feelings of nervousness, tenseness, or panic are characteristics of the pathological personality trait domain of negative affectivity. This domain is listed by the DSM-5 for the diagnosis of borderline personality disorder, not antisocial personality disorder.
The tone of the nurse-patient introduction sets the stage for the patient interview and patient care
When using an interpreter, the nurse should pose questions directly to the patient, not the interpre
A, A nurse is adding a medication to an IV line as a piggyback
Choosing nursing interventions
Sample client goals from the Wellness Massage Pyramid.
Using small, circular strokes, exfoliate the client’s neck and back.