An emergency department nurse realizes that the spouse of a ...

[Medesa]

An emergency department nurse realizes that the spouse of a patient is becoming increasingly irritable while waiting. Which intervention should the nurse use to prevent escalation of anger?
 
  a. Explain that the patient's condition is not life threatening.
  b. Periodically provide an update and progress report on the patient.
  c. Explain that all patients are treated in order, based on their medical needs.
  d. Suggest that the spouse return home until the patient's treatment is completed.

Question 2

A patient with pneumonia has been hospitalized for 4 days. Family members describe the patient as a difficult person who finds fault with others. The patient verbally abuses nurses for their poor care. The most likely explanation lies in:
 
  a. poor childrearing that did not teach respect for others.
  b. automatic thinking, leading to cognitive distortion.
  c. personality style that externalizes problems.
  d. delusions that others wish to deliver harm

[joneynes]

Answer to Question 1

ANS: B
Periodic updates reduce anxiety and defuse anger. This strategy acknowledges the spouse's presence and concerns. The incorrect options would be likely to increase anger because they imply that the anxiety is inappropriate.

Answer to Question 2

ANS: C
Patients whose personality style causes them to externalize blame see the source of their discomfort and anxiety as being outside themselves. They displace anger and are often unable to soothe themselves. The incorrect options are less likely to have a bearing on this behavior.