Author Question: A patient discloses feelings of helplessness and fear after being stranded on a rooftop for 3 days ... (Read 29 times)

tingc95 · **on:** Jul 23, 2018

A patient discloses feelings of helplessness and fear after being stranded on a rooftop for 3 days after a major hurricane. Which nursing diagnosis would be most appropriate for this patient?

a. Ineffective coping related to generalized anxiety disorder
b. Fear related to post-traumatic stress disorder
c. Alteration in activities of daily living related to obsessive-compulsive disorder
d. Fear secondary to panic disorder

Question 2

A nurse administers a drug that activates beta1 and beta2 receptors. Which effect(s) would the nurse expect? (Select all that apply.)

a. Slowed heart rate
b. Increased pulse rate
c. Increased force of cardiac contraction
d. Respiratory distress
e. Decreased urinary output

katara · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

B
Post-traumatic stress disorder develops after a traumatic event that elicited an immediate reaction of fear, helplessness, or horror. This patient's fear is directly related to the traumatic event expe-rienced.
This patient is not experiencing generalized anxiety, therefore this is an inappropriate nursing diagnosis.
This patient is not experiencing obsessive-compulsive disorder, therefore this is an inappropriate nursing diagnosis.
Although the patient is experiencing panic and fear, the symptoms are directly related to post-traumatic stress disorder, therefore panic disorder is not an appropriate nursing diagnosis.

Answer to Question 2

B, C
The nurse should anticipate increased cardiac output that results in an increasing heart rate and force of contraction, dilation of the bronchi, and elevation of blood glucose.
Activation of beta1 and beta2 receptors does not cause slowed heart rate, respiratory distress, or decreased urinary output.