The nurse is assigned to care for a patient with moderate anxiety ...

[ssal]

The nurse is assigned to care for a patient with moderate anxiety (+2) . The most effective nursing intervention will be
 
  a. use of time-out.
  b. initiation of problem solving.
  c. providing firm guidance and control.
  d. administering a parenteral antianxiety drug.

Question 2

A nurse assesses soldiers in a combat zone. When is it most important for the nurse to screen for signs and symptoms of traumatic brain injury (TBI)?
 
  a. After exposure to a blast
  b. Before departing to return home.
  c. One year after returning from combat
  d. Immediately upon return to the United States

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Answer to Question 1

B
Using problem solving is an appropriate goal for a patient experiencing moderate anxiety, because these patients are capable of problem solving with assistance. Use of time-out, providing firm guidance and control, and giving parenteral medication are interventions more often used for severe and panic-level anxiety.

Answer to Question 2

A
TBI manifests shortly after the injury and usually resolves in days or weeks. It would be most important to screen after exposure to an explosion and before returning to the United States. PTSD can have a very long lag time; in some instances, it can be 20 years or more.

[ssal]

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