Author Question: A client being treated for a myocardial infarction has been transferred from the intensive care unit ... (Read 63 times)

bobbie · **on:** Jul 19, 2018

A client being treated for a myocardial infarction has been transferred from the intensive care unit to
a step-down unit.

She uses the call bell as often as every 15 minutes and makes a seemingly small
request or complains each time the staff member enters the room. Several staff tell the primary nurse
that the client is obnoxious and that they feel inadequate because they can never seem to satisfy
her needs. The best indicator to monitor for the outcome of anxiety self-control is that the client will
a. monitor duration of episodes of anxiety.
b. maintain adequate sleep of 7 hours nightly.
c. maintain social relationships and role performance.
d. control anxiety response by using call bell appropriately.

Question 2

A client approaches the nurse and blurts out You've got to help me Something terrible is
happening. I'm falling apart. I can't think. My heart is pounding and my head is throbbing..

The
nurse responds It's almost time for visiting hours. Let's get your hair combed.. This interaction can
be evaluated as
a. a distracting technique to lower anxiety.
b. bringing up an irrelevant topic.
c. sensitive to physical needs.
d. addressing false cognitions.

ecox1012 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

D
This indicator is directly related to the behavior described in the scenario. The other indicators are
not as indicative of improvement in self-control in the area identified in the scenario.

Answer to Question 2

ANS: B
The nurse has closed off client-centered communication and introduced an irrelevant topic, a ploy
designed to make the nurse, who is uncomfortable dealing with the client's severe anxiety, feel
better.