Author Question: A client has, in the past, had a nursing diagnosis of ineffective coping related to impulsively ... (Read 88 times)

NguyenJ

  • Hero Member
  • *****
  • Posts: 516
A client has, in the past, had a nursing diagnosis of ineffective coping related to impulsively acting
  out anger as evidenced by striking others. An appropriate plan for forestalling such incidents would
  be
 
  a. explaining that restraint and seclusion will be used if violence occurs.
  b. helping a client identify incidents that trigger impulsive acting out.
  c. offer one-on-one supervision to help the client maintain control.
  d. request that the client receive lorazepam (Ativan) every 4 hours to reduce anxiety.

Question 2

A client, aged 82 years, has Alzheimer's disease. She lives with her daughter's family and goes to a
  day care facility on weekdays. The nurse at the day care center noticed the client was unkempt and
  had multiple bruises.
 
  When the daughter arrived to pick her up, the nurse discussed her observations.
  The daughter became defensive and said that her mother was very difficult to manage. She stated
  My mother is not my mother anymore. She is confused and she wanders all night. When I have to
  be out in the evening on business, one of my teenagers has to watch her. Then I have to watch her all
  night. Last night I fell asleep and she fell down the stairs. Sometimes I just cannot bear to care for
  her.. The nursing diagnosis that can be established for the client is
  a. risk for injury related to poor judgment associated with cognitive impairment and
  lack of family caregiver supervision.
  b. noncompliance related to confusion and disorientation, as evidenced by lack of
  cooperation.
  c. anxiety related to confused state, as evidenced by the client wandering at night.
  d. impaired verbal communication related to brain impairment, as evidenced by the
  client's confusion.



Ptupou85

  • Sr. Member
  • ****
  • Posts: 334
Answer to Question 1

B
Identification of trigger incidents allows the client and nurse to plan interventions to reduce irritation
and frustration, which lead to acting out anger, and eventually to put into practice more adaptive
coping strategies. Option A suggests restraint and seclusion are punitive interventions. Option C is
too costly. Option D provides chemical restraint without cause.

Answer to Question 2

A
The client is at high risk for injury because of her confusion. The risk increases when caregivers are
unable to give constant supervision. No assessment data support the diagnoses of anxiety, impaired
verbal communication, or noncompliance.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

Less than one of every three adults with high LDL cholesterol has the condition under control. Only 48.1% with the condition are being treated for it.

Did you know?

One way to reduce acid reflux is to lose two or three pounds. Most people lose weight in the belly area first when they increase exercise, meaning that heartburn can be reduced quickly by this method.

Did you know?

As many as 20% of Americans have been infected by the fungus known as Histoplasmosis. While most people are asymptomatic or only have slight symptoms, infection can progress to a rapid and potentially fatal superinfection.

Did you know?

A serious new warning has been established for pregnant women against taking ACE inhibitors during pregnancy. In the study, the risk of major birth defects in children whose mothers took ACE inhibitors during the first trimester was nearly three times higher than in children whose mothers didn't take ACE inhibitors. Physicians can prescribe alternative medications for pregnant women who have symptoms of high blood pressure.

Did you know?

Calcitonin is a naturally occurring hormone. In women who are at least 5 years beyond menopause, it slows bone loss and increases spinal bone density.

For a complete list of videos, visit our video library