A woman, abducted and raped at gunpoint by an unknown assailant, ...

[Ebrown]

A woman, abducted and raped at gunpoint by an unknown assailant, was found confused and disoriented.
 
  The nurse makes these observations about the patient: o talking rapidly in disjointed phrases o unable to concentrate o indecisive when asked to make simple decisions What is the patient's level of anxiety? a. Weak
  b. Mild
  c. Moderate
  d. Severe

Question 2

A patient with schizophrenia who admits to auditory hallucinations anxiously tells the nurse, The voice is telling me to do things.. Which of the following responses should the nurse make next?
 
  a. Do you recognize the voice you hear?'
  b. How long has this been happening?
  c. Does what the voice tells you to do frighten you?
  d. What is the voice telling you to do?

[mbcrismon]

Answer to Question 1

D
Acute anxiety results from the personal threat to the victim's safety and security. In this case, the patient's symptoms of rapid, dissociated speech, inability to concentrate, and indecisiveness indicate severe anxiety. Weak is not a level of anxiety. Mild and moderate levels of anxiety would allow the patient to function at a higher level.

Answer to Question 2

D
Learning what a command hallucination is telling the patient to do is important because the command often places the patient or others at risk for harm. Command hallucinations can be terrifying and may pose a psychiatric emergency. The other queries are of lesser importance than identifying the command.

[Ebrown]

TYSM

[JaynaD87]

Gracias!