The psychiatricmental health nurse is assessing a new client ...

[futuristic]

The psychiatricmental health nurse is assessing a new client recently diagnosed with an anxiety disorder and high blood pressure.
 
  The nurse knows to closely monitor vital signs and review this client's medication list for: Standard Text: Select all that apply. 1. Haloperidol (Haldol).
  2. Acetaminophen (Tylenol).
  3. Aspirin.
  4. Olanzapine (Zyprexa).
  5. Thioridazine (Mellaril).

Question 2

In the immunization clinic, the nurse notices a client displaying tense body posture. Which of the following is the most therapeutic response for the nurse to make?
 
  1. This won't hurt a bit.
  2. You need to relax.
  3. I can tell you've had a bad experience before.
  4. I notice you are clenching your fists.

[Sierray]

Answer to Question 1

1,4,5
Rationale: Haloperidol (Haldol). Clients with cardiac problems may be at increased risk for cardiac arrhythmia because of vasovagal stimulation with certain techniques such as active progressive relaxation. Some psychotropic medications such as haloperidol may cause hypotension.

Answer to Question 2

4
Rationale: The nurse's observation about clenched fists is a therapeutic intervention, which conveys the nurse is attending to the nonverbal cues of the client. Making an assumption that the client has had a bad experience before is not therapeutic. Telling the client that the immunization will not hurt is offering false reassurance. Directing the client to relax is a form of giving advice, which is not therapeutic.

[futuristic]

TY

[Sierray]

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