Author Question: A nurse notes that a new client displays restlessness, hypervigilance, rapid pulse, dilated pupils, ... (Read 50 times)

dollx

  • Hero Member
  • *****
  • Posts: 558
A nurse notes that a new client displays restlessness, hypervigilance, rapid pulse, dilated pupils, rapid shallow breathing, decreased attention, and an inability to reason effectively. The nurse should document the level of anxiety as:
 
  1. Mild +1
  2. Moderate +2
  3. Severe +3
  4. Panic +4

Question 2

A young, married female client is attracted to a male nurse. The client falsely accuses the male nurse of sexual harassment. The nursing supervisor recognizes the defense mechanism of:
 
  1. Projection
  2. Splitting
  3. Suppression
  4. Displacement



momtoalll

  • Sr. Member
  • ****
  • Posts: 326
Answer to Question 1

ANS: 3
The cognitive symptoms given in the scenario suggest severe anxiety. Options 1 and 2: In mild and moderate anxiety, thinking is not distorted. Option 4: In panic level anxiety, the client is even more disorganized.

Answer to Question 2

ANS: 1
Projection is attributing strong conflicting feelings to another person. Splitting is seeing others and oneself as all good or all bad. Suppression is incorrect because the person avoids thinking about problem areas. Displacement, or transferring a feeling to a less threatening person, is not being used in this scenario.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

A cataract is a clouding of the eyes' natural lens. As we age, some clouding of the lens may occur. The first sign of a cataract is usually blurry vision. Although glasses and other visual aids may at first help a person with cataracts, surgery may become inevitable. Cataract surgery is very successful in restoring vision, and it is the most frequently performed surgery in the United States.

Did you know?

In 1885, the Lloyd Manufacturing Company of Albany, New York, promoted and sold "Cocaine Toothache Drops" at 15 cents per bottle! In 1914, the Harrison Narcotic Act brought the sale and distribution of this drug under federal control.

Did you know?

Asthma is the most common chronic childhood disease in the world. Most children who develop asthma have symptoms before they are 5 years old.

Did you know?

Recent studies have shown that the number of medication errors increases in relation to the number of orders that are verified per pharmacist, per work shift.

Did you know?

The use of salicylates dates back 2,500 years to Hippocrates’s recommendation of willow bark (from which a salicylate is derived) as an aid to the pains of childbirth. However, overdosage of salicylates can harm body fluids, electrolytes, the CNS, the GI tract, the ears, the lungs, the blood, the liver, and the kidneys and cause coma or death.

For a complete list of videos, visit our video library