This topic contains a solution. Click here to go to the answer

Author Question: A patient with a history of anger and impulsivity is hospitalized after an accident resulting in ... (Read 47 times)

fasfsadfdsfa

  • Hero Member
  • *****
  • Posts: 554
A patient with a history of anger and impulsivity is hospitalized after an accident resulting in injuries. When in pain, the patient loudly scolds the nursing staff for not knowing enough to give me pain medicine when I need it.
 
  Which nursing intervention would best address this problem?
 
  a. Tell the patient to notify nursing staff 30 minutes before the pain returns so the medication can be prepared.
  b. Urge the health care provider to change the prescription for pain medication from as needed to a regular schedule.
  c. Tell the patient that verbal assaults on nurses will not shorten the wait for pain medication.
  d. Have the clinical nurse leader request a psychiatric consultation.

Question 2

A patient with severe injuries is irritable, angry, and belittles the nurses. As a nurse changes a dressing, the patient screams, Don't touch me You are so stupid. You will make it worse
 
  Which intervention uses a cognitive technique to help the patient?
 
  a. Wordlessly discontinue the dressing change, and then leave the room.
  b. Stop the dressing change, saying, Perhaps you would like to change your own dressing.
  c. Continue the dressing change, saying, Do you know this dressing change is needed so your wound will not get infected?
  d. Continue the dressing change, saying, Unfortunately, you have no choice in this because your doctor ordered this dressing change.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

ebenov

  • Sr. Member
  • ****
  • Posts: 331
Answer to Question 1

ANS: B
Scheduling the medication at specific intervals will help the patient anticipate when the medication can be given. Receiving the medication promptly on schedule, rather than expecting nurses to anticipate the pain level, should reduce anxiety and anger. The patient cannot predict the onset of pain before it occurs.

Answer to Question 2

ANS: C
Anger is cognitively driven. The correct answer helps the patient test his cognitions and may help lower his anger. The incorrect options will escalate the patient's anger by belittling or escalating the patient's sense of powerlessness.





 

Did you know?

During the twentieth century, a variant of the metric system was used in Russia and France in which the base unit of mass was the tonne. Instead of kilograms, this system used millitonnes (mt).

Did you know?

Elderly adults are living longer, and causes of death are shifting. At the same time, autopsy rates are at or near their lowest in history.

Did you know?

Every 10 seconds, a person in the United States goes to the emergency room complaining of head pain. About 1.2 million visits are for acute migraine attacks.

Did you know?

People with high total cholesterol have about two times the risk for heart disease as people with ideal levels.

Did you know?

People who have myopia, or nearsightedness, are not able to see objects at a distance but only up close. It occurs when the cornea is either curved too steeply, the eye is too long, or both. This condition is progressive and worsens with time. More than 100 million people in the United States are nearsighted, but only 20% of those are born with the condition. Diet, eye exercise, drug therapy, and corrective lenses can all help manage nearsightedness.

For a complete list of videos, visit our video library