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 41 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?

The average older adult in the United States takes five prescription drugs per day. Half of these drugs contain a sedative. Alcohol should therefore be avoided by most senior citizens because of the dangerous interactions between alcohol and sedatives.

Did you know?

Nearly all drugs pass into human breast milk. How often a drug is taken influences the amount of drug that will pass into the milk. Medications taken 30 to 60 minutes before breastfeeding are likely to be at peak blood levels when the baby is nursing.

Did you know?

The modern decimal position system was the invention of the Hindus (around 800 AD), involving the placing of numerals to indicate their value (units, tens, hundreds, and so on).

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?

There are 20 feet of blood vessels in each square inch of human skin.

For a complete list of videos, visit our video library