Author Question: A person who has been unable to leave home for more than a week because of severe anxiety says, I ... (Read 7 times)

vicotolentino · **on:** Jul 19, 2018

A person who has been unable to leave home for more than a week because of severe anxiety says, I know it does not make sense, but I just can't bring myself to leave my apartment alone. Which nursing intervention is appropriate?

a. Teach the person to use positive self-talk.
b. Assist the person to apply for disability benefits.
c. Ask the person to explain why the fear is so disabling.
d. Advise the person to accept the situation and use a companion.

Question 2

A patient with severe anxiety suddenly begins running and shouting, I'm going to explode The nurse should:

a. Ask, I'm not sure what you mean. Give me an example.
b. Chase after the patient, and give instructions to stop running.
c. Capture the patient in a basket-hold to increase feelings of control.
d. Assemble several staff members and state, We will help you regain control.

lolol · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: A
This intervention, a form of cognitive restructuring, replaces negative thoughts such as I can't leave my apartment with positive thoughts such as I can control my anxiety. This technique helps the patient gain mastery over the symptoms. The other options reinforce the sick role.

Answer to Question 2

ANS: D
The safety needs of the patient and other patients are a priority. The patient is less likely to cause self-harm or hurt others when several staff members take responsibility for providing limits. The explanation given to the patient should be simple and neutral. Simply being told that others can help provide the control that has been lost may be sufficient to help the patient regain control. Running after the patient will increase the patient's anxiety. More than one staff member is needed to provide physical limits if they become necessary. Asking the patient to give an example is futile; a patient in panic processes information poorly.