A patient with a history of anger and impulsivity was hospitalized after an accident resulting in injuries. When in pain, the patient loudly scolded nursing staff for not knowing enough to give me pain medicine when I need it.
Which nursing intervention would best address this problem?
a. Teach the patient to use coping strategies such as deep breathing and progressive relaxation to reduce the pain.
b. Talk with the health care provider about changing the pain medication from PRN to patient-controlled analgesia.
c. Tell the patient that verbal assaults on nurses will not shorten the wait for analgesic medication.
d. Talk with the patient about the risks of dependency associated with overuse of analgesic medication.
Question 2
A patient with multi-infarct dementia lashes out and kicks at people who walk past in the hall of a skilled nursing facility. Intervention by the nurse should begin by:
a. gently touching the patient's arm.
b. asking the patient, What do you need?
c. saying to the patient, This is a safe place.
d. directing the patient to cease the behavior.
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