A patient who experienced a myocardial infarction was transferred from critical care to a step-down unit. The patient then used the call bell every 15 minutes for minor requests and complaints.
Staff nurses reported feeling inadequate and unable to satisfy the patient's needs. When the nurse manager intervenes directly with this patient, which comment is most therapeutic?
a. I'm wondering if you are feeling anxious about your illness and being left alone.
b. The staff are concerned that you are not satisfied with the care you are receiving.
c. Let's talk about why you use your call light so frequently. It is a problem.
d. You frustrate the staff by calling them so often. Why are you doing that?
Question 2
A nurse assesses a patient diagnosed with conversion (functional neurological) disorder. Which comment is most likely from this patient?
a. Since my father died, I've been short of breath and had sharp pains that go down my left arm, but I think it's just indigestion.
b. I have daily problems with nausea, vomiting, and diarrhea. My skin is very dry, and I think I'm getting seriously dehydrated.
c. Sexual intercourse is painful. I pretend as if I'm asleep so I can avoid it. I think it's starting to cause problems with my marriage.
d. I get choked very easily and have trouble swallowing when I eat. I think I might have cancer of the esophagus.
(A) Scratch test; patient is exposed to allergens through a light scratch on the skin; (B) Positive
Example of Health Care Services
An extended care facility.
After the death of a loved one, family members report concerns about last place of care.
Inadequate Airway, Breathing and Circulation in the Trauma Patient (Part 1)