A patient in the emergency department shows disorganized behavior ...

[imowrer]

A patient in the emergency department shows disorganized behavior and incoherence after a friend suggested a homosexual encounter. In which room should the nurse place the patient?
 
  a. An interview room furnished with a desk and two chairs
  b. A small, empty storage room with no windows or furniture
  c. A room with an examining table, instrument cabinets, desk, and chair
  d. The nurse's office, furnished with chairs, files, magazines, and bookcases

Question 2

A patient is experiencing moderate anxiety. The nurse encourages the patient to talk about feelings and concerns. What is the rationale for this intervention?
 
  a. Offering hope allays and defuses the patient's anxiety.
  b. Concerns stated aloud become less overwhelming and help problem solving begin.
  c. Anxiety is reduced by focusing on and validating what is occurring in the environment.
  d. Encouraging patients to explore alternatives increases the sense of control and lessens anxiety.

[gstein359]

Answer to Question 1

ANS: A
Individuals experiencing severe to panic-level anxiety require a safe environment that is quiet, non-stimulating, structured, and simple. A room with a desk and two chairs provides simplicity, few objects with which the patient could cause self-harm, and a small floor space in which the patient can move about. A small, empty storage room without windows or furniture would feel like a jail cell. The nurse's office or a room with an examining table and instrument cabinets may be over-stimulating and unsafe.

Answer to Question 2

ANS: B
All principles listed are valid, but the only rationale directly related to the intervention of assisting the patient to talk about feelings and concerns is the one that states that concerns spoken aloud become less overwhelming and help problem solving begin.

[imowrer]

Correct answers!

[gstein359]

Great! Please up vote