Answer to Question 1
ANS: 3
The nurse's focus for a client experiencing a crisis is immediate stress reduction.
The client experiencing a crisis is unable to work through independent problem solving.
Completing an in-depth evaluation of stressors and responses to the situation would be inappro-priate for the client who is experiencing a crisis. A person who has experienced a crisis has changed, and the effects may last for years or for the rest of the person's life. If a person has successfully coped with a crisis and its consequences, he or she becomes a more mature and healthy person, and ongoing therapy may not be necessary.
Answer to Question 2
ANS: 4
Relaxation technique is correct. Biofeedback is a training program designed to develop one's ability to control the autonomic (involuntary) nervous system. Clients learn to monitor their func-tioning such as heart rate, blood pressure, skin temperature, or muscle tension, and learn to relax in response in order to create desired changes. Guided imagery is a relaxed state in which a per-son actively uses imagination in a way that allows visualization of a soothing, peaceful setting. This is not an example of guided imagery. Regular exercise is not an example of a regular exercise program. It does not improve muscle tone and reduce the risk of cardiovascular disease. Time management techniques include developing lists of tasks to be performed in order of priority. This is not an example of time management.
Critical thinking involves analysis in which the nurse examines patient data available from a variet
A, A nurse is adding a medication to an IV line as a piggyback
The surgical nurse assists the client into the correct position
Testing patellar reflex, client in a supine position
Positioning of client
A patient is talking to the nurse about her husband’s abuse and attempt to strangle her. She ...