Please help me with this homework and check my answers if they are…

Question Please help me with this homework and check my answers if they are… Please help me with this homework and check my answers if they are correctThe nurse faculty is instructing the nursing student learners about specific phobias, a disorder that can bring about anxiety. Which statement by the student should indicate that learning has taken place?  The nursing instructor should evaluate that learning has occurred when the student knows that clients with phobias have a panic level of fear that is overwhelming and unreasonable. Phobia is fear cued by a specific object or situation in which exposure to the stimuli produces an immediate anxiety response. Even though the disorder is relatively common among the general population, people seldom seek treatment unless the phobia interferes with ability to function. Is mild anxiety a normal reaction to life stressors and a benefit in some cases? The RN is using the cognitive intervention to decrease anxiety during a client’s panic attack. Which statement by the client would indicate that the intervention has been successful? ” I reminded myself that the panic attack would end soon, and it helped.” The RN on the psychiatric unit should include all of the following interventions when working with a newly admitted client diagnosed with obsessive-compulsive disorder except? A client in the psych unit is diagnosed with posttraumatic stress disorder has a nursing diagnosis of ineffective coping R/T history of rape AEB abusing alcohol. Which is the expected short-term outcome for this client’s problem?  It is a realistic expectation for a client who copes with previous trauma by abusing alcohol to recognize the triggers that precipitate this behavior. This outcome should be developed mutually early in treatment. TEST-TAKING HINT: It is important to relate outcomes to the stated nursing diagnosis. In this question, the test taker should choose an answer that relates to the nursing diagnosis of ineffective coping. Answer “4” can be eliminated immediately because it does not assist the client in coping more effectively. Also, the test taker must note important words, such as “short-term.” Answer “2” can be eliminated immediately because it is a long-term outcome. A client on an in-patient psychiatric unit is experiencing a flashback. Which intervention takes priority?  During a flashback, the client is experiencing severe-to-panic levels of anxiety; the priority nursing intervention is to maintain and reassure the client of his or her safety and security. The client’s anxiety needs to decrease before other interventions are attempted. TEST-TAKING HINT: It is important to understand time-wise interventions when dealing with individuals experiencing anxiety. When the client experiences severe-to-panic levels of anxiety during flashbacks, the nurse needs to maintain safety and security until the client’s level of anxiety has decreased. A client complains to the nurse about others’ doubting the seriousness of the client’s hypochondriac disease. The client is angry, frustrated, and anxious. Which nursing intervention takes priority?  Clients diagnosed with hypochondriasis are so convinced that their symptoms are related to organic pathology that they adamantly reject, and are often angry and frustrated by, anyone doubting their illness. Empathizing with the client about anger and frustration assists in building a therapeutic relationship. The nurse-client relationship is the foundation for all other interventions and takes priority at this time. An impatient client on the psych unit complains of vague weakness and multisystem symptoms has been diagnosed with a somatoform disorder. Which nursing intervention takes priority?  The nurse must first rule out signs and symptoms of an actual physical condition before assuming that the disorder is somatoform in nature. Monitoring signs and symptoms, vital signs, and lab tests can rule out a physiological problem. The RN is addressing the nursing diagnosis of knowledge deficit R/T relationship of anxiety to hypertension. Which intervention addresses this client’s problem?  Teaching the client about the mind-body connection is an intervention that directly supports the nursing diagnosis of knowledge deficit R/T relationship of anxiety to hypertension. During an intake assessment, a client diagnosed with generalized anxiety disorder rates mood at 3/10, rates anxiety at 8/10 and states, “I’m thinking about suicide” Which nursing intervention takes priority?  It is important for the nurse to ask the client about a potential plan for suicide to intervene in a timely manner. Clients who have developed suicide plans are at higher risk than clients who may have vague suicidal thoughts. TEST-TAKING HINT: To answer this question correctly, the test taker must understand the importance of assessing the plan for suicide. Interventions would differ depending on the client’s plan. The intervention for a plan to use a gun at home would differ from an intervention for a plan to hang oneself during hospitalization. The RN has received a report from the off-going nurse. Which client would need to assess first? The RN expect to assess in a client diagnosed with posttraumatic stress disorder all of the following except:  Excessive attachment and dependence toward others.  Full range of effect. Which one of the following would the RN expect to assess in a client with long-term maladaptation to stressful events? Ulcerative colitis A patient in the psychiatric unit is suspected to be experiencing a conversion disorder. The nurse would expect to assess all of the following except: A resident is diagnosed with hypochondriasis. All of the following assessment data validate this diagnosis except ( For this one I found one that has all the following, but it didn’t show the except) Anti-anxiety medications are classifications commonly used to treat anxiety in acute chronic conditions. In which situation is lorazepam (Ativan) used appropriately? A client admitted to an in-patient psychiatric unit within the past 6 hours is diagnosed with obsessive-compulsive disorder. Which behavioral symptom would the nurse expect to assess?  Using excessive hand washing to relieve anxiety is a behavioral symptom exhibited by clients diagnosed with obsessive-compulsive disorder (OCD). TEST-TAKING HINT: To answer this question correctly, the test taker must be able to differentiate various classes of symptoms exhibited by clients diagnosed with OCD. The keyword “behavioral” determines the correct answer to this question. Does the nursing student know which teaching need is important when a client is newly prescribed buspirone 5 mg tid? Prior to discharge, a client diagnosed with posttraumatic stress disorder interventions are being evaluated by the nurse. Which client statement would indicate that the teaching about the psychosocial cause of posttraumatic stress disorder was effective? When the client verbalizes understanding of how the experienced event, individual traits, and available support systems affect his or her diagnosis, the client demonstrates a good understanding of the psychosocial cause of posttraumatic stress disorder (PTSD).  [TEST TAKING HINT] To answer this question correctly, the test-taking should review the different theories as they relate to the causes of different anxiety disorders, including PTSD. Only “1” describes a psychosocial etiology of PTSD.  The patient is prescribed lorazepam (Ativan) 0.5 mg qid and 1 mg PRN q8h. the maximum daily dose of lorazepam should not exceed 4 mg QD. This client would be able to receive how many PRN doses as the maximum number of PRN lorazepam doses.  This client should receive 2 PRN doses. The test taker must recognize that medications are given three times in a 24-hour period when the order reads q8h: 1 mg x 3 = 3 mg. The test taker must factor in the 0.5 mg qid = 2 mg. These two dosages together add up to 5 mg, 1 mg above the maximum daily dose of lorazepam (Ativan). The client would be able to receive only two of the three PRN doses of lorazepam. TEST-TAKING HINT: To answer this question correctly, the test taker must recognize that the timing of standing medication may affect the decision-making process related to the administration of PRN medications. In this case, although the PRN medication is ordered q8h, and could be given three times, the standing medication dosage limits the PRN to two doses, each at least 8 hours apart. A client presented to the emergency department with a history of generalized anxiety disorder complaining of restlessness, irritability, and exhaustion. Vital signs are blood pressure 140/90 mm Hg, pulse 96, and respirations 20. Based on this assessed information, which assumption would be correct?  Physical problems should be ruled out before determining a psychological cause for this client’s symptoms. TEST-TAKING HINT: The test taker needs to remember that although a client may have a history of a psychiatric illness, a complete, thorough evaluation must be done before assuming exhibited symptoms are related to the psychiatric diagnosis. Many medical conditions generate anxiety as a symptom. The RN has been assigned a client diagnosed with the obsessive-compulsive disorder who has been hospitalized for the last   Health Science Science Nursing MENTAL NR 326 Share QuestionEmailCopy link Comments (0)

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