Initial interventions for Marco with acute anxiety include all except which of the following?
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Solution
Touching the client in an attempt to comfort him
Option A: The emergency nurse must establish rapport and trust with the anxious client before using therapeutic touch. Touching an anxious client may actually increase anxiety.
Kris periodically has acute panic attacks. These attacks are unpredictable and have no apparent association with a specific object or situation. During an acute panic attack, Kris may experience:
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Solution
Decreased perceptual field
Option B: Panic is the most severe level of anxiety. During panic attack, the client experiences a decrease in the perceptual field, becoming more focused on self, less aware of surroundings and unable to process information from the environment. The decreased perceptual field contributes to impaired attention and in ability to concentrate.
Which of the following statements should be included when teaching clients about monoamine oxidase inhibitor (MAOI) antidepressants?
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Solution
Don’t take prescribed or over the counter medications without consulting the physician
Option D: MAOI antidepressants, when combined with a number of drugs, can cause life-threatening hypertensive crisis. It’s imperative that a client checks with his physician and pharmacist before taking any other medications.
Which medication can control the extra pyramidal effects associated with antipsychotic agents?
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Solution
Amantadine (Symmetrel)
Option B: Amantadine is an anticholinergic drug used to relive drug-induced extrapyramidal adverse effects such as muscle weakness, involuntary muscle movements, pseudoparkinsonism and tardive dyskinesia.
PROPRANOLOL (Inderal) is used in the mental health setting to manage which of the following conditions?
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Solution
Antipsychotic-induced akathisia and anxiety
Option A: Propranolol is a potent beta-adrenergic blocker and producing a sedating effect, therefore it is used to treat antipsychotic-induced akathisia and anxiety.
Andy is admitted to the psychiatric unit with a diagnosis of borderline personality disorder. Nurse Hilary should expects the assessment to reveal:
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Solution
Unpredictable behavior and intense interpersonal relationships
Option D: A client with borderline personality displays a pervasive pattern of unpredictable behavior, mood, and self-image. Interpersonal relationships may be intense and unstable and behavior may be inappropriate and impulsive.
Malou with schizophrenia tells Nurse Melinda, “My intestines are rotted from worms chewing on them.” This statement indicates a:
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Solution
Somatic delusion
Option B: Somatic delusions focus on bodily functions or systems and commonly include delusion about foul odor emissions, insect manifestations, internal parasites and misshapen parts.
In the diagnosis of a possible pervasive developmental autistic disorder. The nurse would find it most unusual for a 3 year old child to demonstrate:
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Solution
Responsiveness to the parents
Option D: One of the symptoms of autistic child displays a lack of responsiveness to others. There is little or no extension to the external environment.
When nurse Hazel considers a client’s placement on the continuum of anxiety, a key in determining the degree of anxiety being experienced is the client’s:
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Solution
Perceptual field
Option A: Perceptual field is a key indicator of anxiety level because the perceptual fields narrow as anxiety increases.
Nurse John is aware that the therapy that has the highest success rate for people with phobias would be:
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Solution
Systematic desensitization using relaxation technique
Option C: The most successful therapy for people with phobias involves behavior modification techniques using desensitization.