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Anxiety_questions_personality_disorders (with correct answers 2021)

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1. The client with heart failure has severe dyspnea and is anxious, tachypneic, tachycardic. Which intervention should be the nurse’s priority? a. Administer diazepam 2.5 mg iv b. Administer morp... hine sulfate 2 mg iv c. Increase dopamine iv infusion by mcg/kg/min d. Increase nitroglycerin iv infusion by 5 mcg/min ans= b The nurse’s priority should be giving morphine sulfate. This medication improves alveolar gas exchange, improves cardiac output by reducing ventricular preload and afterload, decreases anxiety, and assists in reducing the subjective feeling of dyspnea 2. The parents whose child died after being accidentally shot, tell the nurse about their involvement in gun safety legislation. The parents are using which defense mechanism? a. Denial-refusal to accept a painful reality by pretending it didn't happen b. Sublimation c. Identification-involves taking on attributes and characteristics of someone admired d. Intellectualization-excessive focus on reasoning to avoid feelings associated with a situation ans= b sublimation involves redirecting unacceptable feelings or drives into an acceptable channel 3. The client states “ for 5 years i have been physically ill and have had frequent crying episodes, feelings of worthlessness and loss of appetite on the anniversary of when my spouse died.” What should be the nurse’s focus when counseling the client? a. Anticipatory grief- grief before a loss b. Uncomplicated grief- clients self esteem remains intact with symptom resolution c. Delayed grief reaction- absence of the expression of grief d. Distorted grief reaction ans= D the nurse’s focus for counseling should be directed toward the clients distorted grief reaction. The symptoms reported by the client are exaggerated and prolonged 4. The client is being discharged after hospitalizaton for a suicide attempt. Which question asked by the nurse assesses the learned prevention and future coping strategies of the client? a. How did you try to kill yourself b. Why did you think life isn't worth living? c. What skills can you utilize if you experience problems again? d. Do you have the phone number of the suicide prevention center ans= c asking the client directly what skills he or she could utilize if similar problems occured in the future, provides the client with an opportunity to reflect on learned behaviors and to determine a plan for future prevention [Show More]

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