Fundamentals Of Nursing III: Stress, Crisis, Crisis Intervention, Communication... (Practice Mode)-www.Rnpedia.Com

Inflammation causes the release of edema fluids, which can lead to the compression of local nerve endings. This compression applies pressure on the nerve endings, resulting in pain. Therefore, the primary cause of pain in inflammation is the compression of local nerve endings by the edema fluids.

The Mongol #2 should be used because it is a writing instrument commonly used for writing and taking notes. It is a standard pencil that is easy to use and does not smudge easily. It is a practical choice for writing an information on the Kardex.

Restating is the correct answer because Budek is repeating Myra's statement back to her in a slightly different form. Restating is a therapeutic communication technique that helps the speaker feel heard and understood, and it also allows the listener to clarify any misunderstandings. In this case, Budek is restating Myra's statement to show that he understands her difficulty with sleeping.

Elton is exemplifying a moderate anxiety level. This is indicated by his symptoms of sweating profusely, decreased awareness of his environment, and selective attentiveness. These symptoms suggest that he is experiencing a moderate level of anxiety, which is causing him to become highly focused on the exam questions.

Offering choices to clients with anxiety may not be appropriate because it can overwhelm them and increase their anxiety. People with anxiety often struggle with decision-making and may feel overwhelmed by too many options. Providing a limited number of choices or offering guidance and support in decision-making may be more helpful for individuals with anxiety.

The best goal for crisis intervention is to provide alternate coping mechanisms. Crisis situations often leave individuals feeling overwhelmed and unable to cope effectively with their emotions and circumstances. By providing alternate coping mechanisms, such as teaching relaxation techniques or problem-solving skills, the individual can develop healthier ways to manage their emotions and navigate through the crisis. This goal focuses on empowering the individual to develop their own resilience and adaptive strategies, rather than simply returning them to their pre-crisis state or ensuring that they become better.

Milieu therapy is the best intervention when the client has just experienced a crisis and is still in the first phase of the crisis. Milieu therapy focuses on creating a therapeutic environment that is supportive, structured, and safe for the client. It involves providing a positive and nurturing atmosphere, promoting healthy interactions and relationships, and offering various activities and interventions to help the client cope with the crisis. This approach aims to stabilize the client's emotions, reduce anxiety, and facilitate their overall recovery and well-being.

The vital information regarding the client's allergy to Iodine based dye should be placed at the front metal plate of the chart. This is because the front metal plate is easily visible and accessible to healthcare professionals, allowing them to quickly and easily identify the client's allergy and take appropriate precautions. Placing this information at the front metal plate ensures that it is prominently displayed and easily noticed, reducing the risk of any allergic reactions or complications during medical procedures.

The coronary vessels, which supply blood to the heart, respond to sympathetic stimulation by vasodilatation. This means that when the sympathetic nervous system is activated, the coronary vessels widen or dilate, allowing more blood to flow to the heart. This is important because during times of increased demand, such as during exercise or stress, the heart needs more oxygen and nutrients. By dilating the coronary vessels, the body ensures that the heart receives an adequate blood supply to meet its increased demands.

The last expected process in the stages of inflammation is the loss of normal function in the affected part. This occurs as a result of the inflammatory response, which is the body's attempt to protect itself and promote healing. Inflammation causes swelling, pain, and changes in the affected area, leading to a loss of normal function. This can include limitations in movement, decreased strength or coordination, and impaired sensory perception. Loss of normal function is a common symptom of inflammation and is indicative of the body's ongoing response to injury or infection.

Nonverbal communication is considered as the most accurate expression of a person's thoughts and feelings because it includes body language, facial expressions, gestures, and tone of voice. These nonverbal cues often convey more information and are more reliable indicators of a person's true emotions than verbal communication alone. Nonverbal communication can be subtle and nuanced, allowing for a deeper understanding of a person's intentions and attitudes. It is an essential aspect of human interaction and can greatly enhance the effectiveness of verbal communication.

The correct answer indicates that learning has been achieved because Matuts has taken action and implemented the knowledge gained from the mag HL tayo program by starting to exercise every morning and eating a balanced diet. This demonstrates that Matuts has understood the importance of the program and is actively applying it in her daily life.

Increased awareness of environmental details can indicate mild anxiety because when someone is anxious, they tend to become hyper-vigilant and notice even the smallest details in their surroundings. This heightened awareness is a result of their increased alertness and anticipation of potential threats or dangers. Therefore, this manifestation suggests that the client is experiencing mild anxiety.

The abbreviation "ss" in this context stands for "one half." This means that the physician has ordered a Paracetamol tablet with a dosage of one half of the usual or standard dose.

Anxiety is a psychological condition that is characterized by feelings of fear, unease, or worry. It can be caused by various factors, such as stress, trauma, or a chemical imbalance in the brain. The statement "The source of dread or uneasiness is from a recognized entity" is not true because anxiety can often be triggered by unrecognized or unknown factors. People may experience anxiety without being able to pinpoint a specific cause or source of their distress. Therefore, anxiety can arise from both recognized and unrecognized entities.

Lorraine's disorganized and incomprehensible speech suggests that she is experiencing a high level of anxiety. Panic is characterized by extreme fear and a sense of losing control, which can lead to symptoms such as disorganized speech. Therefore, the features described in the question belong to the level of anxiety known as panic.

Kenneth is experiencing both spiritual anxiety and spiritual guilt. He feels that he has not met God's expectations and is fearful of God's punishment. This indicates a sense of guilt and anxiety about his spiritual standing and relationship with God.

POMR stands for Problem-Oriented Medical Record. It is a type of recording that integrates all data about the problem, gathered by members of the health team. This approach organizes patient information based on specific problems or issues, rather than the traditional source-oriented or resource-oriented methods. The POMR system allows for a more comprehensive and efficient approach to patient care, as it focuses on addressing individual problems and tracking progress over time.

The best way to communicate the client's allergy to penicillin is to notify the attending physician. The attending physician is responsible for the overall care and treatment of the patient, and they need to be aware of any allergies in order to make informed decisions about medications and treatment plans. This ensures that the client is not given penicillin or any related medications that could potentially cause an allergic reaction.

After tissue injury, the initial response is immediate vasoconstriction. This is a protective mechanism that helps to minimize bleeding and prevent further damage. Vasoconstriction narrows the blood vessels, reducing blood flow to the injured area and thus limiting the extent of injury. This response is followed by a subsequent phase of vasodilation, which helps in the recruitment of immune cells and promotes tissue healing. However, the immediate response is vasoconstriction to prevent excessive bleeding.

Lyza is using biofeedback as a relaxation technique. Biofeedback involves using electronic devices to monitor and provide feedback about physiological processes in the body, such as pulse rate, temperature, and muscle tension. By visualizing and assessing this information, Lyza can learn to control and regulate these bodily functions, leading to relaxation and stress reduction. Massage, autogenic training, and visualization and imagery are other relaxation techniques, but they do not involve the use of electronic devices for monitoring and feedback.

Luvox is not an anxiolytic because it is classified as a selective serotonin reuptake inhibitor (SSRI), commonly used to treat obsessive-compulsive disorder (OCD) and depression. Anxiolytics are medications specifically designed to reduce anxiety and promote relaxation. Valium, Ativan, and Milltown are all benzodiazepines, which are commonly prescribed anxiolytics.

Restitution is a defense mechanism that involves making amends or compensating for a perceived wrongdoing. In this scenario, Legrande is buying his son ice cream and food, which can be seen as a form of restitution for any guilt or remorse he may feel. This behavior is an unconscious way for Legrande to restore his sense of balance and rectify the situation.

Given the description of the injuries suffered by Miss Imelda, it is likely that the type of healing that will occur is second intention. Second intention healing occurs when there is a significant tissue loss or a wound that cannot be closed by primary intention (first intention) healing. In this case, the lacerations and tissue loss on Miss Imelda's arms and elbow indicate that the wound will need to heal from the bottom up, with granulation tissue filling in the gap and eventually forming a scar. This process is characteristic of second intention healing.

The given answer violates the characteristic of good recording because it includes objective measurements such as blood pressure, temperature, pulse rate, and respiratory rate, which are important for assessing the client's condition. Good recording should focus on factual information and avoid subjective statements or personal opinions. The other options (ate 50% of food served, refused administration of betaxolol, visited and seen by Dr. Santiago) do not violate the characteristic of good recording as they provide specific details about the client's actions and interactions.

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The sympatho-adreno-medullary response is the body's physiological response to stress. It is characterized by the release of adrenaline and noradrenaline, which have various effects on the body. Constipation may occur as a result of increased sympathetic activity, which can slow down digestion. Hyperglycemia, or high blood sugar, can occur due to the release of adrenaline, which stimulates the liver to release glucose into the bloodstream. Increased blood pressure is also a common effect of the sympatho-adreno-medullary response, as adrenaline and noradrenaline cause vasoconstriction, narrowing the blood vessels and raising blood pressure. Therefore, the effects of sympatho-adreno-medullary response by the client include constipation, hyperglycemia, and increased blood pressure.

Nurse Aida should intervene and correct Nurse Irma because her statement shows that she is lacking positive regard. Positive regard refers to the ability to view and treat others with respect, acceptance, and compassion. Nurse Irma's statement of referring to the patient as "psychotic" indicates a lack of positive regard, as it demonstrates a judgmental and stigmatizing attitude towards the patient. It is important for healthcare professionals to maintain positive regard towards all patients, regardless of their mental health condition, in order to provide effective and compassionate care.

Validation is the most effective communication skill in dealing with covert communication because it involves acknowledging and accepting the feelings and concerns of the other person without judgment. By validating their emotions and experiences, it creates a safe and supportive environment for open communication. This can help uncover hidden messages and underlying issues that may not be openly expressed. Validation also promotes trust and understanding, allowing for a more effective resolution of covert communication.

Monocytes are responsible for phagocytosis in chronic tissue injury. Monocytes are a type of white blood cell that can differentiate into macrophages, which are specialized cells involved in the phagocytosis of pathogens, cellular debris, and foreign substances. In chronic tissue injury, monocytes migrate to the site of injury and differentiate into macrophages, helping to clear away damaged tissue and promote healing. Neutrophils, basophils, and eosinophils are also types of white blood cells, but they have different functions and are not primarily responsible for phagocytosis in chronic tissue injury.

The Kardex is not the primary basis of endorsement. This means that it is not the main source or document used to endorse or recommend something. The Kardex may provide readily available information and be a tool for end of shift reports, but it is not the primary basis of endorsement.

The given answer "Resource oriented" is the correct answer because it aligns with the description provided in the question. The question states that each person or department makes notations in separate records, such as nursing notes and physician's order sheet. This indicates that the data is arranged according to the information source, which is a characteristic of a resource-oriented type of record-keeping system.

The response "Why are you so anxious? Please tell me more about your feelings Erik" is non-therapeutic because it dismisses Erik's concerns and does not address his fear or pain. It also does not provide any reassurance or support, which is important in a therapeutic response.

Levito Devin is experiencing a maturational crisis. This type of crisis occurs when individuals face significant life transitions, such as retirement, that lead to feelings of loss, uncertainty, and a reevaluation of one's identity and purpose. In this case, Devin's retirement is causing him to feel depressed as he grapples with the loss of influence, power, fame, and fortune that he once had.

In patients with anxiety, it is common to observe dilated pupils. This is because anxiety triggers the release of adrenaline, which causes the pupils to dilate. Dilated pupils allow more light to enter the eyes, enhancing visual perception and increasing the ability to focus and concentrate. Therefore, if a patient's chart indicates ANXIETY +3, it would be expected to see dilated pupils in this client.

Budek's response of "Do you think your crazy?" reflects back Rommel's question and mirrors it back to him, which is an example of reflecting in therapeutic communication. Reflecting involves paraphrasing or repeating the client's words or feelings to show understanding and encourage further exploration of their thoughts and emotions. In this case, Budek's response reflects Rommel's question and encourages him to further examine his own thoughts and feelings about being crazy.

Providing opportunities to express feelings would least likely be effective when dealing with a client with aggressive behavior. Aggressive behavior often stems from frustration, anger, or a lack of ability to effectively communicate emotions. Allowing the client to express their feelings may further escalate their aggression and make it more difficult to manage the situation. It is important to address the underlying issues causing the aggression and implement strategies such as approaching the client calmly, maintaining eye contact to establish trust, and avoiding isolating the client from others to promote a safe and therapeutic environment.

The most important characteristic of a nurse-patient relationship is that it is growth facilitating. This means that the relationship between the nurse and patient should support and encourage the patient's personal growth and development. The nurse should provide a safe and supportive environment for the patient to explore their feelings, concerns, and goals, and help them to develop new skills and coping mechanisms. This characteristic emphasizes the importance of the nurse's role in promoting the patient's overall well-being and empowering them to take an active role in their own healthcare journey.

A patient with a blood sugar level of 50 mg/dl is experiencing hypoglycemia, which is a low blood sugar level. In response to this, the body initiates a stress response to raise the blood sugar level back to a normal range. One of the physiological changes that occur during a stress response is an increase in blood pressure. This is because the body releases stress hormones, such as epinephrine and cortisol, which cause blood vessels to constrict and the heart to beat faster, leading to an increase in blood pressure.

The most appropriate response by Budek is "What is that you said?" This response shows that Budek is actively listening and engaged in the conversation with Whitney. It allows Whitney to further express her thoughts and feelings, and it shows empathy and understanding towards her.

Thorndike is the correct answer because his theory of learning, known as behaviorism, emphasizes that transfer of knowledge occurs when a new situation closely resembles an old one. This means that individuals are more likely to apply previously learned knowledge and skills to new situations that are similar to ones they have encountered before. Thorndike's theory focuses on the idea that learning is a result of associations formed between stimuli and responses, and that these associations can be transferred to similar situations.

In establishing a therapeutic nurse-patient relationship, it is important for the nurse to understand that patients might test her before trust is established. Patients may display behaviors or attitudes that challenge the nurse's authority or trustworthiness as a way of assessing the nurse's commitment and ability to provide care. By recognizing and understanding this, the nurse can respond empathetically and consistently, building trust and rapport with the patient. This understanding allows the nurse to navigate through any initial barriers and work towards establishing a therapeutic relationship based on trust and mutual understanding.

Active listening on what the patient says is the best way to assess the client's pain. By actively listening to the patient, the healthcare provider can gather important information about the location, intensity, and quality of the pain. The patient's description of their pain can provide valuable insights that may not be apparent through physical assessment or observation of behavior. This approach allows for a more patient-centered and holistic assessment of pain, taking into account the individual's subjective experience.

Pavementation is the correct answer because it is the first process that occurs in the inflammatory response after injury. During pavementation, the injured blood vessels release chemicals that cause the nearby endothelial cells to become sticky. This stickiness allows white blood cells called neutrophils to adhere to the endothelial cells and migrate out of the blood vessels into the injured tissue. This process is crucial for initiating the inflammatory response and beginning the healing process.

Inflammation serves several purposes, including localized tissue injury by increasing capillary permeability, protecting the tissue from injury by producing pain, and preparing for tissue repair. However, increasing heat does not directly contribute to the abatement of phagocytosis. Phagocytosis is the process by which cells engulf and destroy foreign particles or pathogens. While inflammation can increase blood flow and bring immune cells to the site of infection or injury, heat itself does not directly affect the ability of phagocytes to engulf and destroy pathogens.

Autogenic training is a technique that involves self-suggestion and self-hypnosis. It is a relaxation technique that aims to promote a state of deep relaxation and reduce stress. During autogenic training, individuals focus on specific sensations and imagery to induce a state of relaxation and calmness. This technique can help individuals gain control over their bodily functions, such as heart rate and blood pressure, through self-suggestion. Therefore, autogenic training aligns with the description provided in the question as a form of self-suggestion or self-hypnosis.

Grace is experiencing spiritual alienation. This is evident from the fact that she believes her relationship with God is broken and she is trying to go to church every day to ask for forgiveness. This suggests a sense of disconnection or separation from her spiritual beliefs and a feeling of being distant or estranged from God.

The correct answer is social because the tsunami in Thailand and Indonesia affected a large number of people and caused significant changes in their lives. This type of crisis is social in nature because it involves the collective impact on communities and societies, as well as the emotional and psychological effects on individuals. The devastation caused by the tsunami created a social crisis that required support and rebuilding efforts to help affected individuals and communities recover and start anew.

Restating is the therapeutic technique used in this situation. Restating involves repeating the client's words back to them in order to clarify and confirm understanding. In this case, Nurse Budek restates Myra's statement about thinking a lot about her ex-boyfriend to confirm that it is causing her difficulty sleeping. This technique helps the nurse show empathy and understanding, and encourages the client to further explore their thoughts and feelings.

This statement is considered not therapeutic because it focuses on the cause of the anxiety rather than the patient's feelings and experiences. It may come across as judgmental or dismissive, potentially making the patient feel defensive or misunderstood. A more therapeutic approach would be to explore the patient's emotions and provide support and empathy.