Which of the following is a priority when caring for a highly anxious patient?
Implement strict limit-setting to control behavior.
Increase environmental stimuli to distract the patient.
Provide support and a therapeutic milieu.
Provide more freedom to promote self-expression.
The Correct Answer is C
Choice A reason: While limit-setting is important, it should not be overly strict as it can increase anxiety in patients who are already highly anxious.
Choice B reason: Increasing environmental stimuli may overwhelm a highly anxious patient rather than help them.
Choice C reason: Providing support and a therapeutic milieu offers a safe and structured environment, which can help reduce anxiety and promote healing.
Choice D reason: More freedom can be beneficial, but it must be balanced with the need for a supportive and structured environment for a highly anxious patient.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Emptying the drain device every shift is important to prevent infection and accumulation of fluid, which can impede healing.
Choice B reason: Minimizing use of the affected arm is not recommended; rather, gentle exercises to promote circulation and prevent lymphedema are usually encouraged.
Choice C reason: Measuring the circumference of both arms can be part of monitoring for lymphedema, but it is not the priority in immediate post-mastectomy care.
Choice D reason: Placing the affected arm below the level of the heart is not recommended as it can increase swelling; elevation is usually advised.
Correct Answer is C
Explanation
Choice A reason: Hypertension is not typically a direct complication of inhaled anesthetics.
Choice B reason: Urinary retention can occur postoperatively but is not specifically associated with inhaled anesthetics.
Choice C reason: Laryngospasm is a potential complication of inhaled anesthetics, which can occur due to irritation of the airway during anesthesia.
Choice D reason: Anxiety is not a complication of inhaled anesthetics; it is more likely to be associated with preoperative stress.
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