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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A reason: While controlling pain is a benefit, it is not the primary purpose of a CPM machine.

Choice B reason: Relieving foot swelling is not the main function of a CPM machine.

Choice C reason: Strengthening leg muscles is not the direct purpose of a CPM machine; it is designed to move the joint without the patient's muscles being used.

Choice D reason: The primary purpose of a CPM machine is to restore joint function by moving the joint through a prescribed range of motion, often after surgery, to prevent stiffness and increase circulation.

A. "Relax. Take a few deep breaths. I'll stay with you." B. "I'll take your vital signs and call my supervisor." C. "Don't worry. She's done this many times before." D. "Why do you think you're having a heart attack, Mr. L?"

Correct Answer is A

Explanation

Choice A reason: This response is calming and supportive. It addresses Mr. L's immediate distress by providing reassurance and a directive that can help him manage his panic, which is essential in a situation where a patient is experiencing extreme anxiety.

Choice B reason: While taking vital signs is an important step, it should not be the first response. The priority is to address the patient's acute distress and provide reassurance.

Choice C reason: This response minimizes the patient's feelings and does not address his immediate fear or offer any comfort or support.

Choice D reason: Asking why he thinks he's having a heart attack could increase his anxiety. It's important to first calm the patient before attempting to rationalize the situation.

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Which of the following is a priority when caring for a highly anxious patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is reinforcing teaching for a patient who is using a continuous passive motion (CPM) machine. Which of these, if stated by the patient, indicates to the nurse correct understanding of its purpose?

Correct Answer is D

Explanation

Mr. L, who has a severe fear of needles, is hospitalized on your medical unit. The laboratory technician enters to draw blood for the routine CBC, and Mr. L begins to cry out, "Get away from me! I can't breathe! I'm having a heart attack!" What should be your first response to Mr. L?

Correct Answer is A

Explanation

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