Which therapeutic technique may be used to enhance coping in the critical care environment?

Encourage the patient to deny the presence of the illness

Encourage the patient to let the staff have total control of the patient's care.

Foster trust in the interprofessional health care team.

Inform the patient that everything will be all right

Answer and Explanation

The Correct Answer is C

A. Encouraging denial of illness is incorrect as denial is not a healthy coping mechanism and may hinder treatment adherence.
B. Encouraging the patient to let staff have total control is incorrect because patient autonomy and involvement in care decisions enhance coping and emotional well-being.
C. Fostering trust in the interprofessional health care team is correct as it helps the patient feel supported and engaged in their care, reducing anxiety and promoting better coping strategies.
D. Telling the patient that everything will be all right is incorrect because it is a false reassurance that does not validate the patient's feelings or situation.

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Correct Answer is C

Explanation

A. Administering aspirin is incorrect because aspirin is ineffective in reducing core temperature in heat stroke and can increase the risk of bleeding.
B. Providing oral fluids is incorrect because the patient is confused and at risk for aspiration; IV fluids are preferred.
C. Applying a cooling blanket is correct because this patient is experiencing heat stroke, and rapid cooling is essential to prevent organ damage. Cooling blankets, ice packs, and immersion in cool water are key interventions.
D. Giving salt tablets is incorrect as rapid sodium replacement can cause fluid shifts and worsen the condition; IV fluids are preferred.

A. The nurse did not document the patient's need for restraints. B. The nurse does not inform the patient that the restraints were needed. C. The nurse failed to get a physician's order for restraints. D. The nurse touched the patient in an unauthorized manner.

Correct Answer is D

Explanation

A. Documenting the patient's need for restraints is important but does not address the issue of restraining a competent patient against their will. This is an issue of patient rights and autonomy.
B. Not informing the patient is inappropriate, but the key issue is the lack of consent to be restrained, not just the failure to inform.
C. While failing to get a physician's order is critical for legal and safety reasons, the core issue here is the violation of the patient's autonomy and rights.
D. Restraining a competent patient against their will without consent is considered an intentional tort because it involves touching the patient in an unauthorized manner, which is a direct violation of their rights. This can result in legal action for assault or battery.

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Which therapeutic technique may be used to enhance coping in the critical care environment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which intervention would the nurse plan to use for a patient who was working on a construction site and now presents to the hospital with profuse sweating, a temperature of 104°F (40°C), patent airway, tachycardia, acute confusion, and anxiety?

Correct Answer is C

Explanation

Why is restraining a competent patient against his or her wishes considered an intentional tort?

Correct Answer is D

Explanation

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