Graded A+
Nurse T admit Ms. S. Priority action for T to Nurse T is initiating therapeutic communication
take? - ANSWER -Assess respiratory with Ms. S. Which video best? - ANSWER -
status Video 3
Nurse T assess Ms. S. Which assessment scales Nurse T is communicating with Ms. S. Which is
is appropriate? - ANSWER -Hamilton-A an appropriate action for T to take? -
ANSWER -Restate Ms. S's concern
Nurse T completes the Hamilton-A assessment
of Ms. S and determines her score to be 26. Nurse T is listening to Ms. S while she describes
Which appropriate action for the nurse to take? - the stressors that contribute to her anxiety. Which
ANSWER -Lorazepam coping mechanisms is Ms. S. exhibiting? -
ANSWER -Denial
Displacement
Nurse T preparing to call provider. List the Rationalizing
findings. - ANSWER -S (Situation) = Ms.
Simpson is a 22-year-old African-American
female admitted to the inpatient mental health Nurse T is discussing Ms. S is most stressful
unit for anxiety. She is restless and fidgety, has situation. Which actions should T take first? -
poor concentration, and has been experiencing ANSWER -Continue to gather more
chest pain and shortness of breath. information regarding finances
B (Background) = She has a history of
generalized anxiety disorder and has previously
taken paroxetine 20 mg PO daily, but has not Nurse T has discovered Ms. S self-injury. Which
been taking it for approximately 2 weeks. thought processes is most likely a reflection of
A (Assessment)= Her vital signs from report at Ms. S behavior? - ANSWER -Alleviation of
0745 were: heart rate 115, blood pressure psychological pain
148/76, respirations 32, oxygen saturation 96%
on room air, and temperature 37.0 C (98.6 F).
Her score on the Hamilton A scale is 26, and she Nurse T is providing medication teaching
has been unable to focus on answering regarding escitalopram. Which statements should
questions due to her severe level of anxiety. She T include in the teaching? - ANSWER -You
continues to pace, wring her hands, and rock should report increased thoughts of suicide.
when sitting.
R (Recommendation) = I am calling to request a
prescription for lorazepam. Nurse T is explaining Ms. S diagnosis. Which
statements should T include in the teaching? -
ANSWER -Interventions are based on the
Nurse T is calculating the dose of lorazepam.
degree of anxiety you are experiencing.
Available 4mg/mL. How many mL should the
nurse admin? - ANSWER -0.5 You can experience four levels of anxiety.
It is common to perform repetitive behaviors in
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