A nurse caring for a client is preparing to access the client’s implanted medication port (Medi port). The client states, “Every time I have to have my port accessed, I get extremely anxious, and I have heart palpitations.” Which response by the nurse would be most appropriate for the assessment stage of crisis intervention?
“Let's talk to the doctor about getting something ordered before the procedure."
“That must be overwhelming considering how often we access the port."
"Do you think you will be able to control your anxiety in the future?'
“What have you done in the past to relieve or reduce your anxiety during the procedure?"
The Correct Answer is D
This response by the nurse would be most appropriate for the assessment stage of crisis intervention because it focuses on understanding the client’s past experiences and coping mechanisms. By asking the client about what has worked for them in the past, the nurse can help the client identify and use effective strategies to manage their anxiety during the procedure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The technique described, where a client is placed in a situation that elicits high levels of anxiety or fear and is exposed to the feared stimuli in a safe and controlled environment, is known as flooding. In this case, the client with a fear of spiders is exposed to many spiders at once, which is an overwhelming and anxiety-provoking experience. However, the client is also aware that they are in a safe and controlled environment and can escape if necessary. Over time, this exposure should lead to a reduction in anxiety and fear.
Positive reinforcement involves rewarding desired behaviors to increase their likelihood of occurring in the future, while modeling involves learning by observing and imitating others' behaviors. Systematic desensitization involves gradually exposing a client to a feared stimulus while teaching relaxation techniques to reduce anxiety and fear.
Correct Answer is ["15"]
Explanation
The nurse would administer 15 mL of lithium syrup per dose. This is calculated by first determining the amount of lithium in each mL of syrup: 600 mg / 5 mL = 120 mg/mL. Then, the desired dose of 1800 mg is divided by the concentration of lithium in each mL of syrup: 1800 mg / (120 mg/mL) = 15 mL.

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