The nurse must give 25 micrograms of fentanyl IVP X1 dose. Fentanyl is available in an ampule 100 micrograms per 2m How many mL will the nurse give for the correct dose?

round to the nearest tenth. Use a preceding zero if necessary. Do not use trailing zeros.

Choice A Reason:

Recognizing signs of escalating anxiety is a crucial skill for clients with GAD. This awareness allows them to identify early warning signs and implement coping strategies before anxiety becomes overwhelming. Early recognition can prevent the escalation of symptoms and reduce the impact on daily functioning. This skill is often developed through cognitive-behavioral therapy (CBT) and other therapeutic interventions that focus on self-awareness and self-monitoring.

Choice B Reason:

Avoiding all situations that cause stress is not a practical or effective strategy for managing GAD. While it is important to reduce unnecessary stress, complete avoidance can lead to increased anxiety and avoidance behaviors, which can worsen the disorde. Instead, clients are encouraged to develop coping strategies to manage stress and face anxiety-provoking situations gradually5. This approach helps build resilience and reduces the overall impact of anxiety on their lives.

Choice C Reason:

Recognizing the need to take medications as ordered is essential for effective management of GAD. Medication adherence ensures that the client maintains therapeutic levels of medication, which can help control symptoms and prevent relapse. Non-adherence to medication regimens is a common issue in mental health treatment and can lead to worsening symptoms and increased risk of hospitalization. Therefore, understanding and adhering to prescribed medications is a key component of effective care.

Choice D Reason:

Utilizing relaxation techniques to limit anxiety is a highly effective strategy for managing GAD. Techniques such as deep breathing, progressive muscle relaxation, and mindfulness can help reduce physiological arousal and promote a sense of calm. These techniques are often taught in therapy and can be practiced regularly to help manage anxiety symptoms. Incorporating relaxation techniques into daily routines can significantly improve the client’s ability to cope with stress and anxiety.

Choice E Reason:

Discussing plans to handle panic attacks if they occur is an important aspect of managing GAD. Having a clear plan in place can help the client feel more in control and reduce the fear of experiencing a panic attack. This plan may include strategies such as deep breathing, grounding techniques, and seeking support from trusted individuals. By preparing for potential panic attacks, clients can reduce their overall anxiety and improve their ability to manage symptoms effectively.

Choice A Reason:

Word salad.

Word salad refers to a jumble of words and phrases that lack logical coherence, often seen in severe cases of schizophrenia. The speech is typically incomprehensible and does not follow any recognizable pattern. In this case, the client’s response, while unusual, follows a pattern based on sound rather than meaning, which does not fit the definition of word salad.

Choice B Reason:

Loose association.

Loose association involves a series of thoughts that are only loosely connected to each other. This is a common symptom in schizophrenia, where the person’s thoughts may drift from one topic to another with little logical connection. However, the client’s response in this scenario is more structured and based on rhyming, which is characteristic of clang associations rather than loose associations.

Choice C Reason:

Clang association.

Clang association is a type of thought disorder where the person’s speech is governed by the sound of words rather than their meaning. This often results in rhyming or punning speech. The client’s response, “A match is a catch. A catch is a batch. The batch started to hatch,” is a clear example of clang association because the words are linked by their similar sounds rather than their meanings.

Choice D Reason:

Ideas of reference.

Ideas of reference involve the belief that ordinary events, objects, or behaviors of others have particular and unusual significance specifically for the person. This is often seen in paranoid schizophrenia. The client’s response does not indicate that they believe the words have special personal significance; instead, it shows a pattern of rhyming, which is more indicative of clang association.