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Chapter 4: Problem 132

A 60-year-old widower is hospitalized after complaining of difficulty sleeping, extreme apprehension, shortness of breath, and a sense of impending doom. What is the best response for the nurse to make? 1\. "You have nothing to worry about. You are in a safe place. Try to relax." 2\. "Has anything happened recently or in the past that may have triggered these feelings?" 3\. "We have given you a medication that will help to decrease these feelings of anxiety." 4\. "Take some deep breaths and try and calm down."

Short Answer

Expert verified
The best response is Option 2: "Has anything happened recently or in the past that may have triggered these feelings?"

Step by step solution

01

Identifying the Situation

First, recognize that the patient is experiencing symptoms of anxiety such as difficulty sleeping, shortness of breath, and a sense of impending doom. These are critical symptoms that need to be addressed appropriately by the nurse.
02

Evaluating Available Responses

Review the options given for the nurse's response: 1. Provide reassurance without addressing underlying issues. 2. Explore potential triggers for the symptoms. 3. Inform about medication given for anxiety. 4. Suggest breathing exercises without addressing the cause.
03

Analyzing Each Option

- Option 1 offers reassurance, which may be comforting but could dismiss the patient's feelings. - Option 2 seeks to understand the patient's situation and identify potential triggers, which can aid in therapeutic communication. - Option 3 provides information about treatment but doesn't explore the underlying issue. - Option 4 offers a coping mechanism without addressing potential causes.
04

Identifying the Best Response

The best response is one that not only supports the patient but also seeks to understand the cause of their anxiety. This involves exploring recent events or triggers that might have led to these feelings, which is covered by Option 2.

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Key Concepts

These are the key concepts you need to understand to accurately answer the question.

Therapeutic Communication in Nursing
In nursing, therapeutic communication is a cornerstone for patient care. It's more than just talking; it's about engaging with patients in a way that builds trust and empathy. When nurses employ therapeutic communication, they listen actively and respond in a manner that ensures patients feel heard and understood. This type of communication involves:
  • Open-ended questions like "Has anything happened recently that may have triggered these feelings?" which encourages patients to share their experiences without feeling rushed or dismissed.
  • Reflective listening, where nurses repeat or paraphrase what patients say to ensure clarity and understanding.
  • Validating emotions to acknowledge how the patient feels, which can help to establish a bond of trust.
Effective therapeutic communication can drastically improve patient outcomes by identifying underlying issues and forming tailored care plans.
Nurse-Patient Relationship
A strong nurse-patient relationship is essential for effective healthcare delivery. This relationship is built on mutual respect, trust, and understanding. When nurses take the time to know their patients, it can lead to better diagnosis and treatment plans. Key elements include:
  • Empathy, where nurses put themselves in their patient's shoes to understand their feelings and perspectives.
  • Consistency in care, where the nurse is available and responsive to patient needs.
  • Confidentiality, ensuring that personal patient information is protected, which helps in building trust.
These elements can soothe patient anxiety and foster an environment where patients feel safe discussing their concerns, which is crucial for identifying anxiety triggers and implementing effective interventions.
Identifying Anxiety Triggers
Identifying anxiety triggers is a vital part of managing anxiety in patients. Anxiety can be caused by various triggers such as past experiences, current events, or even physiological factors. By understanding what triggers anxiety, nurses can develop precise care strategies. Steps in identifying triggers include:
  • Engaging in a conversation with patients to explore and discuss recent events or changes in their life.
  • Observing the patient鈥檚 reactions to different settings or questions to notice any patterns.
  • Documenting any specific factors the patient identifies as Linked to their anxiety, such as hospital environments or personal losses.
Once triggers are identified, nurses can work towards minimizing these, thereby reducing anxiety and improving overall patient care.
Nursing Interventions for Anxiety
Nursing interventions for anxiety are tailored strategies that nurses use to help patients manage their anxiety levels. These interventions can vary based on patient needs but often include:
  • Deep breathing exercises and relaxation techniques that help alleviate physical symptoms of anxiety.
  • Cognitive-behavioral strategies to help patients challenge negative thought patterns.
  • Providing a calm and safe environment to reduce stressors.
  • Offering educational resources about anxiety and coping mechanisms.
Effective nursing interventions require understanding individual patient needs and tweaks to interventions to maximize effectiveness. These interventions not only aim to provide immediate relief from anxiety symptoms but also improve the patient鈥檚 ability to handle anxiety in the long term.

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Most popular questions from this chapter

A client with anorexia nervosa weighs 80 percent of normal body weight and states "I am so fat I cannot get into my clothes." The nurse's best response would be: 1\. "You are under your ideal body weight, and it is causing you medical problems." 2\. 'You only weigh 100 pounds. How can you say you are fat?' 3\. "You need to stop thinking like that. How else can you describe your body?" 4\. "Why do you perceive yourself to be fat?"

A client is in the emergency department after a motor vehicle crash that involved alcohol use. Which statement is true about harm reduction? 1\. The client must admit he is an alcoholic before he can decrease his intake. 2\. The client must abstain and agree to attend a 12-step program. 3\. The nurse can help the client plan ways to prevent a reoccurrence. 4\. This nurse needs to confront the client's denial of the problem.

When helping the client gain insight into anxiety, the nurse would: 1\. help relate anxiety to specific behaviors. 2\. ask the client to describe events that precede increased anxiety. 3\. instruct the client to practice relaxation techniques. 4\. confront the client's resistive behavior.

What is the best nursing intervention when a client is experiencing a panic attack? 1\. "Please try to concentrate on what I am saying." 2\. "Let's go for a short walk until you are calmer. 3\. "Just sit back in your chair and take a few deep breaths." 4\. "I am going to get you some Valium now."

A client diagnosed with bipolar disease has begun a regimen of lithium. The most critical issue for the first two weeks is: 1\. monitoring the blood pressure. 2\. educating about side effects of the medicine. 3\. ensuring blood levels reach a therapeutic level. 4\. ascertaining that the client receives the full dose.
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