Exam 4: Psychosocial and Spiritual Alterations and Management

A patient is in the critical care unit having undergone surgery a week ago for multiple fractures to the his right and left legs secondary to a fall from a rooftop.The patient refuses to participate in morning care activities such as brushing his own teeth or washing his face and hands.The patient yells at the nurse, "You do it! Can't you see that my legs are broken?" The patient is exhibiting a disturbance in

A patient has been admitted to the critical care unit with a severed spinal cord injury at the T2 level.The patient has been in halo traction with immobilization for the past week.The patient continually tries to get out of bed and states, "My legs are only sleeping." Which of the following nursing diagnoses would be appropriate for the patient?

Psychologic and spiritual interventions have the power to engage a patient's

Commonly used medications for withdrawal symptoms include

A patient tells his family, "I don't know why I was placed on this earth just to suffer from cancer all my life.I just want to die." The nurse realizes the patient

Patients with an external locus of control

Because the nature of the environment, _____ is a serious concern in the critical care environment.

An adult patient sustains third- and fourth-degree burns to more than 70% of her body related to a house fire.The patient begins a pattern of behavior similar to that of a young child, in which she repeatedly whines and throws "temper tantrums" in an attempt to keep her nurse at the bedside.The patient's coping mechanism is consistent with

Regression as a coping mechanism for critical care patients

Which of the following techniques may be used to enhance coping?

Which of the following concepts supports patients and helps them endure the physical and psychological insults of their critical illness?

Which of the following reactions to stress resulting from a failure of a person's will, strength, endurance, and courage?

Anxiety can cause emotional changes in the

A subjective state in which an individual see extremely limited or not alternatives and is unable to mobilize energy on his or her behalf is known as?

A nurse can demonstrate caring and support to a patient through demonstration or expression of

Identify actions that a critical care nurse can take to decrease stressors at work.

A patient is admitted to the CCU complaining of pain from a femur fracture and is anxious and agitated.The patient is receiving steroids and theophylline for exacerbation of asthma.The nurse should assess the patient for

A patient has been admitted to the critical care unit with a severed spinal cord injury at the T2 level.The patient has been in halo traction with immobilization for the past week.The patient states, "I can't wait until I can get on my feet and walk again." Which defense mechanism is present in this statement?

A patient with ineffective coping may manifest which of the following behaviors?

A patient has been admitted to the critical care unit with a severed spinal cord injury at the T2 level.The patient has been in halo traction with immobilization for the past week.The physician explains to the patient that the spinal cord has been severed and that the patient will not be able to walk again.The patient becomes overtly hostile to everyone.The patient is demonstrating