A nurse notes that a client is extremely withdrawn, delusional, and emotionally exhausted. The nurse assesses the client's anxiety as which level?

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Multidimensional Basis of Health Protective Behaviors Questions

Question 1 of 5

A nurse notes that a client is extremely withdrawn, delusional, and emotionally exhausted. The nurse assesses the client's anxiety as which level?

Correct Answer: C

Rationale: The correct answer is C: Severe anxiety. The client is showing extreme withdrawal, delusions, and emotional exhaustion, which are indicative of severe anxiety. Severe anxiety is characterized by intense emotional distress and impaired functioning. Mild anxiety (choice A) typically involves minimal impact on daily activities. Moderate anxiety (choice B) may cause some distress but does not result in delusions or extreme withdrawal. Panic anxiety (choice D) is characterized by overwhelming fear and physical symptoms, not necessarily delusions or emotional exhaustion.

Question 2 of 5

Pain in ortho cases may not be mainly due to the surgery. There might be other factors such as cultural or psychological that influence pain. How can you alter these factors as the nurse?

Correct Answer: D

Rationale: Correct Answer: D Rationale: 1. Promoting client's sense of control and participation empowers them. 2. This can reduce anxiety and increase feelings of control over their pain. 3. By listening to concerns, you validate their feelings and build trust. 4. Empowering clients can positively impact their pain experience. Summary of Other Choices: A. Explaining interventions causing worry may increase anxiety. B. Giving medication on time is important but doesn't directly address psychological factors. C. Staying with the client during pain episodes provides comfort but doesn't address empowerment or control.

Question 3 of 5

OR nurses should be aware that maintaining the client's safety is the overall goal of nursing care during the intraoperative phase. As the circulating nurse, you make certain that throughout the procedure…

Correct Answer: C

Rationale: The correct answer is C because securing straps around the client's knees, ankles, and hands on an arm board is crucial for maintaining the client's safety during surgery. This helps prevent inadvertent movements that could lead to injury or interference with the surgical procedure. Straps made of strong, non-abrasive materials ensure comfort and proper positioning. A: The surgeon greeting the client before anesthesia induction is not directly related to maintaining the client's safety during surgery. B: The coordination between the surgeon and anesthesiologist is important but does not directly address the client's safety during the intraoperative phase. D: While monitoring by the assistant anesthesiologist is important, it is the responsibility of the circulating nurse to ensure physical safety measures are in place.

Question 4 of 5

Aminophylline was ordered for acute asthmatic attack. The mother asked the nurse, what is its indication, the nurse will say:

Correct Answer: A

Rationale: Rationale: Aminophylline is a bronchodilator that relaxes smooth muscles of the bronchial airway, making it easier to breathe during an acute asthmatic attack. This helps to open up the airways and improve airflow, which is crucial in managing asthma symptoms. It does not promote expectoration (B), prevent thickening of secretions (C), or suppress cough (D) in the treatment of asthma. These actions are not the primary purpose of aminophylline in managing acute asthmatic attacks.

Question 5 of 5

If you are the nurse in charge for scheduling surgical cases, what important information do you need to ask the surgeon?

Correct Answer: B

Rationale: The correct answer is B because as the nurse in charge of scheduling surgical cases, it is crucial to know the surgeon's preferred time and type of surgery, as well as the names of their assistant and anesthesiologist. Knowing this information ensures proper coordination and preparation for the surgical procedure. Choice A is incorrect because knowing the internist is not directly relevant to scheduling surgical cases. Choice C is incorrect because the question specifically asks about important information for scheduling surgical cases, not about general medical personnel involved. Choice D is also incorrect as it only focuses on the anesthesiologist and omits other essential information needed for scheduling.

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