VSIM Post-quiz - Linda Waterfall

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Which of Ms. Waterfall's behaviors or characteristics does the Hamilton Rating Scale for Anxiety consider? (Select all that apply.)
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Terms in this set (10)
Which of Ms. Waterfall's behaviors or characteristics does the Hamilton Rating Scale for Anxiety consider? (Select all that apply.)
- Her statement, "I feel like I'm going to die"
- That she is pacing about the room
- Her statement, "I can't breathe"
Which factors should the nurse consider when determining what influenced the state of Ms. Waterfall's perceived crisis? (Select all that apply.)
- Her pre-existing cancer diagnosis
- Circumstances surrounding her mother's death
- Her cultural belief in the power of a medicine bundle
- Physical distance from her family
Which nursing intervention would be most effective for assessing Ms. Waterfall's anxiety level?
Encouraging her to express her feelings and concerns
Which signs and symptoms would indicate that Ms. Waterfall is experiencing a myocardial infarction (MI)? (Select all that apply.)
- Nausea
- Substernal pain
- Vomiting
- Diaphoresis
Which intervention best demonstrates the nurse acting as an advocate for Ms. Waterfall as she experiences an emotional crisis regarding her impending surgery?
Effectively communicating to Ms. Waterfall's surgeon her wish to delay surgery
Which response by the nurse would best address Ms. Waterfall's doubts about the effectiveness of relaxation techniques to help manage her anxiety?
"The exercises will help you regain your sense of calmness so you can better address your health concerns."
Which statement made by a nurse best demonstrates an understanding of cultural competence relating to mental health issues?
"It's easy to forget, but not all members of a cultural group always think alike."
Which interventions demonstrate advocacy for Ms. Waterfall's decision to delay surgery? (Select all that apply.)
- Provide all appropriate information she requests.
- Present the information to her in a clear, concise manner.
- Make all interventions focus on Ms. Waterfall.
Which interventions should the nurse implement initially to help establish a therapeutic rapport with Ms. Waterfall when she is demonstrating anxiety-related behaviors? (Select all that apply.)
- Present reflective responses to show interest.
- Actively listen to her as she describes her concerns.
- Ask open-ended questions to confirm and clarify her statements.
- Clarify understanding of her concerns.
What is the basic foundation for the nurse's response to the high degree of importance Ms. Waterfall places on her missing medicine bundle?
Her feelings and beliefs should be accepted without judgement.