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Showing posts from May 4, 2014

The Client With a Somatoform Disorder

Somatoform Disorder. The client with an axis I diagnosis of Pain Disorder is angry and demanding and focus on the head pain she is experiencing. 1. At 11 am, the client demand that the nurse calls the physician for more pain medication because she is still pain after the 9 am analgesic. The best nursing action is a. call the physician as client request b. suggest the client lie down because she has to wait 4 hours for the next dose c. inform the client that the physician will be in later and to talk to her about it d. inform the client that the nurse can not give her additional medication at this time and invite the      client to participate a card game. (the correct answer is d, the nurse informs the client in the matter of fact manner that the nurse cannot give her additional pain medication at this time and invites the client to participate in a card game to decrease rumination about pain by directing the client's attention to a milieu activity. By telling the client

The Client With Major Depression

A 62-years-old client comes to the neighborhood health center for his annual physical examination. 1. While interacting with the nurse,the client states that he feels tired all of the time, has trouble sleeping and has problem in thinking. The best nursing action is to;      a.Inform the client about the normal aging process.    b.Further assess the client's mental status and mental history.    c.Refer the client to a senior citizen'support group.    d.Advice the client to discontinue day time napping. (The correct answer is b, The client is exhibiting signs of possible depression. The nurse should explore his medical history and conduct a mental status examination to further assess and explore his possibility. He is not exhibiting sign and symptoms of the normal aging process. Referral to a senior citizen'support group may be will appropriate later,depending on the client's need and interest. Day time napping should be discouraged if it interrupt  night t