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Showing posts from June 1, 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 Bipolar Disorder, Manic Phase

A Client is admitted to the psychiatric unit accompanied by her husband. She brings six suitcases and three shopping bags. She orders the nurse to carry her bags. Her husband states she has been purchasing items that hey can not afford and has not slept for 4 nights 1. Which additional information would be priority for the nurse to seek from the client's husband?;    a. The client's fluid and food intake.    b. Their current financial status.    c. The client's usual sleeping pattern.    d. Whether the client becomes agitated easily.   (The correct answer is a, Assessing nutritional status is a priority in this situation. A client with bipolar disorder,maniac phase commonly does not have time to eat or drink because of their state of constant activity and easy destructibility. Altered nutritional status and constant physical activity can lead to malnutrition,weight loss and physical exhaustion.These state can lead to death appropriate attention is not institute