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Showing posts from May 7, 2017

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
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COMPLICATIONS OF PREGNANCY

A 16-years old unmarried client visits the prenatal clinic at 32 weeks gestation. The client is 5 feet, 2 inches tall and weighed 120 pounds before the pregnancy, the client now weighs 140 pounds. She has been receiving care at the clinic and is being carefully monitored for early signs of pregnancy-induced hypertension (PIH) 1. The nurse assess the client for possible risk factors for PIH, which of the following will be most important for the nurse to assess ? a.Proteinuria b.Small for gestation age fetus c.ABO incompability d.Fluid intact. (the correct answer is a, The most important assessment is checking the urine for protein. Proteinuria, even in the absence of an elevated blood pressure, is indicative of PIH. PIH occurs more often in primigravidas , adolescents, woman of lower socioeconomic status, primigravidas older then 35 years, woman with family histories of PIH and woman with additional complication such as multiple gestation, diabetic mellitus, Rh incompatibili
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The Client With an Obbsessive Compulsive Disorder

The Client arrive late for an appointment with the nurse in out patient clinic. During in interview,he fidgets restlessly,has trouble remembering what topic is being discussed, and says he thinks he is going crazy. 1.Which of the following statement by the nurse would best deal with the client's feeling about 'going crazy' a.'I see that this concerns you,but what does 'crazy' mean to you?' b.'Most people feel that way occasionally,you are no different from any one else' c.'I don't know enough about you to judge,why don't you tell me more about yourself' d.'You sound perfectly sane to me,may be your perception of word Crazy is different from mine' (the correct answer is a, when the client says he thinks he is 'Going Crazy' it is best for the nurse to ask him what 'Crazy' means ti him, before moving toward consensual validation, the nurse must have a clear idea of what the client  means by his words
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