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Showing posts with the label client

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. B...

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 ...

ANXIETY, ANGER, ABUSE AND TERMINAL ILLNESS

THE CLIENT WITH AN ANXIETY DISORDER  A client brought to hospital emergency room by his brother. The client is perspiring profusely,breathing rapidly and complaining of dizziness and palpitations. Problem of a cardiovascular nature are ruled out. The client's diagnosis is tentatively listed as panic attack.  1 The emergency room nurse observe that the client is hyperventilating, which of the following measures would be best to try first to ease the symptoms caused by hyperventilation.  a.Have the client breath in to the paper bag.  b.Instruct the client to put his head between his knee. c.Give the client a low concentration of oxygen by nasal Cannula. d.Tell the client to take several deep,slow breaths and exhale normally.  (The correct answer is a,The best way to easy symptoms caused by hyperventilation is to have the client breath into a paper bag. Having the client put his head between knees,giving him low concentration oxygen and having him tak...