Posts

Showing posts with the label nursing

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...

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...

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 approp...