A 32-year-old male graduate student, who has become increasingly withdrawn and neglectful of his work and personal hygiene, is brought to the psychiatric hospital by his parents. After detailed assessment, a diagnosis of schizophrenia is made. It is unlikely that the client will demonstrate:
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Solution
Effective self-boundaries
Option C: A person with this disorder would not have adequate self-boundaries.
When planning care for a female client using ritualistic behavior, Nurse Gina must recognize that the ritual:
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Solution
Helps the client control the anxiety
Option B: The rituals used by a client with obsessive-compulsive disorder help control the anxiety level by maintaining a set pattern of action.
A nursing care plan for a male client with bipolar I disorder should include:
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Solution
Providing a structured environment
Option A: Structure tends to decrease agitation and anxiety and to increase the client’s feeling of security.
To further assess a client’s suicidal potential. Nurse Katrina should be especially alert to the client expression of:
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Solution
Helplessness & hopelessness
Option D: The expression of these feeling may indicate that this client is unable to continue the struggle of life.
Nurse Monette is aware that extremely depressed clients seem to do best in settings where they have:
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Solution
Routine Activities
Option B: Depression usually is both emotional & physical. A simple daily routine is the best, least stressful and least anxiety producing.
A characteristic that would suggest to Nurse Anne that an adolescent may have bulimia would be:
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Solution
Badly stained teeth
Option C: Dental enamel erosion occurs from repeated self-induced vomiting.
Nurse Joey is aware that the signs & symptoms that would be most specific for diagnosis anorexia are?
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Solution
Excessive weight loss, amenorrhea & abdominal distension
Option A: These are the major signs of anorexia nervosa. Weight loss is excessive (15% of expected weight).
Nurse Benjie is communicating with a male client with substance-induced persisting dementia; the client cannot remember facts and fills in the gaps with imaginary information. Nurse Benjie is aware that this is typical of?
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Solution
Confabulation
Option C: Confabulation or the filling in of memory gaps with imaginary facts is a defense mechanism used by people experiencing memory deficits.
Nurse Penny is aware that the symptoms that distinguish post-traumatic stress disorder from other anxiety disorder would be:
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Solution
Re-experiencing the trauma in dreams or flashback
Option D: Experiencing the actual trauma in dreams or flashback is the major symptom that distinguishes post-traumatic stress disorder from other anxiety disorder.
Linda is pacing the floor and appears extremely anxious. The duty nurse approaches in an attempt to alleviate Linda’s anxiety. The most therapeutic question by the nurse would be?
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Solution
Would you like me to talk with you?
Option B: The nurse presence may provide the client with support & feeling of control.