A client is admitted to the psychiatric unit with complaints consistent with an anxiety disorder. During the assessment the nurse learns a client has a history of asthma and arthritis
Which of the following should the nurse do with this information? 1. Begin the respiratory assessment.
2. Begin the musculoskeletal status assessment.
3. Begin a review of the client's current medications.
4. Begin the psychosocial assessment.
4
Rationale 1: There is no indication the client is currently experiencing respiratory compromise, so the assessment of this system is not an immediate concern.
Rationale 2: Although the patient has a history of arthritis there is no indication that the client is experiencing immediate concerns related to the musculoskeletal system.
Rationale 3: A review of the client's current medications will be included in the admission assessment but are not an immediate need.
Rationale 4: The client in the question is being admitted for concerns related to an anxiety disorder. The admitting issues take priority in the collection of data. Some physical problems have associated or underlying psychosocial problems. Examples of these physical problems include arthritis and asthma. The nurse should spend time on the psychosocial assessment with this client.
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