A client is diagnosed with major depressive episode. Which nursing diagnosis should a nurse assign to this client, to address a behavioral symptom of this disorder?
1. Altered communication R/T feelings of worthlessness AEB anhedonia
2. Social isolation R/T poor self-esteem AEB secluding self in room
3. Altered thought processes R/T hopelessness AEB persecutory delusions
4. Altered nutrition: less than body requirements R/T high anxiety AEB anorexia
2
Rationale: A nursing diagnosis of social isolation R/T poor self-esteem AEB secluding self in room addresses a behavioral symptom of major depressive episode. Other behavioral symptoms include psychomotor retardation, virtually nonexistent communication, curled-up position, and no attention to personal hygiene and grooming.
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The nurse is preparing a seminar regarding goals that are appropriate for eliminating health disparities. Which goal is supported by Healthy People 2020?
1. Improving access to care. 2. Improving insurance coverage. 3. Improving prescription drug usage. 4. Improving nurse-client relationships.
A 68-year-old patient who must take antihistamines for severe allergies is planning a vacation to Mexico. The nurse will encourage the patient to do what?
A) Avoid sightseeing during the hottest part of the day. B) Discontinue the antihistamines if he becomes extremely restless. C) Decrease the dosage of the drugs if he experiences excessive thirst. D) Continue taking the antihistamines even if he begins to hallucinate.
The nurse understands that further health teaching is necessary when her young client who has just had an abortion states, "I guess I'll have to wear a tampon for the next week."
Indicate whether the statement is true or false
Which is the priority nursing diagnosis for a client who has rheumatoid arthritis during a "flare?"
A. Impaired Physical Mobility B. Disturbed Body Image C. Risk for Infection D. Acute Pain