A client complains of severe low back pain that began shortly after the death of her mother 2 years ago. No physical cause has been found to account for the pain
She has been largely responsible for the care of four younger siblings because her father spends much of the week out of town on work-related business. Based on the client's symptoms, which of the following nursing diagnoses is most appropriate for her at this time?
A) Anxiety exhibited by unfounded somatic complaints
B) Depression exhibited by repressed rage
C) Altered comfort exhibited by poor school grades
D) Ineffective individual coping exhibited by failure of parenting role
Ans: A
The client is experiencing stress related to her current life situation and reacting by somatization to deal with her feelings. Therefore, "anxiety exhibited by unfounded somatic complaints" would be the correct nursing diagnosis. The other choices are not appropriate.
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A client with chronic asthma comes to the clinic for a follow-up visit. A nurse should question the client about which of the following? Select all that apply
A) Allergies B) Frequency of attacks C) Severity of attacks D) Antiasthma drugs currently being taken E) Antiasthma drugs taken in the past
The nurse is participating in psychological debriefing of a patient who is experiencing a crisis. Which statements will the nurse include when providing education to the patient or family of the patient who is experiencing crisis? Select all that apply
1. "Transportation is available if you cannot drive." 2. "You may want to use a calendar to help you track your response to the crisis." 3. "Do you have a spiritual leader that you would like me to contact for you?" 4. "The sedative that the health care provider prescribed is a common treatment." 5. "The relaxation techniques that the health care provider suggested are a common treatment."
How can most living organisms be classified in general systems theory?
a. Open systems b. Closed systems c. Subsystems d. Macrosystems
A schizophrenic client approaches a nurse with a look of distress and anguish on his face, saying, "Can't you hear him? It's the devil. He's telling me I'm going to hell." Which is the most appropriate response by the nurse?
A) "Did you take your medicine this morning?" B) "You are not going to hell. You are a good person." C) "There is no such thing as the devil. It's all in your mind." D) "The voices sound really distressing and scary, but I don't hear them."