A patient in her early teens who is being treated for irritable bowel syndrome has just dis-closed that she has been the victim of child abuse for 8 years. For what other condition should the nurse assess this patient?
a. Schizophrenia
b. Agoraphobia
c. Posttraumatic stress disorder
d. Obsessive-compulsive disorder
ANS: C
The state of chronic hyperarousal caused by the abuse is the basis for three common out-comes of childhood abuse: PTSD, depression, and irritable bowel syndrome. The conditions mentioned in the other options are not related to child abuse.
You might also like to view...
While conducting a health interview the nurse suspects an older patient might be experiencing diabetes. What comment did the patient make that could indicate this diagnosis?
1. "I sometimes have muscle aches in my upper legs at night." 2. "I feel a bit tired by midafternoon and take a 30-minute nap most days." 3. "I've been experiencing blurred vision frequently during the past month." 4. "I'm slightly winded when I walk up a flight of stairs but it passes quickly."
The nurse works in a facility that cares for patients from a broad range of racial, ethnic, cultural, and religious backgrounds
Which statement should the nurse include in a presentation to recently hired nurses on the patient population of the facility? 1. "Our patients come from a broad range of backgrounds, but we have a good interpreter service." 2. "Many of our patients come from backgrounds different from your own, but it doesn't cause problems for the nurses." 3. "Because most of the doctors are bilingual, we don't have to deal with the differences in cultural backgrounds of our patients." 4. "Understanding the common values and health practices of our diverse patients will facilitate better care and health outcomes."
The nurse is reviewing the physician's prescriptions for a child with rheumatic fever (RF) who is suspected of having a viral infection. The nurse notes that acetylsalicylic acid (aspirin) is pre-scribed for the child
Which of the following nursing actions is most appropriate? 1. Administer the aspirin if the child's temperature is elevated. 2. Administer the aspirin if the child experiences any joint pain. 3. Consult with the physician to verify the prescription. 4. Administer acetaminophen (Tylenol) instead of the aspirin for temperature eleva-tion.
The nurse is discharging a patient who was hospitalized for a cerebral vascular accident (CVA). Which statement made by the patient indicates understanding of primary prevention?
A. "I need to have my cholesterol monitored every 2 months." B. "I will need instruction on using my walker." C. "I must take my blood pressure medications regularly." D. "I need to have my flu shot this year."