The nurse is developing a care plan for a client with delusional disorder, somatic type. Which of the following would be an appropriate nursing diagnosis for this client?
A) Disturbed sleep pattern
B) Risk for self-directed violence
C) Chronic low self-esteem
D) Disturbed thought process
Ans: D
The most appropriate nursing diagnosis for this client is disturbed thought process related to misperception of environmental stimuli. Disturbed sleep pattern, risk for self-directed violence, and chronic low self-esteem would not be the most appropriate nursing diagnosis for this client.
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In differentiating between health and wellness in health care, the following is true:
a. Health is a broad term encompassing attitudes and behaviors. b. The concept of illness prevention was never considered by previous generations. c. Wellness and self-actualization develop through learning and growth. d. It is impossible to have wellness when one's health is compromised.
Health care providers can confine or restrain mentally ill persons only in order to
1. protect the public. 2. ensure client cooperation. 3. protect the client's safety and prevent in-jury. 4. intimidate others in the client's environ-ment.
An effective nursing intervention for helping angry clients learn to manage anger without violence
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The nurse assesses a client post–cataract surgery and finds white, dry, crusty drainage on the client's eyelid and lashes. What does the nurse do next?
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