Choose the most therapeutic intervention to the client's statement, "All I feel like doing is screaming as loudly as I can."
A) "Please calm down; everything is going to be better."
B) "There is nothing to be so upset about."
C) "I wish you could try to be more positive."
D) "You look like you are very angry this morning."
Ans: D
The correct answer provides reflection of the client's affect (angry). Telling the client to calm down is a platitude, telling the client that there is nothing to be upset about denies the client's feelings, and urging the client to be positive is stated in terms of the nurse's needs and ignores the feelings of the client. Reflection of the client's feelings, mood, and affect is therapeutic in assisting the client to understand himself or herself.
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A condition of debility, loss of strength and energy, and depleted vitality is known as _________________
ANS:
The nurse is assessing the extremities of a client with Buerger's disease. What clinical manifestation does the nurse correlate with this disease?
a. Reddened, with diminished distal pulses b. Cold and pale, with proximal bounding pulses c. Cyanotic, with decreased deep tendon reflexes d. Brownish discoloration, with pitting edema
The nurse assessing a client who complains of recently being under an unusual amount of stress would most likely identify which of the following alterations in physiological functioning?
1. lowered heart rate 2. reduced blood pressure 3. sleeping 8 hours soundly per night 4. gastrointestinal disturbances
Capitation and managed care programs are likely to strongly influence health care delivery because they:
a. provide intense services directed toward keeping clients in the community b. reduce the incidence of mental disorders within certain populations c. are prospective payment systems that contain rising costs of health care d. offer multiple providers for clients with mental illnesses