A client, aged 30 years, tells his case manager "I do not have bipolar disorder anymore, so I do not
need the medicine and the blood tests.
I was in the hospital twice for a few days a year or so ago.
Then you got into the act to get me a place to live and SSI checks. All that is wrong now is I am
bored and I do not have any friends." The nurse should plan to refer the client to (more than one
answer may be correct)
A. psychoeducation classes.
B. crisis intervention.
C. social skills training.
D. a homeless shelter.
A, C
Rationale: The client does not understand his illness and the need for adherence to the medication
regimen. Psychoeducation for the client (and family) can address this lack of knowledge. The client,
who considers himself friendless, could also profit from social skills training to improve the quality
of interpersonal relationships. Many clients with severe mental illness have such poor
communication skills that others are uncomfortable interacting with them. Interactional skills can be
effectively taught by breaking the skill down into smaller verbal and nonverbal components. Option
B: The nurse case manager will function in the role of crisis stabilizer. Option E: The client
presently has a home and does not require the services of a homeless shelter.
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A patient states, "My breasts are so small, I don't think I will be able to breastfeed." The nurse's best response is
a. "It may be difficult, but you should try anyway." b. "You can always supplement with formula." c. "All women have approximately the same amount of glandular tissue to secrete milk." d. "The ability to produce breast milk depends on increased levels of estrogen and progesterone."
Which clinical manifestation in a client with invasive cervical cancer alerts the nurse to the possibility of metastasis?
a. Amenorrhea b. Weight gain c. Breast tenderness d. Swelling of one leg
When teaching the client about the advantages of using an insulin pump, the nurse should include:
a. that it provides less expensive management for diabetes. b. that the client will experience moderate weight gain. c. that it allows the client flexibility in when and what he or she eats. d. that required training is minimal.
A nurse is comparing physical growth patterns between school-aged children and adolescents. Which principle should the nurse consider?
a. Physical growth usually slows during the adolescent period. b. Secondary sex characteristics usually develop during the adolescent years. c. Boys usually exceed girls in height and weight by the end of the school years. d. The distribution of muscle and fat remains constant during the adolescent years.