A nurse is completing a health history with a newly admitted client. During the interview, the client presents with an angry affect and states, "If my doctor did a good job, I would not be here right now!" What is the nurse's best response?
a. Stand and say, "I can see this interview is making you uncomfortable, so we can continue later."
b. Nod and say, "I agree. If I were you, I would get a new doctor."
c. Smile and say, "Don't worry, I am sure the physician is doing a good job."
d. Be silent and allow the client to continue speaking when ready.
Answer: d. Be silent and allow the client to continue speaking when ready.
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A client, age 18 years, is referred to the mental health center by the primary care physician. The
following history is given. The client and her mother began to visit colleges to which the client had applied. When not traveling, the client spent the summer cooking gourmet meals for her family. Eventually, the mother noticed that the client was eating only tiny portions of the food, saying she wasn't hungry because she had tasted while she cooked. She began wearing several layers of loose clothing, saying she liked the style. At summer's end the client had a physical examination for the school sports program. Her weight had dropped from 130 to 95 pounds and she had amenorrhea. The history and symptoms are most consistent with the medical diagnosis of a. anorexia nervosa. b. bulimia nervosa. c. binge eating. d. eating disorder not otherwise specified.
Which situation is least likely to place severe, disabling stress on a family? The
a. need for long-term care for a man with a wife and two teenage sons who sustains severe brain injury. b. divorce of the parents of three children, aged 10, 8, and 2 years. c. death of a mother who leaves a husband and three sons younger than 12 years. d. family in which the son leaves for college and the father retires.
A 60-year-old African American female client does not maintain direct eye contact with the nurse during the intake interview in the health clinic. The nurse should:
a. intensify her own eye contact with the client. b. request the client to look at her when responding to questions. c. position herself to facilitate eye contact with the client. d. model her own eye contact to be similar to the client's.
The nurse is concerned about possible substance abuse by a coworker. Which behavior warrants further investigation?
1. The coworker frequently wastes medications. 2. The coworker frequently requests the largest patient care assignment for the shift. 3. The coworker prefers not to be the "medication nurse" on the shift. 4. The coworker declines to take scheduled breaks.