The medical-surgical nurse working with a client who has a somatoform disorder will find planning
is facilitated by the understanding that the client will probably
a. readily seek psychiatric counseling.
b. be difficult to convince to seek psychiatric help.
c. attend psychotherapy sessions without encouragement.
d. be eager to discover the true reasons for his or her physical symptoms.
ANS: B
Clients with somatoform disorders go from doctor to doctor trying to establish a physical cause for
their symptoms. When a psychological basis is suggested and a referral for counseling is offered,
these clients reject both. Thus, options A, C, and D are incorrect.
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An 88-year-old client is admitted with an extracellular fluid volume excess. On admission, he is frightened and exhibiting dyspnea. On assessment, the nurse would expect to identify:
1. a weak, thready pulse. 2. poor or sluggish skin turgor. 3. neck vein distention. 4. postural hypotension.
A pregnant client who is a vegetarian asks the nurse for assistance with her diet. What instruction would the nurse give?
1. "Protein is important; therefore, the addition of one serving of meat is necessary." 2. "Complete proteins are found in vegetable products." 3. "A daily supplement of 4 mg of vitamin B12 is important." 4. "The high fiber in a vegetarian diet is dangerous for pregnant women."
The school nurse recommends that the parents of a student seek help because the student is constantly in trouble and recently has set several small fires on school grounds. The nurse is concerned because the child is manifesting signs of:
A) Attention deficit disorder. B) Oppositional defiant disorder. C) Depression. D) Conduct disorder.
A client is frantic because her two children have been sent home from school with head lice. She has treated their scalps but does not know what else to do. What is the best teaching by the nurse?
1. "Isolate the children from other family members for three days." 2. "Just continue to apply the medication to their scalps as directed." 3. "Do not let your children return to the school until it is fumigated." 4. "Wash bed linens and clothing that have come into contact with the children."