Clients who are experiencing delusions, obsessions, phobias, preoccupation, amnesia, or confabulations are said to have disorders of
1. emotions.
2. judgment.
3. thinking.
4. perception.
3
Clients with disorders of thought content may be experiencing delusions, obsessions, pho-bias, preoccupations, amnesia, or confabulations.
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The nurse is preparing to assess a 1-year-old client for signs of discomfort. When conducting the assessment, which action by the nurse is the most appropriate?
A) Asking the client to rate the pain on a scale of 0-10 during the assessment process B) Asking the parent to hold the client in the lap during the assessment process C) Reading a book to the client during the assessment process D) Recommending that the parent leave the room during the assessment process
The mother of a young adult client who has schizophrenia tearfully asks the nurse what she could
have done differently to prevent her child's illness. The most reassuring response for the nurse would be a. "Although schizophrenia is caused by impaired interpersonal relationships between parents and the child, try not to feel guilty. No one can predict how a child will respond to parental guidance.". b. "Most of the damage is done, but there is still hope. By changing your parenting style, you can help your child learn to cope more effectively with the environment.". c. "Schizophrenia is a biological illness not unlike diabetes and heart disease. You are not to blame for your child's illness.". d. "Most mental illnesses result from genetic inheritance. Your genes are more at fault than your parenting.".
In a rush of words, a client tells the community mental health nurse "Everything's a mess! I can't
concentrate. My disability check didn't come. My roommate moved out and the rent is too much for me to pay on my own. To top it all off, my therapist is moving out of state. I don't know where to turn and I feel as though I'm coming apart at the seams.". A nursing diagnosis the nurse should consider for this client is a. decisional conflict related to challenges to personal values. b. spiritual distress related to ethical implications of treatment regimen. c. anxiety related to changes perceived as threatening to psychological equilibrium. d. deficient knowledge related to need to solve multiple problems affecting security needs.
Because the nature of the environment, _____ is a serious concern in the critical care environment
a. family involvement b. use of complementary therapies c. sleep deprivation d. calm environment