A client in her early teens who is being treated for irritable bowel syndrome has just disclosed that she has been the victim of child abuse for 8 years following her mother's remarriage

For what other condition should the nurse assess this client?
1. Schizophrenia
2. Agoraphobia
3. Obsessive-compulsive disorder
4. Posttraumatic stress disorder


ANS: 4
The state of chronic hyperarousal caused by the abuse is the basis for three common outcomes of childhood abuse: PTSD, depression, and irritable bowel syndrome. The conditions mentioned in the other options are not related to child abuse.

Nursing

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A nurse is implementing a one-on-one suicide observation level with a client diagnosed with major depressive disorder. The client states, "I'm feeling a lot better, so you can stop watching me. I have taken up too much of your time already."

Which is the best nursing reply? A. "I really appreciate your concern but I have been ordered to continue to watch you." B. "Because we are concerned about your safety, we will continue to observe you." C. "I am glad you are feeling better. The treatment team will consider your request." D. "I will forward you request to your psychiatrist because it is his decision."

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A client recovering from delivery asks for another ice pack to place on the site of a midline episiotomy. How should the nurse respond to this request?

1. "I will get you one right away." 2. "You only need to use one ice pack." 3. "You need to leave it off for at least 20 minutes and then reapply." 4. "I will bring you an extra so that you can change it when you are ready."

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