What discharge criteria would be appropriate for a patient with a somatization disorder? Select all that apply
a. Increased willingness to relinquish the "sick role"
b. Decreased anxiety related to possible health issues
c. Increased caloric intake and demonstrated weight gain
d. Decrease the use of laxatives, sleeping pills, and diuretics
e. Experiencing decreased frequency of auditory hallucinations
ANS: A, B
Minimization of the use of sickness to gain control and decreased anxiety related to health and wellness are the outcomes that relates specifically to somatization disorder. The remain-ing options are not typically associated with this disorder.
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1. Are unable to have sex 2. Are incapable of orgasm 3. Continue to need sexual expression 4. Not at risk for STIs
A Navajo client who is 36 weeks pregnant meets with the tribe's medicine man as well as her physician. The nurse understands this to mean that the client:
1. Is seeking spiritual direction. 2. Does not trust her physician. 3. Will not adapt to mothering well. 4. Is experiencing complications of pregnancy.
A newly admitted client has taken thioridazine (Mellaril) for 2 years, with good symptom control. Symptoms exhibited on admission included paranoia and hallucinations. The nurse should recognize which potential cause for the return of these symptoms?
A. The client has developed tolerance to the antipsychotic medication. B. The client has not taken the medication with food. C. The client has not taken the medication as prescribed. D. The client has combined alcohol with the medication.
Which of the following statements, made by a caregiver of an older client, should alert the nurse to assess for evidence of elder abuse?
a. "Mom is always into something and can't seem to stay still, so I've been giving her half a Valium to get her to relax so I can get some rest." b. "Mom wanted to stay at her home, but we were scared for her safety, so we moved some of her personal things into our home and brought her to live with us." c. "She has not been having incontinence problems since we have been taking her to the toilet every 2 to 3 hours when she is awake." d. "We have to feed Mom baby food now because she has trouble chewing and swallowing regular food."