A client has experienced the death of his mother and the loss of his job, which resulted in a 6-month score of 110 on the Recent Life Changes Questionnaire. Based on this information, which nursing conclusions are appropriate?
A) The client is experiencing severe distress and is at risk for physical and psychological illness.
B) The client has scored only 110 on the Miller and Rahe Recent Life Changes Questionnaire, so there is no significant threat of stress-related illness.
C) The client's susceptibility to stress-related physical or psychological illness cannot be estimated without knowledge of his coping resources and available supports.
D) The client views these losses as challenges, and sees them as potentials for growth.
C
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Adding fiber to the diet of a client with irritable bowel syndrome (IBS) may result in:
1. Bezoars formation. 2. Improved management of diarrhea and constipation. 3. Reduction of steatorrhea. 4. Increased stress and symptoms.
What level of the healthcare system provides the majority of healthcare in the UK?
a. secondary care b. primary care c. tertiary care
A nurse is caring for a group of clients with antisocial and borderline personality disorders. In planning care for these clients, the nurse should remember that:
Select all that apply. A) These clients are very motivated to change. B) Personality traits are deeply ingrained and difficult to modify. C) Medications are available to treat the underlying physiological disturbance. D) Use of manipulation by the clients makes treatment difficult. E) Poor impulse control hinders compliance with plan of care. F) Secondary diagnoses of substance abuse and depression are common.
A nurse finds a psychiatric advance directive in the medical record of a patient experiencing psychosis. The directive was executed during a period when the patient was stable and competent. The nurse should:
a. review the directive with the patient to ensure it is current. b. ensure that the directive is respected in treatment planning. c. consider the directive only if there is a cardiac or respiratory arrest. d. encourage the patient to revise the directive in light of the current health problem.