The nurse at the clinic is interviewing a patient who offers a number of vague somatic complaints that might not ordinarily prompt a visit to a caregiver: fatigue, back pain, headaches, and sleep disturbance
The patient seems tense, and after having spoken of the symptoms, seems reluctant to provide more information and is in a hurry to leave. The nurse can best serve the patient by: a. asking if the patient has ever had psychiatric counseling.
b. completing a structured abuse assessment protocol.
c. exploring the possibility of patient social isolation.
d. asking the patient to disrobe to check for signs of abuse.
B
In this situation, the nurse should consider the possibility that the patient is a victim of domestic violence or possibly other abuse. Although the patient is reluctant to discuss issues, completing a screening as part of the health assessment might open the door to discussing possible abuse more openly. Asking about psychiatric care could imply the nurse suspects mental illness, which would likely be perceived as offensive and in turn decrease trust in the nurse. The data do not suggest that isolation is a likely issue. Disrobing will seem inappropriate and threatening to the patient, probably be met with refusal, interfere with trust, and impede the remainder of the nursing assessment.
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The nurse is learning how to handle feelings of frustration and helplessness when caring for clients with cluster B personality disorders. Which of the following statements by the nurse would reflect that learning has taken place?
1. "I can just ignore my feelings and focus on the client's needs." 2. "As long as my words are therapeutic, the client cannot tell what I am really thinking." 3. "I need to maintain professional distance by using empathy." 4. "I can talk about my feelings with my friends."
A 40-year-old woman has been identified to have a deficiency in estrogen. Which of the following physiological phenomena is most likely to remain unaffected?
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After you completed presenting a staff development program on genetic disorders, you review with the nurses those diseases which are autosomal dominant
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An elderly female psychotic patient has been taking haloperidol (Haldol) for 1 week. The patient has been making wormlike movements with her tongue. The nurse identifies this to most likely be
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