A young adult client has come to the clinic who is unkempt and appears to be depressed. The client tells the nurse that her marriage failed and her spouse has taken the children out of state
What should the nurse recognize as being a major concern for this client?
1. The client's ability to pay the bill.
2. The client's ability to follow a treatment regime.
3. The potential for self-harm.
4. The potential for violence.
Answer: 3
1. While nurses need to be fiscally responsible, this client needs help, and that should be the nurse's first concern.
2. There is no evidence to support that the client will not be able to follow treatment regime.
3. The inability of the young adult to cope with stressors may result in suicide, which ranks next to accidents as a major cause of death in this age group.
4. The client is described as depressed, not aggressive, and so is more apt to try to do self-harm than harm to others.
You might also like to view...
A client is entering the period of grief following the death of her spouse. This period of grief is considered :
a. bereavement. b. grieving. c. grief work. d. mourning.
A nurse counsels a patient with a new prescription for interferon beta-1a, 30 mcg, given intramuscularly once a week. What time of day would be best for the patient to administer the drug?
a. 0730 b. 1200 c. 1800 d. 2200
Pet therapy is commonly used in long-term facilities for distraction. If a client is experiencing pain and the pain is temporarily decreased while petting a visiting dog or cat, this is an example of which type of distraction technique?
A) Tactile kinesthetic distraction B) Visual distraction C) Auditory distraction D) Project distraction
When a patient's adverse reaction to a blood transfusion is differentiated, which of the following signs/symptoms indicates the presence of an anaphylactic response?
a. Wheezing and chest pain b. Headache and muscle pain c. Hypotension and tingling of the extremities d. Crackles in the lungs and increased central venous pressure