To intervene effectively with clients with somatoform disorders, it is essential that the nurse:
1. Help the client express a decreased degree of comfort regarding physical symptoms.
2. Encourage the client's expression of feelings symbolically through physical symptoms.
3. Address client anxiety at a later time.
4. Recognize and understand the client's self-perception as demonstrating an inability to cope.
4
Rationale: Recognize and understand the client's self-perception as an inability to cope and as part of the disorder. Do not encourage expression of feelings symbolically through physical symptoms. Client anxiety should be addressed at the present time, not at a later date. The client should express an increased degree of comfort regarding physical symptoms.
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When assisting with preparing a client scheduled for a barium swallow, which of the following would be appropriate to include?
A) Avoid smoking for at least 12 to 24 hours before the procedure. B) Take vitamin K before the procedure. C) Take three cleansing enemas before the procedure. D) Avoid the intake of red meat before the procedure.
Which vessels return blood to the heart?
a. Arteries b. Capillaries c. Veins d. Venules
Which intervention by the nurse would be the most therapeutic when a student reports witnessing a depressed teenager put a gun into a locker?
a. Call the principal and request a locker search without breaching confidentiality. b. Accompany the witness to the principal's office to further discuss what was seen. c. Call the police immediately and report that there is a student in school with a gun. d. Call the parents of the depressed teen and ask them to come and talk with their child.
The expectant mother asks the nurse how CMV is diagnosed in infants. The best answer by the nurse would be:
a. "Check for the presence of IgM CMV antibodies in cord blood, which identifies congenitally infected infants; there is another test for detecting antibodies in the baby's blood." b. "Inspect for the presence of symptoms characteristic of this disease." c. "Conduct a test on the fluids of the eye, which are carefully collected on a swab and placed in a special tube." d. "Inspect for the effects of the IgM CMV antibodies, which are evident in special tissue tests done in utero or shortly after birth."