A client diagnosed with Cluster C traits sits alone and ignores other's attempts to converse. When ask to join a group the client states, "No, thanks." In this situation, which should the nurse assign as an initial nursing diagnosis?
A. Fear R/T hospitalization
B. Social isolation R/T poor self-esteem
C. Risk for suicide R/T to hopelessness
D. Powerlessness R/T dependence issues
ANS: B
Clients diagnosed with Cluster C traits are described as anxious and fearful. The DSM-5 divides Cluster C personality disorders into three categories: avoidant, dependent, and obsessive-compulsive. Anxiety and fear contribute to social isolation.
You might also like to view...
While the client sleeps, the nurse notes that the client's respirations periodically stop. Which term will the nurse use to document this finding in the medical record?
1. Tachypnea. 2. Bradypnea. 3. Apnea. 4. Atelectasis.
During an assessment of an 82-year-old woman, a gerontological nurse learns that the woman has lost over 4 inches in height over the last several years. Which of the following factors have likely contributed to this phenomenon? Select all that apply
A) The woman's overall proportion of body water has decreased. B) The client has experienced a loss of cartilage. C) The woman's thyroid hormone levels have declined since the sixth decade. D) The client's vertebrae have thinned. E) Loss of stature is a consequence of the woman's diet. F) The woman's long bones have decreased in length.
A client tells the nurse that his pain was not relieved even when he took more of a prescribed medication. The nurse realizes that the client most likely was taking which of the following medications?
a. NSAIDs c. Codeine b. Morphine d. Hydromorphone (Dilaudid)
The nurse is performing an admission assessment on a 46-year-old client, who states, "I have been drinking a 12-pack of beer every day for the past 20 years." Which laboratory abnormality does the nurse correlate with this history?
a. Decreased white blood cell (WBC) count b. Decreased bleeding time c. Elevated prothrombin time (PT) d. Elevated red blood cell (RBC) count