A client who has been unable to leave his home for more than a month because of symptoms of

severe anxiety tells the nurse "I know it's probably crazy, but I just can't bring myself to leave my
apartment alone.

And I can't expect somebody to take me to work every day.". The nurse can make
the assessment that the client
a. knows his symptom is unrealistic.
b. is misinterpreting reality.
c. is seeking sympathy.
d. is depersonalizing.


ANS: A
Symptoms of anxiety disorders are often recognized by the client as strange and nonadaptive and are
sources of dissatisfaction to the client. Options B and C: The client is interpreting reality
appropriately and does not seem to be attempting to elicit sympathy from the nurse. Option D: The
scenario does not give evidence of depersonalization (experiencing feelings of unreality or
alienation).

Nursing

You might also like to view...

The nurse is identifying nursing diagnoses that are appropriate for a client with a large area of erythema, swelling, and pruritic lesions on the hands and arms. Which of the following would be the most appropriate for this client?

1. Impaired Social Interaction 2. Anxiety 3. Situational Low Self-Esteem 4. Impaired Skin Integrity

Nursing

A nurse manager asks the staff members, "What causes low morale?" This is an example of which of the following?

a. Meditation b. Keeping an ideas diary c. Reverse brainstorming d. Brainstorming

Nursing

The birth attendant has ordered an ultrasound for a pregnant woman to determine the gestational age of the fetus. What other information may be obtained by this test? Select all that apply

A) Location of the placenta B) Oxygen supply to fetus C) Fetal heart rate related to fetal activity D) Gender of the fetus E) Fetal neural tube defects F) Fetal head size

Nursing

Which statement made by a client receiving interferon Alfa-2b (Intron-A) should the nurse recognize as adverse effects of the therapy?Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A. "I have been feeling dizzy." B. "I have an itchy rash on my legs." C. "I have lost my appetite." D. "I am so frequently tired." E. "My bones feel achy."

Nursing