The nurse is completing the psychosocial history on a newly admitted adult client. The client reports trouble concentrating, rapid heartbeats, irritability, and inability to make decisions. Based on these assessment findings, which does the nurse suspect?
1. A stress reaction.
2. Role confusion.
3. An impending heart attack.
4. Dysfunctional anxiety.
Correct Answer: 1
A high level of stress may result in symptoms such as irritability, indecisiveness, confusion, pounding heart or pulse, and trouble concentrating, among other symptoms. There are no data to support the concern of role confusion. Symptoms of an impending heart attack may include irritability, confusion, and a pounding heart rate, but there are other more classic symptoms that typically also appear. Symptoms of anxiety include some of the above symptoms, but there is not enough evidence to call it dysfunctional.
You might also like to view...
When answering NCLEX test questions
a. assume you can give perfect care c. rely on answers from a previous test b. rely on your clinical experience d. assume you have unlimited time
Valves to control the movement of food in and out of the stomach are called
a. reflux regulators. b. peristalsis muscles. c. sphincter muscles. d. segmentation muscles.
A community health nurse is applying the normative–reductive strategy of change when working with clients. In doing so, the nurse engages them into changing their behavior in addition to providing education, based on which assumption?
A) Information alone is not enough, and behaviors change through persuasion. B) Compliance by the client system will occur through the use of power to effect change. C) People are rational and will adopt a new practice because it is in their best interest. D) The clients can assume a high degree of responsibility for their own help.
State three functions of the urinary system.
What will be an ideal response?