A 32-year-old female frequently comes to her primary care provider with vague complaints of headache, abdominal pain, and trouble sleeping. In the past, the physician has dutifully prescribed medication, but little else.Which of the following comments by the nurse to the physician is appropriate?
Answer(s): A
There is a correlation between vague symptoms, such as abdominal pain, and battered syndrome. The astute clinician should any woman who presents with suspicious symptoms such as these. Rarely are women offended by a properly worded question, such as, “Do you feel safe in your present relationship?”Studies show an increase in case finding when such questions are asked. It is not mandatory that all women are assessed for violence, but it is prudent that all persons new to a clinician be assessed by at least the one noted previously.Castigating or shaming the physician typically does not improve client outcomes and might make for a difficult working environment for the nurse.Tactless comments, like the Choice “How would you feel to know that her partner is beating her and you didn’t ask?”, are not collegial and should be avoided.
A client reports that someone is in the room and trying to kill him. The nurse’s best response is ______________.
Answer(s): B
It is important to acknowledges the client’s fear. The other responses deny the client’s perceptions.
The nurse is developing a care plan for a client with severe anxiety.An appropriate outcome for the client is that within 4 days the client should ______________.
Outcome criteria need to be specific, measurable, and realistic. Talking for 10 minutes meets all of these conditions.It is not realistic to expect a severely anxious client to sit quietly for 30 minutes. The other statements are vague and not measurable.
Which of the following services is not part of family consultation?
Family consultation does not involve vocational rehabilitation. It involves helping families deal with their feelings, focus, and find solutions.Choices “providing information about the client’s illness”, “teaching effective communication” and “helping families solve problems” are components of family consultation.
A family member of a client with a diagnosis of Schizophrenia asks about the prognosis. The nurse’s response is based on the knowledge that schizophrenia ______________.
Answer(s): C
Although all of the choices are true about schizophrenia, only Choice “is a chronic, deteriorating disease with periods of remission” answers the asked.
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