Nurse Benjie is communicating with a male client with substance-induced persisting dementia; the client cannot remember facts and fills in the gaps with imaginary information. Nurse Benjie is aware that this is typical of?
Confabulation or the filling in of memory gaps with imaginary facts is a defense mechanism used by people experiencing memory deficits.
When planning care for a female client using ritualistic behavior, Nurse Gina must recognize that the ritual:
The rituals used by a client with obsessive compulsive disorder help control the anxiety level by maintaining a set pattern of action.
To further assess a client’s suicidal potential. Nurse Katrina should be especially alert to the client expression of:
The expression of these feeling may indicate that this client is unable to continue the struggle of life.
A characteristic that would suggest to Nurse Anne that an adolescent may have bulimia would be:
Dental enamel erosion occurs from repeated self-induced vomiting.
Linda is pacing the floor and appears extremely anxious. The duty nurse approaches in an attempt to alleviate Linda’s anxiety. The most therapeutic question by the nurse would be?
The nurse presence may provide the client with support & feeling of control.
Nurse Monette is aware that extremely depressed clients seem to do best in settings where they have:
Depression usually is both emotional & physical. A simple daily routine is the best, least stressful and least anxiety producing.
A 32 year old male graduate student, who has become increasingly withdrawn and neglectful of his work and personal hygiene, is brought to the psychiatric hospital by his parents. After detailed assessment, a diagnosis of schizophrenia is made. It is unlikely that the client will demonstrate:
A person with this disorder would not have adequate self-boundaries.
Nurse Joey is aware that the signs & symptoms that would be most specific for diagnosis anorexia are?
These are the major signs of anorexia nervosa. Weight loss is excessive (15% of expected weight).
A nursing care plan for a male client with bipolar I disorder should include:
Structure tends to decrease agitation and anxiety and to increase the client’s feeling of security
Nurse Penny is aware that the symptoms that distinguish post traumatic stress disorder from other anxiety disorder would be:
Experiencing the actual trauma in dreams or flashback is the major symptom that distinguishes post traumatic stress disorder from other anxiety disorder.
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