A nurse is working with a client who burns his arms with cigarettes. The nurse asks the client to explain what the burning does for him. What would be the purpose of this question?
A) To understand the client's meaning of the behavior.
B) To help the client see that his behavior is self-injurious.
C) To confront the client with the purposelessness of the behavior.
D) To identify alternative coping mechanisms.
Question 2
A client is admitted to the psychiatric unit complaining of feeling invisible parasites biting her skin. She complains of overwhelming fatigue and body aches.
She suffers from hair loss, skin lesions, rashes, and blue or red fibers that sprout from her lesions. She sees tiny black specks, like coffee grounds, on her arms. After expressing how frightening it must be to feel this way, what assessment question should the nurse ask next? A) Can you show me the lesions and black specks?
B) Are these feelings causing you to want to hurt yourself in anyway?
C) What did your doctor tell you about these complaints?
D) When did you start noticing these symptoms?
NURSE
Nurse's hand over patients abdomen
Example of simplified note for one-time client.
Building a Client Base Cont.
GET BIGGER ARMS!
The nurse begins the general survey