An adult client with paranoid schizophrenia lives in a homeless ...

[Redwolflake15]

An adult client with paranoid schizophrenia lives in a homeless shelter with her 13-year
  old-daughter. The mother is fragile but not psychotic most of the time.
 
  The nurse establishes a
  relationship with the daughter and determines that the child has adapted to shelter life, having
  formed a relationship with one of the shelter volunteers who encourages her to attend school. The
  teen relates that she has a friendship with a classmate. When she describes this relationship, the
  nurse determines that the teen is able to exercise both social skills and problem-solving skills. The
  mobile treatment team asks the nurse to make a recommendation regarding what should be done to
  assist the teenage daughter. The best recommendation would be to
  a. suggest foster home placement.
  b. seek assistance from the domestic violence program.
  c. make referrals for existing and emerging developmental problems.
  d. foster healthy characteristics and existing environmental supports.

Question 2

A client accompanied her boyfriend to the emergency department after the two had been in a
  motorcycle accident. The boyfriend was badly hurt, but the client had only minor cuts and bruises
  and was discharged.
 
  She mentioned to the nurse that since she was driving, she should have been the
  one to be injured. Twenty-four hours later, while visiting her boyfriend, the client reported that she
  was unable to move from her chair and unable to walk. Diagnostic workup revealed no physical
  reason for the problem. The anxiety relief behavior the client is demonstrating is
  a. acting out.
  b. somatization.
  c. withdrawal.
  d. problem solving.

[bookworm410]

Answer to Question 1

D
Because the teenage daughter shows no evidence of poor mental health, the best action would be to
foster existing healthy characteristics and environmental supports. No other option is necessary or
appropriate under the current circumstances.

Answer to Question 2

ANS: B
Somatization is the expression of an emotional conflict in physical symptoms. The client manifests
several physical symptoms associated with severe anxiety. Option A: Acting out refers to behaviors
such as anger, crying, laughter, and physical or verbal abuse. Option C: Withdrawal is a reaction in
which psychic energy is withdrawn from the environment and focused on the self in response to
anxiety. Option D: Problem solving takes place when anxiety is identified and the unmet need
serving as the origin of the anxiety is met.