A client has had the following problems identified: ineffective ...

[DyllonKazuo]

A client has had the following problems identified: ineffective coping related to mastectomy for
  breast cancer, deficient knowledge of cancer treatment options, dysfunctional grieving related to
  perception of loss, and disturbed body image related
 
  to mastectomy. A psychiatric mental health
  liaison nurse has been called. The problem that the liaison nurse should suggest an oncology nurse
  address is
  a. ineffective coping.
  b. deficient knowledge.
  c. dysfunctional grieving.
  d. disturbed body image.

Question 2

A client lists the following problems: I have no sense of self-worth. I constantly think negative
  thoughts about myself. I feel anxious and shaky all the time. Sometimes my mood is so low that I
  think I want to go to sleep and never wake up.
 
  . The nursing interventions that should be accorded
  the highest priority relate to outcomes associated with
  a. self-esteem.
  b. anxiety self-control.
  c. depression self-control.
  d. suicide self-restraint.

[gstein359]

Answer to Question 1

ANS: B
The psychiatric mental health liaison nurse will intervene in the phenomena of emotional stress
components of illness, self-concept changes, and grief. The knowledge deficit will be important to
address but is the domain of an oncology nurse.

Answer to Question 2

ANS: D
The nurse would place a priority on monitoring and reinforcing suicide self-restraint because it
relates directly and immediately to client safety. Client safety is always a priority concern. The nurse
would also be expected to monitor and reinforce all client attempts to control anxiety, control
depression, and develop self-esteem while giving priority attention to suicide self-restraint.