The nurse attempting to establish a relationship with a severely ...

[armygirl]

The nurse attempting to establish a relationship with a severely withdrawn schizophrenic client tells
  a preceptor that her frustration level is rising daily because the client turns his head away each time
  she sits down near him.
 
  The nurse states I am beginning to wonder what is wrong with me as a
  nurse.. The preceptor could be most helpful by explaining that withdrawn clients with schizophrenia
  a. universally fear sexual involvement with therapists.
  b. are socially disabled by the positive symptoms of schizophrenia.
  c. exhibit a high degree of hostility by demonstrating rejecting behavior.
  d. avoid relationships because they become anxious with emotional closeness.

Question 2

A client with anorexia nervosa being treated on an outpatient basis has begun refeeding. Between the
  first and second appointments the nurse assesses that the client has gained 8 pounds. The nurse
  should
 
  a. praise the client for the weight gain.
  b. assess lung sounds and extremities.
  c. suggest use of an exercise program.
  d. establish a higher target for weight gain for the next week.

[upturnedfurball]

Answer to Question 1

D
When an individual is suspicious and distrustful and perceives the world and the people in it as
potentially dangerous, withdrawal into an inner world can be a defense against uncomfortable levels
of anxiety. When someone attempts to establish a relationship with such a client, the client's anxiety
rises until trust is established. The truth of option A is not borne out by the evidence. Options B and
C: These options are not considered true in most cases.

Answer to Question 2

B
Weight gain of more than 2 to 5 pounds weekly may overwhelm the heart's capacity to pump,
leading to cardiac failure. The nurse must assess for signs of pulmonary edema and congestive heart
failure. The other options are undesirable because they increase the risk for cardiac complications.