What is the purpose of a nurse gathering client information? ...

[kfurse]

What is the purpose of a nurse gathering client information?
 
  1. It enables the nurse to modify behaviors related to personality disorders.
  2. It enables the nurse to make sound clinical judgments and plan appropriate care.
  3. It enables the nurse to prescribe the appropriate medications.
  4. It enables the nurse to assign the appropriate Axis I diagnosis.

Question 2

A widower reports a fear of intimacy because of an inability to achieve and sustain an erection. He has become isolative, has difficulty sleeping, and has lost weight over the past year.
 
  Which nursing diagnosis should be a priority for this client? 1. Risk for situational low self-esteem AEB inability to achieve an erection
  2. Sexual dysfunction R/T dysfunctional grieving AEB inability to experience orgasm
  3. Social isolation R/T low self-esteem AEB refusing to engage in dating activities
  4. Disturbed body image R/T penile flaccidity AEB client statements

[djofnc]

Answer to Question 1

2
Rationale: The purpose of gathering client information is to enable the nurse to make sound clinical judgments and plan appropriate care. The nurse should complete a thorough assessment of the client, including information collected from the client, significant others, and health-care providers.

Answer to Question 2

2
Rationale: The nurse should prioritize the nursing diagnosis sexual dysfunction R/T dysfunctional grieving AEB inability to experience orgasm. The nurse should assess the client's mood and level of energy, because depression and fatigue can decrease desire for participation in sexual activity.