Author Question: A client, who recently delivered a stillborn baby, has a diagnosis of adjustment disorder ... (Read 27 times)

Frost2351 · **on:** Jul 19, 2018

A client, who recently delivered a stillborn baby, has a diagnosis of adjustment disorder unspecified. The nurse case manager should expect which client presentation that is characteristic of this diagnosis?

1. The client worries continually and appears nervous and jittery.
2. The client complains of a depressed mood, is tearful, and feels hopeless.
3. The client is belligerent, violates others' rights, and defaults on legal responsibilities.
4. The client complains of many physical ailments, refuses to socialize, and quits her job.

Question 2

A nursing instructor is developing a lesson plan to teach about the Northern European American culture. Which of the following information should be included? (Select all that apply.)

1. About half of first marriages end in divorce in this cultural group.
2. This cultural group does not use preventive medicine and primary health care.
3. Punctuality and efficiency are highly valued in this cultural group.
4. This cultural group tends to be future oriented.
5. A typical diet of this cultural group includes rice, vegetables, and fish.

katheyjon · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

4
Rationale: The diagnosis of adjustment disorder unspecified is assigned when the maladaptive reaction is not consistent with any of the other categories. Manifestations may include physical complaints, social withdrawal, or work or academic inhibition, without significant depressed or anxious mood.

Answer to Question 2

1, 3, 4
Rationale: With the advent of technology and widespread mobility, less emphasis has been placed on the cohesiveness of the family in the Northern European American culture. Data on marriage, divorce, and remarriage in the United States show that about half of first marriages end in divorce. Northern European Americans, particularly those who achieve middle-class socioeconomic status, value preventive medicine and primary health care. Punctuality and efficiency are highly valued in the culture that promoted the work ethic, and most within this cultural group tend to be future oriented. A typical diet for many Northern European Americans is high in fats and cholesterol and low in fiber.