Author Question: The client is a homeless veteran who has been staying at a shelter since discharge after serving in ... (Read 70 times)

SGallaher96

  • Hero Member
  • *****
  • Posts: 509
The client is a homeless veteran who has been staying at a shelter since discharge after serving in Iraq.
 
  The client has become increasingly irritable over the last two weeks and might be evicted from the shelter if the client's behavior does not improve. The nurse learns that the client has not had more than a few hours of sleep in the last two days. Which diagnosis would be most appropriate for this client at this time? 1. Sleep pattern disturbance related to anticipation of threat to basic needs and security
  2. Alteration in self-concept related to survivor guilt
  3. Potential for self-harm related to irritability secondary to sleeplessness
  4. Posttraumatic stress disorder related to combat experiences

Question 2

The nurse tells the client with acute mania that an effective treatment may be:
 
  1. Electroconvulsive therapy.
  2. Fluoxetine (Prozac).
  3. Seclusion and restraint.
  4. Group therapy.



frre432

  • Sr. Member
  • ****
  • Posts: 347
Answer to Question 1

1
Rationale: The client appears to be experiencing sleep pattern disturbance related to the stress of the threatened loss of shelter. The client may or may not be experiencing survivor guilt or posttraumatic stress disorder, but that is not the priority diagnosis at this time. There is no indication the client is having thoughts of self-harm.

Answer to Question 2

1
Rationale: Electroconvulsive therapy has been proven useful to clients with acute mania. A client with acute mania has difficulty sitting through a group therapy session due to hyperactivity. Fluoxetine (Prozac) is an antidepressant medication, not an antimanic drug. Seclusion and restraint are used only as an emergency measure.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question


 

Did you know?

Cutaneous mucormycosis is a rare fungal infection that has been fatal in at least 29% of cases, and in as many as 83% of cases, depending on the patient's health prior to infection. It has occurred often after natural disasters such as tornados, and early treatment is essential.

Did you know?

Chronic necrotizing aspergillosis has a slowly progressive process that, unlike invasive aspergillosis, does not spread to other organ systems or the blood vessels. It most often affects middle-aged and elderly individuals, spreading to surrounding tissue in the lungs. The disease often does not respond to conventionally successful treatments, and requires individualized therapies in order to keep it from becoming life-threatening.

Did you know?

Bisphosphonates were first developed in the nineteenth century. They were first investigated for use in disorders of bone metabolism in the 1960s. They are now used clinically for the treatment of osteoporosis, Paget's disease, bone metastasis, multiple myeloma, and other conditions that feature bone fragility.

Did you know?

Fatal fungal infections may be able to resist newer antifungal drugs. Globally, fungal infections are often fatal due to the lack of access to multiple antifungals, which may be required to be utilized in combination. Single antifungals may not be enough to stop a fungal infection from causing the death of a patient.

Did you know?

There are over 65,000 known species of protozoa. About 10,000 species are parasitic.

For a complete list of videos, visit our video library