Author Question: The client is a homeless veteran who has been staying at a shelter since discharge after serving in ... (Read 66 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?

Vital signs (blood pressure, temperature, pulse rate, respiration rate) should be taken before any drug administration. Patients should be informed not to use tobacco or caffeine at least 30 minutes before their appointment.

Did you know?

Every 10 seconds, a person in the United States goes to the emergency room complaining of head pain. About 1.2 million visits are for acute migraine attacks.

Did you know?

Egg cells are about the size of a grain of sand. They are formed inside of a female's ovaries before she is even born.

Did you know?

The liver is the only organ that has the ability to regenerate itself after certain types of damage. As much as 25% of the liver can be removed, and it will still regenerate back to its original shape and size. However, the liver cannot regenerate after severe damage caused by alcohol.

Did you know?

The first war in which wide-scale use of anesthetics occurred was the Civil War, and 80% of all wounds were in the extremities.

For a complete list of videos, visit our video library