Author Question: The nurse on the inpatient unit is reviewing the record of a client admitted the previous day, and ... (Read 37 times)

folubunmi · **on:** Jul 19, 2018

The nurse on the inpatient unit is reviewing the record of a client admitted the previous day, and notes the client has an Axis I diagnosis. What inferences can the nurse make about the client?

1. The client has a clinical psychiatric disorder.
2. The client is in need of immediate medical attention.
3. The client has a chronic condition.
4. The client lacks a support system.

Question 2

A client with bipolar disorder tells the nurse, I am thinking of switching to an alternating day/night shift because it pays more and will give me more time with my children.

The nurse's reply should be based on the knowledge of which of the following? 1. The client's priority is steady employment.
2. The client should contact the nurse if prodromal symptoms of the bipolar disorder occur.
3. Disruptions in biologic rhythms can impact the client's bipolar disorder.
4. Biologic rhythms do not influence mood disorders.

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

Answer to Question 1

1
Rationale: Axis I provides information regarding major mental disorders, as well as developmental and learning disorders. Axis I does not provide information about support systems, chronic conditions, or indicate if the client is in need of immediate medical attention.

Answer to Question 2

3
Rationale: A stable work shift is essential to successful management of the bipolar disorder as irregular shift patterns could cause an exacerbation in the disorder. The client may not be able to maintain employment if there are exacerbations in the illness. Mood disorders often have a biologic rhythm component as evidenced by sleep pattern disturbances. It is prudent to maintain a consistent schedule to prevent the occurrence of mood changes as opposed to waiting for symptoms to occur.