A client is informed that his family refuses to allow him to ...

[Zoey63294]

A client is informed that his family refuses to allow him to return to the family's home because of recent violent behavior. The client's expression remains blank; there is no apparent reaction to this statement.
 
  The client then asks what time dinner is served. The client is exhibiting: 1. Inappropriate affect.
  2. Blunted affect.
  3. Flat affect.
  4. Mutism.

Question 2

A depressed client asks why a physical exam is necessary before being admitted for outpatient treatment. The nurse explains to the client that a physical exam will:
 
  1. Provide information about medications the client will need.
  2. Make sure the client gets all necessary treatment.
  3. Complete the admission process.
  4. Ensure the client has not ingested any caustic material or inhaled noxious vapors.

[aadams68]

Answer to Question 1

3
Rationale: Flat affect is defined as a total lack of emotion or expression. The client does not appear to display inappropriate or incongruent affect. Blunted affect is defined as having a minimal emotional response to a person or event. Mutism is defined as an inability or refusal to speak when able to do so.

Answer to Question 2

2
Rationale: The client's symptoms may be due to a biological or neurological problem causing depressive symptoms. The value of careful assessment of general health issues and screening for biologic disorders cannot be overemphasized; in some community settings, psychiatric-mental health nurses are the only mental health care providers prepared to undertake such an assessment and interpret the results. The exam's scope is not limited to exposure to dangerous chemicals, nor is it performed solely to comply with institutional policy. Its findings will guide all aspects of the client's care, not just medication therapy.

[Zoey63294]

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