Author Question: A client makes the following statement during a mental status assessment: I can't use the phones; ... (Read 94 times)

ghost! · **on:** Jul 19, 2018

A client makes the following statement during a mental status assessment: I can't use the phones; the CIA has bugged all the wires. Which of the following categories will the nurse use to document the client's response?

1. Orientation
2. Content of thought
3. Emotional state
4. General behavior

Question 2

An individual is subjected to chronic uncontrollable stress. What will be the effect on the client's neuroendocrine function?

1. Hypoactivity of the hypothalamic-pituitary-adrenal (HPA) axis and release of substance P
2. Hypoactivity of the hypothalamic-pituitary-adrenal (HPA) axis and release of dopamine
3. Hyperactivity of the hypothalamic-pituitary-adrenal (HPA) axis and release of dopamine
4. Hyperactivity of the hypothalamic-pituitary-adrenal (HPA) axis and release of substance P

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

Answer to Question 1

2
Rationale: Content of thought includes special preoccupations and experiences, including delusions. General behavior describes the client's physical characteristics. Emotional state refers to the person's pervasive or dominant mood. Orientation includes time, place, person, and self or purpose.

Answer to Question 2

4
Rationale: Substance P is neuropeptide thought to be released during physiologic and environmental stress. Substance P is thought to contribute to changes in the central nervous system that predispose individuals to anxiety and depression.