Author Question: An appropriate intervention for a client with an identified nursing diagnosis of Situational low ... (Read 78 times)

Chelseaamend · **on:** Jul 19, 2018

An appropriate intervention for a client with an identified nursing diagnosis of Situational low self-esteem would be:

1. Encouraging verbalization of feelings in a safe environment
2. Attempting to determine triggers to hallucinations
3. Engaging client in activities designed to permit success
4. Providing large muscle activities to relieve stress

Question 2

A 19-year-old client is admitted for the second time in 9 months and is acutely psychotic with a diagnosis of undifferentiated schizophrenia. The client sits alone rubbing her arms and smiling.

She tells the nurse her thoughts cause earthquakes and that the world is burning. The nurse as-sesses the primary deficit associated with the client's condition as:
1. Altered mood states
2. Disturbed thinking
3. Social isolation
4. Poor impulse control

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

Answer to Question 1

ANS: 3
All are useful interventions for a client with schizophrenia; however, engaging the client in spe-cifically designed activities is the only option that addresses improving self-esteem.

Answer to Question 2

ANS: 2
The nurse interprets the client's statements that were not reality-based as indicating disturbed thought processes. Options 1 and 4: No data exist pointing to these conclusions. Option 3: Social isolation is not the primary client problem.