A client, age 15, was admitted to the adolescent unit with a ...

[segrsyd]

A client, age 15, was admitted to the adolescent unit with a diagnosis of adjustment disorder with depression. Which information collected from the assessment interview will be given high-est priority when planning the client's care?
 
  1. Client was recently picked up by the police for breaking curfew.
  2. Client's parents were divorced 8 years ago.
  3. Client states she finds no pleasure in living.
  4. Client is failing most of her high school classes.

Question 2

The nurse has been working with a client who has adjustment disorder with depressed mood. Which finding would permit the nurse to accurately evaluate that the crisis has been resolved?
 
  1. Absence of presenting symptoms
  2. Decreased need for medications
  3. Increased socialization with peers
  4. Significant weight gain

[janeli]

Answer to Question 1

ANS: 3
Finding no pleasure in living should suggest the need for further assessment of suicide potential. Safety needs take priority over problems suggested by other data collected.

Answer to Question 2

ANS: 1
When the presenting symptoms are absent, the nurse can evaluate the problems as resolved. 2. Most clients with adjustment disorders do not require medication, so this is not a good indicator. 3. Data do not substantiate this as having been a problem. 4. This could indicate the client is overeating as a means of dealing with stress.

[segrsyd]

TYSM

[amandanbreshears]

Excellent