A client is on a cardiac unit after a heart attack. The client ...

[DelorasTo]

A client is on a cardiac unit after a heart attack. The client does not have a history of a mental disorder. In planning her care, the nurse:
 
  1. Focuses solely on physical symptoms, since there is a medical diagnosis
  2. Calls in a psychiatrist to evaluate for signs of depression
  3. Provides the patient with several pamphlets on stress and cardiac function
  4. Assesses the client's mental status, knowing that mind and body are inseparable

Question 2

The families of several clients have been talking and ask the nurse, What can be done to improve community services for the long-term needs of the seriously mentally ill? The nurse appropriate-ly responds:
 
  1. The governing bodies need to understand that adequate funding is a necessity.
  2. More nurses on our staff is the key factor.
  3. Doctors and other health professions just do not get along.
  4. There will never be enough services because of the stigma related to these disor-ders.

[atrochim]

Answer to Question 1

ANS: 4
Nurses assess the mental status of all clients, since there is a mind-body interaction. Focusing on-ly on physical symptoms is not holistic, so option 1 is incorrect. Referral to a psychiatrist is not indicated yet, and option 3 is incorrect since there is not a demonstrated need for stress infor-mation.

Answer to Question 2

ANS: 1
Response 1 is correct since resource allocation is a key to services. Response 2 is too local (spe-cific) in focus. Responses 3 and 4 are too negative and not proactive.

[DelorasTo]

Gracias!

[gcook]

TYSM