A client tells the nurse that he is having a difficult time with ...

[Tazate]

A client tells the nurse that he is having a difficult time with the diagnosis of osteoarthritis of the knees since no one else has it in his family.
 
  Which of the following assessment findings might have increased this client's risk for the development of this disorder? 1. Body mass index 36.5
   2. Client plays tennis 3 times each week
   3. History of esophageal reflux disease
   4. Blood pressure 136/78 mmHg

Question 2

A client who was raped refuses to see any male physicians, tells the nurse that she had an incident that she does not want to talk about, and wants a bed by the door.
 
  The nurse identifies which of the following diagnoses as being appropriate for the client at this time? 1. Rape-Trauma Syndrome
   2. Readiness for Enhanced Power
   3. Relocation Stress Syndrome
   4. Acute Confusion

[jliusyl]

Answer to Question 1

1. Body mass index 36.5

Rationale:
Primary osteoarthritis of the knee is 5 times more common in obese men. The client has a body mass index of 36.5, which is considered obese. Moderate recreational exercise has been shown to decrease the chance of developing osteoarthritis and the progression of manifestations when osteoarthritis is present. Esophageal reflux is not associated with the disorder. Blood pressure is not a known risk factor for the development of osteoarthritis.

Answer to Question 2

1. Rape-Trauma Syndrome

Rationale:
The nursing diagnosis of rape-trauma syndrome applies if the client experiences high levels of anxiety, an inability to discuss the trauma, abrupt changes in relationships with men or changes in sexual behavior, and the onset of phobic reactions. This client is not displaying evidence of readiness for enhanced power. There is no evidence that the client is experiencing relocation stress syndrome or acute confusion.

[Tazate]

Excellent

[parshano]

TYSM