A client presents to the ambulatory care clinic with complaints ...

[clmills979]

A client presents to the ambulatory care clinic with complaints of back pain, nausea, and fatigue.
 
  When the nurse questions the client about recent stressors the client becomes irritated and states, I am sick. Why are you asking me about all of this stress stuff? Which response by the nurse is the most appropriate?
  1. Stress can impact our body by producing a variety of symptoms.
  2. Your nausea and fatigue are most often related to an overabundance of stress in life.
  3. Asking about stress is required for every client.
  4. We all have stress and I need to see how much you have.

Question 2

A client is admitted to the psychiatric care unit. While the nurse is explaining the use of the call light, the client smiles and says, Apples, corn, dogs, my foot. The nurse correctly documents the client is demonstrating which speech pattern?
 
  1. Neologisms
  2. Clanging
  3. Word salad
  4. Echolalia

[af]

Answer to Question 1

Correct Answer: 1
Stress is associated with a variety of physical ailments, including back pain, nausea, and fatigue. The nurse has a responsibility to provide education to the client concerning the reasons behind the questions being asked. The final diagnosis as to the cause of the ailments being reported has not been completed. It is premature for the nurse to equate an overabundance of stress to the physical concerns reported. Stress assessment may be a requirement for many data collections but this does not provide an adequate response to the client. Telling the client that all people have stress downplays the client's individual needs and is inappropriate.

Answer to Question 2

Correct Answer: 3

The grouping of words together in a manner that does not make sense is known as word salad. Neologisms refer to the coining of new words. Clanging refers to engaging in a conversation in which the words rhyme. Echolalia is the constant repetition of words by the client that have been said by others.

[clmills979]

Gracias!

[epscape]

Excellent