A 12-year-old female client with a normal IQ has difficulty with ...

[TVarnum]

A 12-year-old female client with a normal IQ has difficulty with math at school. She performs well in all subjects except math, for which she is unable to earn above a grade of D, no matter how much she studies.
 
  What is this client most likely suffering from? a. Mental retardation
  b. A learning disorder
  c. Pervasive developmental disorder
  d. An anxiety disorder

Question 2

A client is diagnosed with terminal cancer. Which situation represents Kbler-Ross's grief stage of anger?
 
  1. The client registers for an iron-man marathon to be held in 9 months.
  2. The client is a devout Catholic but refuses to attend church and states that his faith has failed him.
  3. The client promises God to give up smoking if allowed to live long enough to witness a grandchild's birth.
  4. The client gathers family in order to plan a funeral and make last wishes known.

[atrochim]

Answer to Question 1

B
Because this client performs well in all other areas and has a normal IQ, she most likely has a learning disorder. Learning disorders typically affect a child's thinking, reading, writing, calculating, spelling, or listening abilities. The client does not have mental retardation because her IQ is normal; pervasive developmental disorder indicates difficulties with social interactions and communication skills; and an anxiety disorder refers to a vague feeling of uneasiness that persists.

Answer to Question 2

2
Rationale: The nurse should assess that the client is in the anger stage of grieving when the client refuses to attend church and states that his faith has failed him. Anger is the second stage of Kbler-Ross's grief process, in which the reality of the situation is realized, and the individual has feelings of sadness, guilt, shame, helplessness, and hopelessness.