Author Question: The nurse received the change-of-shift report on a 74-year-old woman admitted for depression. She ... (Read 17 times)

abern · **on:** Jul 19, 2018

The nurse received the change-of-shift report on a 74-year-old woman admitted for depression. She has aphasia from a recent stroke and communicates minimally by using pencil and paper.

Her college-age grandson moved in with her to help with meals and household chores and a home health aide provides daily assistance with ADLs and medications. For the past week, she has refused to bathe, eats poorly, and has stopped writing. Which of the following statements best demonstrates that the nurse has the ability to plan holistic care for this client? 1. The client's psychobiologic health, rehabilitation, self-care potential, and discharge arrangements are interrelated.
2. Reliance on the grandson and home health aide have decreased her feelings of self-worth and caused this episode of depression.
3. The client's quality of life and prognosis are primarily related to her aphasia and inability to communicate.
4. Sudden life changes, such as a stroke, usually lead to depression in older clients.

Question 2

The nurse is caring for a client who has been diagnosed with schizophrenia and who is currently seeking treatment for drug addiction to crack cocaine.

In planning care for this patient, which of the following is a priority goal for psychiatric rehabilitation? 1. Treating the drug addiction
2. Treatment in an integrated program for both diagnoses
3. Medication compliance
4. Treating the schizophrenia

Qarqy · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

1
Rationale: A holistic assessment of a client accounts for the interrelated effects of the client's social and cultural environment as well as psychobiological health. Nurses must not assume they understand the meaning that symptoms have to the client's quality of life, capacity to improve, or need for independence. While life changes at any age may lead to altered emotional responses, the nurse must seek to identify the meanings of events in order to plan effectively.

Answer to Question 2

2
Rationale: The severely mentally ill sometimes do poorly in substance abuse programs that stress confrontation or demand sobriety as a precondition to treatment. Integrated programs for the dually diagnosed mentally ill include inpatient and day treatment programs and group interventions. Adjusting the psychotropic medications for these clients may help them deal with problems such as dysphoria and anxiety that lead to self-medication with drugs and alcohol. There is no evidence that the client was not compliant with the medication regimen for schizophrenia.