Which statement by a client who is severely and persistently ...

[stephzh]

Which statement by a client who is severely and persistently mentally ill would the nurse assess as providing a priority need for intervention?
 
  1. I only have sex with men who use condoms.
  2. My husband still wants to have sex with me.
  3. I go to the clinic yearly to have a PAP smear.
  4. I had my tubes tied so I can't get pregnant.

Question 2

A woman clad in a burka comes to the Emergency Department accompanied by her husband, who appears to be Middle Eastern.
 
  She explains in English that she is pregnant and experiencing heavy vaginal bleeding. The hus-band tells the nurse that his wife has had bipolar disorder for 10 years. The nurse caring for the woman should:
  1. Require her husband to leave the room
  2. Call a female gynecologist
  3. Call a male psychiatrist
  4. Call an interpreter

[bubulittle310@msn.cn]

Answer to Question 1

ANS: 1
Option 1 suggests that the client may be promiscuous because she speaks of sex with men rather than one partner. Promiscuity places the client at increased risk for rape, other violence, and sex-ually transmitted diseases. The other options provide opportunities for teaching but are not as high priority for discussion as option 1.

Answer to Question 2

ANS: 2
The client's bleeding requires immediate attention; thus it is more important to call a gynecologist than a psychiatrist. A client who wears a burka would be more comfortable being examined by a woman, and undoubtedly the husband would prefer this option also. The husband's culture will require that he remain in the room with his wife while she is attended by strangers. Option 4: an interpreter would be necessary only if the nurse determined that the one or both parties did not comprehend English.

[stephzh]

Thanks for the timely response, appreciate it

[nyrave]

Excellent