Author Question: Care planned for a client with adjustment disorder will be most effective if the nurse knows ... (Read 19 times)

mikaylakyoung · **on:** Jul 19, 2018

Care planned for a client with adjustment disorder will be most effective if the nurse knows ad-justment disorders are a group of disorders that:

1. Involve psychotic thinking in adolescents
2. Include behaviors that are seen primarily in the child and adolescent population
3. Address issues of anxiety and depression
4. Manifest as transient episodes of dysfunction in response to specific stressors

Question 2

Which nursing measure would be relevant to protecting the physiologic integrity of a client dur-ing a manic episode when marked hyperactivity is present?

1. Provide appropriate attire for client to wear.
2. Set firm limits on behavior injurious to others.
3. Obtain client weight daily at same time.
4. Use genuineness to develop a therapeutic alliance.

mbcrismon · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: 4
Adjustment disorders are short-term disturbances in mood or behavior resulting from identifiable stressors. 1. Psychotic features are not present. 2. Adjustment disorders can occur in any age group. 3. Anxiety and depression may be present, but emphasis is on dealing with identifying and resolving the specific issue.

Answer to Question 2

ANS: 3
Hyperactivity expends huge amounts of calories and interferes with caloric intake, thus resulting in rapid weight loss. Monitoring weight daily protects the client's physiologic integrity. The other options are concerned with psychosocial integrity.