An experienced nurse is assigned to care for a client with severe ...

[aabwk4]

An experienced nurse is assigned to care for a client with severe depression and suicidal ideation,
 
  a client with bipolar disorder who is demonstrating hypomanic behaviors, and a newly admitted client with paranoid schizophrenia who is delusional and must have a physical examination and initial nursing assessment performed. The nurse sets priorities for interventions and maps out a schedule for the day. What challenge is the nurse most likely to experience?
  1. Experiencing rewards
  2. Dealing with fear of clients
  3. Avoiding evaluative responses
  4. Practicing dynamic prioritization

Question 2

The student nurse has attempted to meet the challenge of emphasizing client strengths while working with a client with the nursing diagnosis Chronic low self-esteem. The nurse can evaluate her efforts as partially successful when the client:
 
  1. Seeks the student nurse's advice about divorce
  2. Asks the student nurse whether she is getting better
  3. Identifies her own strengths
  4. Stops crying at each session

[karmakat49]

Answer to Question 1

ANS: 4
The nurse is assigned to clients whose needs may change from moment to moment. The nurse must see the initial plan as potentially fluid and unpredictable as client needs shift and new needs emerge and require attention. 1. The nurse will probably be too busy to be concerned about expe-riencing rewards. 2. The nurse caring for this number of acutely ill clients will probably have re-solved fears of clients. 3. An experienced nurse has probably dealt with this challenge.

Answer to Question 2

ANS: 3
The client identifying her own strengths indicates that the nurse's efforts have been at least par-tially successful. The client is exhibiting readiness to look more realistically at herself. Seeking advice (option 1), seeking information (option 2), and cessation of crying (option 4) are not out-come criteria by which recognition of strengths can be measured.

[aabwk4]

TYSM

[softEldritch]

Excellent