Author Question: A 55-year-old patient, who has been the primary caregiver for her recently deceased father, tells ... (Read 32 times)

swpotter12 · **on:** Jul 19, 2018

A 55-year-old patient, who has been the primary caregiver for her recently deceased father, tells the nurse that caring for her father has left her feeling exhausted and lonely. What condition should the nurse consider as a risk for this patient?

1. Bipolar disorder
2. Schizoaffective disorder
3. Complicated grief disorder
4. Generalized anxiety disorder
netics, childhood trauma, and substance abuse.

Question 2

A pregnant woman indicates to her nurse that since her pregnancy began she is experiencing sleep disturbance and horrible nightmares that wake her. What questions should the nurse include during the assessment? Select all that apply.

1. Does your partner snore and disturb your sleep at night?
2. Are you taking any medications?
3. Have you had any past traumas that pregnancy might have reactivated?
4. Are there any significant family problems that are causing you concern?
5. Have you ever been diagnosed with a mental health problem?

xMRAZ · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

Answer: 3
Explanation: For adult children who were primary caregivers of a parent, high levels of caregiver burden, physical exhaustion, and lack of social support are associated with poor post-bereavement outcomes such as complicated grief. Bipolar disorder risk factors include genetic predisposition and age in the early twenties. Risk factors for schizoaffective disorder include having close relatives with schizophrenia, schizoaffective disorder, or bipolar disorder. Risk factors for generalized anxiety disorder include ge

Answer to Question 2

Answer: 2, 3, 4, 5
Explanation: Family dynamics may change during a pregnancy the nurse should always consider these changes when assessing a pregnant client experiencing symptoms of mental illness. During pregnancy, memories of past traumas, anxieties, or disappointments may be reactivated. Hormonal, social, and psychological changes can exacerbate a prior mental illness. The nurse should always assess pregnant patients for medications, including over-the-counter medications and supplements. A partner's snoring, although it may be of some concern to the patient, is not significantly related to anxiety during pregnancy.