Author Question: A client tells the nurse that her spouse expects the client to maintain the home and children as ... (Read 58 times)

tfester · **on:** Jul 23, 2018

A client tells the nurse that her spouse expects the client to maintain the home and children as well as have a job to help with household expenses. The client is demonstrating fatigue and inadequacy.

The nurse identifies which nursing diagnosis as appropriate for the client at this time?
1. Chronic Low Self-Esteem.
2. Ineffective Role Performance.
3. Disturbed Body Image.
4. Parental Role Conflict.

Question 2

The nurse is planning to assess a client's family relationships. What questions will the nurse ask to obtain this information?

1. How do you spend your free time?
2. What is your home like?
3. Who is most important to you?
4. How well do you feel you accomplish what is expected of you?
5. Whom do you seek out for help?

Dnite · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 2
Rationale 1: The client is experiencing fatigue and inadequacy with the current situation, and not long-term.
Rationale 2: The client has many expectations which could be in conflict. The client is expected to maintain the home, care for the family, and earn money. The client's symptoms of fatigue and inadequacy indicate Ineffective Role Performance.
Rationale 3: The client is not experiencing and alteration in perception of body image.
Rationale 4: The client is not experiencing an issue with parenting.

Answer to Question 2

Correct Answer: 2,4
Rationale 1: The question How do you spend your free time? is a question to assess work and social roles.
Rationale 2: The question What is your home like? is an appropriate question for the nurse to ask to assess a client's family relationships.
Rationale 3: The question Who is most important to you? is a question to assess work and social roles.
Rationale 4: The question How well do you feel you accomplish what is expected of you? is an appropriate question for the nurse to ask to assess a client's family relationships.
Rationale 5: The question Whom do you seek out for help? is a question to assess work and social roles.