Author Question: A client is complaining of frequent headaches, chest tightness, palpitations, and menstrual ... (Read 130 times)

bclement10 · **on:** Jun 25, 2018

A client is complaining of frequent headaches, chest tightness, palpitations, and menstrual irregularities. The client also reports having lost weight and experiencing difficulty eating and sleeping.

The nurse notes that the client is tearful, sad, and lacks energy. Which question is most appropriate when assessing the source of the client's symptoms?
A) Can you tell me why you are so sad?
B) Have you experienced a loss of a loved one recently?
C) How long have you been grieving?
D) Why are you crying so much?

Question 2

A nurse is caring for a preschool-age client who was admitted for dehydration. The child lives with the parents and maternal grandparents. In which type of family does this child reside?

A) Blended family
B) Extended
C) Two-career family
D) Traditional family

amandalm · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: B

The client is exhibiting the classic signs of grief and possibly unresolved grief, which affects the physical health of the client. Asking the client why she is sad does encourage her to express her feelings, but in this case the nurse needs to know the type of grief the client is experiencing and how long the client has been in this state in order to plan appropriate care. Asking the client why she is crying is a challenge, as is asking the client how long she has been grieving. The nurse should be supportive and nonjudgmental.

Answer to Question 2

Answer: B

In some cultures and as people live longer, more than two generations may live together in an extended setting. A two-career family is one where both partners are employed. A blended family occurs when existing family units join together to form new families. A traditional family is viewed as an autonomous unit in which both parents reside in the home.