Author Question: Two clients are roommates on an inpatient psychiatric unit. At breakfast, client A, who had been ... (Read 43 times)

corkyiscool3328 · **on:** Jul 19, 2018

Two clients are roommates on an inpatient psychiatric unit. At breakfast, client A, who had been missing her gold locket, notices client B wearing it.

Which should a nurse recognize as a nonassertive or passive behavioral response from client A? A. Client A ignores the situation.
B. Client A discusses the situation with her nurse and develops a plan of action.
C. Client A immediately approaches client B and pulls the necklace off her neck.
D. Client A offers to wash client B's clothes and accidentally spills bleach in the water.

Question 2

A client has continual problematic relationships and rejects others before possibly being rejected. The client states, I am afraid of failing in my job responsibilities.

Which correctly written nursing diagnosis should be prioritized for this client? A. Poor self-esteem R/T negative self-image AEB fear of failure
B. Altered thought processes R/T anxiety AEB delusions
C. Role confusion R/T rejection and poor job productivity
D. High risk for violence: self-directed R/T rejection of others

jsm54321 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

A
By ignoring the situation, client A avoids conflict, denies her feelings, and does not assertively resolve the problem. This is an example of nonassertive behavior.

Answer to Question 2

A
Individuals with low self-esteem perceive themselves to be incompetent, unlovable, insecure, and unworthy. A correctly written actual nursing diagnosis must have a related to (R/T) and an evidenced by (AEB) statement. A risk for nursing diagnosis does not contain an AEB statement because the problem has not yet occurred.