You are working with a client who has many of the symptoms of ...

[kshipps]

You are working with a client who has many of the symptoms of cataplexy. Which of the following questions would you ask this client about her experience, which she describes as a collapsing spell, to determine if it was cataplexy?
 
  a. Did you stop breathing?
  b. Were you aware of your surroundings?
  c. Would you describe it as a blackout?
  d. Did other people witness the event?

Question 2

Which statement by a child best indicates the child may be experiencing symptoms of depression?
 
  a. I don't like to play outside. Besides, I've got so much homework and my parents expect me to be a good student..
  b. I have some friends at school but there's no one my age who lives in my neighborhood. I watch television and play with my video games..
  c. I've got some friends, but they are older than me. Sometimes we play together but not all the time since they want to do things I'm not old enough to do..
  d. I don't know; I don't think about school much. It's just a place I have to go every day. I guess it's alright. Some of the kids are nice, and I like the food..

[recede]

Answer to Question 1

B
To determine if the client has cataplexy, the nurse should ask the client if he or she was aware of his or her surroundings during one of the collapsing spells. Cataplexy is defined as the sudden loss of muscle power at times of sudden emotion, often laughter or fear. These persons may drop things or even fall to the ground, but unlike a simple faint, they never lose consciousness during a cataleptic episode.

Answer to Question 2

D
Children with internalizing disorders such as depression are often the best informants about their affective states. Statements relating to the stressors such as so much homework are indicators of internalized stress that may be manifested as depression. The other options lack the cues that the client is experiencing stress.

[kshipps]

Thanks for the timely response, appreciate it

[epscape]

Excellent