A client has experienced the death of his mother and the loss of his job, which resulted in a 6-month score of 110 on the Recent Life Changes Questionnaire. Based on this information, which nursing conclusions are appropriate?
A) The client is experiencing severe distress and is at risk for physical and psychological illness.
B) The client has scored only 110 on the Miller and Rahe Recent Life Changes Questionnaire, so there is no significant threat of stress-related illness.
C) The client's susceptibility to stress-related physical or psychological illness cannot be estimated without knowledge of his coping resources and available supports.
D) The client views these losses as challenges, and sees them as potentials for growth.
Question 2
A school nurse has been visiting a homebound student who is engaging in self-mutilating behavior.
The nurse has been working with the client and learned that her hair-pulling gives her relief from the pain and guilt she feels because she had an abortion. The nurse has taught her several alternative coping mechanisms. During today's visit, the nurse finds that the client has torn out another small patch of hair. The client says that she does not want anyone staring at her, and even though her friends call, she's not going out of the house. What intervention would be helpful at this time? A) Have the client committed to the psychiatric unit because she is a danger to herself.
B) Tell the client her behavior is okay, because the emotional pain she feels is so great that she is bound to
hurt herself once in awhile.
C) Remind the client that she has other behaviors that she can use instead of self-harm.
D) Encourage the client to wear a scarf or pretty hat and go out with her friends.
Client position when assessing jugular vein distention.
A Mass-Loss Star
Mary Cassatt, Young Mother, Daughter, and Son.
Ten Leading Causes of Death in the United States, 2010.
Relative levels of neuronal loss in HD transgenic mice
Loss of DNA at telomeres