Author Question: A client who has been diagnosed with polymyalgia rheumatica has muscle pain and weakness and has ... (Read 92 times)

clippers! · **on:** Jul 19, 2018

A client who has been diagnosed with polymyalgia rheumatica has muscle pain and weakness and
has curtailed physical and social activities to accommodate her condition. She tells the nurse I
cannot do anything.

I have to depend on other people to help me. I do not enjoy much of anything
any more; even food does not taste good. I cannot see that my situation will change, so I feel pretty
hopeless.. The priority action the nurse should take is to
a. point out positive aspects of the client's situation.
b. discuss the importance of physical exercise.
c. inquire about her social support system.
d. assess for depression.

Question 2

A client in the long-term reorganization phase of the rape-trauma syndrome is experiencing intrusive
thoughts of the rape and over the past week has developed a fear of being alone.

Indicators for the
outcome of fear self-control that should be monitored by the nurse include the client
a. planning coping strategies for fearful situations.
b. using increased activity to reduce fear.
c. temporarily withdrawing from social situations.
d. expressing willingness to be sexual.

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

Answer to Question 1

D
The client has given several indications that she may be depressed. A thorough assessment for
depression should be completed. Depression that goes unrecognized and untreated is often
responsible for worsening the medical condition and diminishing functional abilities. Depression
also presents a risk factor for nonadherence to the treatment plan. The other options do not address
the leads the client has given.

Answer to Question 2

A
This indicator shows willingness and ability to take personal action to reduce disabling fear. Options
B and C are not desirable. Option 4 is an indicator related to the outcome of sexual functioning
rather than fear self-control.