During the psychosocial assessment the nurse determines that a ...

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During the psychosocial assessment the nurse determines that a client who is HIV positive believes
  his family is burned out and has little energy left to provide care for him as his condition worsens.
 
  He mentions that they maintain communication with him and express concern for him but find it
  difficult to listen as he speaks of his anxieties and concerns regarding dying. The nurse should assess
  family support as
  a. rarely demonstrated.
  b. sometimes demonstrated.
  c. often demonstrated.
  d. consistently demonstrated.

Question 2

Planned assessments of critical importance for a client with delirium include
 
  a. biophysical parameters.
  b. the emotional state.
  c. speech and language.
  d. cognitive symptoms.

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Answer to Question 1

B
Maintaining communication and expressing concern suggest that the support is sometimes
demonstrated. Other needs such as providing physical care and bearing painful feelings are not met;
thus options C and D are not appropriate choices.

Answer to Question 2

A
Although each area should be assessed initially and systematically thereafter, the biophysical
parameters, including vital signs and physical safety needs, are of critical importance to maintenance
of biophysical integrity. Delirium is, after all, a physiological disturbance.

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TYSM

[LVPMS]

Gracias!