The nurse caring for a client finds the client uncommunicative ...

[Yolanda]

The nurse caring for a client finds the client uncommunicative about recent life events. The nurse
  suspects marital and perhaps economic problems exist.
 
  The social worker's intake note has been
  dictated, but not typed, and is placed in the medical record. The most effective action the nurse could
  take is to
  a. focus questions on these two topics.
  b. ask the client who shares a room with this client.
  c. try to work around the lack of pertinent information.
  d. look at axis IV of the DSM-IV-TR in the medical record.

Question 2

A client mentions to a nursing student, I'd never want to be a nurse working with psychiatric clients
  because none of us ever gets well.. The reply by the nursing student that best addresses the stated
  bias is
 
  a. People with mental disorders should not be stereotyped as hopeless cases..
  b. The media tend to focus on the sensational, so the public hears only about the
  poorest outcomes..
  c. Treatment of bipolar disorder has an 80 success rate, whereas angioplasty is
  successful 41 of the time..
  d. Some mental disorders such as panic disorder are highly treatable, whereas other
  disorders result in progressive deterioration..

[Pswine]

Answer to Question 1

ANS: D
The intake physician would use axis IV to note psychosocial and environmental problems pertinent
to the client's situation, providing another source of information for the nurse. Option A: Persistent
questioning will likely result in client withdrawal. Option B violates client privacy rights. Option C
is not an effective solution.

Answer to Question 2

ANS: C
Providing information about treatment efficacy is a concrete way to refute the myth that clients with
mental disorders are untreatable. Option A does not provide information to refute the myth. Option
B gives general information, whereas option C is more specific. Option D provides general
information, some of which is discouraging.

[Yolanda]

Thanks for the timely response, appreciate it

[juliaf]

Gracias!