Author Question: The nurse is caring for a client who is complaining of a number of somatic discomforts associated ... (Read 11 times)

Evvie72 · **on:** Jul 19, 2018

The nurse is caring for a client who is complaining of a number of somatic discomforts associated with chronic anxiety. The nurse knows that somatic discomforts associated with anxiety include: Standard Text: Select all that apply.

1. Heartburn
2. Diarrhea
3. Epigastric pain
4. Constipation
5. Muscular tension

Question 2

A son brought his 73-year-old widowed father into the emergency room. The client has congestive heart failure but is under the care of a physician and has been in good health.

The son was called in by the fire department after they put out a small cooking fire at the client's home. The firefighters reported that they found the client sitting in a chair mumbling incoherently, unaware of the fire and smoke. The client now appears to be drifting in and out of consciousness and is having problems keeping his attention on any one task. In this situation, the client is probably suffering from: 1. Dementia.
2. Cerebrovascular accident.
3. Delirium.
4. Depression.

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

Answer to Question 1

1,2,3,4
Rationale: Heartburn, epigastric pain, diarrhea, and constipation are all somatic discomforts that are associated with chronic anxiety. Muscular tension is often associated with acute anxiety and is not considered a somatic discomfort.

Answer to Question 2

3
Rationale: Delirium is an abrupt-onset type of confusional state marked by disorientation, impaired attention, and fluctuating consciousness. Speech may be slurred and disjointed. Dementia has a slow onset. Depression is not marked by fluctuating consciousness. There are physical symptoms, but fluctuating consciousness is not typical in clients who have experienced cerebrovascular accident.