The client has frequently presented to the clinic with multiple ...

[Metfan725]

The client has frequently presented to the clinic with multiple physical complaints. The multiple physical complaints would warrant the nurse to screen the client for:
 
  1. A chronic illness.
  2. Deviant behavior.
  3. Hospitalization.
  4. A mental disorder.

Question 2

The client with a diagnosis of major depression tells the nurse that multiple generations of women in her family also suffered from depression. She states I guess it is a family tradition to have problems dealing with stress.
 
   The nurse tells the client which of the following? 1. There is evidence to suggest that genotype is not influenced by stress.
  2. There is probably a shared stressful environment.
  3. Mood disorders do seem to have some basis in heredity among other contributing factors.
  4. There is no evidence to suggest a familial occurrence of mood disorders.

[iman]

Answer to Question 1

4
Rationale: Researchers have found high incidences of mental disorder in clients seen for physical illnesses; thus, risk is increased. The risk for chronic illness, hospitalization, and deviant behavior is not necessarily increased given the information in the question.

Answer to Question 2

3
Rationale: Genetics account for approximately 42 of heritability in meta-analysis studies. Environment does influence phenotype, but several generations of women will not share the same environment. A familial occurrence of mood disorders is suggested by genetic heritability rates. Genotype is expressed through the interaction with the environment, which includes stress.