To which of these actions should the nurse give priority when ...

[nenivikky]

To which of these actions should the nurse give priority when conducting an assessment of a newly admitted client who has severe and persistent mental illness?
 
  1. Determine client's level of family support
  2. Seek client's perception of the illness
  3. Develop rapport and trust
  4. Orient client to milieu

Question 2

A client with severe and persistent bipolar disorder, manic type, will be most adversely affected in her ability to live independently in the community by her:
 
  1. Disturbed thought processes
  2. Lack of communication skills
  3. Withdrawn behavior
  4. Cocaine abuse

[Yixagurpuldink]

Answer to Question 1

ANS: 3
The client's developing a sense of trust is essential to the establishment of a therapeutic relation-ship. Options 1 and 2 refer to information the client will provide after becoming comfortable with the nurse. Option 4: Orientation to the milieu should be provided after the assessment.

Answer to Question 2

ANS: 1
The client's altered thought processes limit her coping skills and impair judgment in managing problems of daily living. 2. Clients with bipolar disorder rarely lack communication skills. In fact, they are often hyperverbal. 3. Bipolar clients with manic symptoms tend to be extroverted rather than withdrawn. 4. Not all bipolar clients with manic symptoms abuse cocaine, although some attempt to manage symptoms by using this substance.

[nenivikky]

Gracias!

[dantucker]

Thanks for the timely response, appreciate it