An inappropriately dressed patient has not slept for 3 days while ...

[ts19998]

An inappropriately dressed patient has not slept for 3 days while making excessive, ex-pensive long-distance phone calls. When the patient can be heard singing loudly in the examining room, the nurse makes initial plans to focus on:
 
  a. Assessing needs for food, liquids, and rest
  b. Setting strict limits on dress and behavior
  c. Conducting an in-depth suicide assessment
  d. Obtaining a complete psychosocial assessment

Question 2

What discharge criteria would be appropriate for a patient with a somatization disorder? Select all that apply.
 
  a. Increased willingness to relinquish the sick role
  b. Decreased anxiety related to possible health issues
  c. Increased caloric intake and demonstrated weight gain
  d. Decrease the use of laxatives, sleeping pills, and diuretics
  e. Experiencing decreased frequency of auditory hallucinations

[JaynaD87]

Answer to Question 1

ANS: A
Patients with mania frequently ignore their basic physiologic needs, as evidenced by not sleeping for 3 days, thus making these assessments the priority. Limits, although appropriate to consider, are not the priority. The manic state precludes a thorough assessment initially. Suicide assessment is not a priority at this time but reckless behavior could result in personal injury.

Answer to Question 2

ANS: A, B
Minimization of the use of sickness to gain control and decreased anxiety related to health and wellness are the outcomes that relates specifically to somatization disorder. The remain-ing options are not typically associated with this disorder.

[ts19998]

TYSM

[bassamabas]

Excellent