Author Question: A client with a mental health disorder arrives at the emergency department disheveled, arguing with ... (Read 54 times)

tiffannnnyyyyyy · **on:** Jul 22, 2018

A client with a mental health disorder arrives at the emergency department disheveled, arguing with family members. The nurse recognizes that the family is suffering from an objective family burden, which is related to which of the following?

1. The client's symptomatic behaviors
2. Caregiving problems
3. Fear
4. Family conflict

Question 2

The nurse is planning care for a number of clients who have been victims of a tornado. Which nursing diagnosis would the nurse include in the plan of care for the victims?

1. Decreased Cardiac Output.
2. Risk for Post-Trauma Syndrome.
3. Chronic Confusion.
4. Fatigue.

nyrave · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

1. The client's symptomatic behaviors

Rationale:
The objective family burden is related to the actual, identifiable family problems associated with a person's mental illness. One burden the family must manage relates to symptomatic behaviors. Deficit behaviors of their loved onessuch as lack of motivation, difficulty in completing tasks, isolation from others, inability to manage money, poor grooming and personal care, and poor eating and sleeping behaviorcan be of great concern to families. Intrusive or acting-out behaviorssuch as lack of consideration for others, excessive arguing, conflicts with neighbors and friends, damaging material possessions, inappropriate sexual behavior, suicide attempts, substance abuse, and violent outburstsare very disturbing to family members. The family may be experiencing caregiving problems, fear, or family conflict, but these arise from the client's symptomatic behaviors.

Answer to Question 2

2. Risk for Post-Trauma Syndrome.

Rationale:
Almost all victims of trauma would be at risk for post-trauma syndrome. Some victims may experience decreased cardiac output, but not all. Clients will not experience chronic confusion from the trauma unless there is a disease process already present that causes confusion. Fatigue may or may not affect the victims.