MHX3 - ,anxiety,anddepression.Her .?~

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A 34-year-old woman is admitted to the mental health unit because of a suicide attempt, anxiety, and depression.  Her  diagnosis is borderline personality. Which of the actions taken by the nurse reflects understanding of this disorder?   Start supportive counseling and have frequent staff meetings to deal with potential staff countertransference and conflict A client diagnosed with anorexia has short-term outcome that states, “The client will gain 2 pounds in 1 week.”  Which  nursing diagnosis reflects the problem that the outcome addresses?   ~Altered nutrition: less than body requirements R/T  decreased intake A client diagnosed with anorexia is newly admitted to an in-patient psychiatric unit.  Which intervention takes priority?   Assessment and monitoring of vital signs and lab values to recognize and anticipate medical problems. A client diagnosed with anorexia nervosa has a nursing diagnosis of disturbed body image. Which nursing intervention  addresses the problem?   ~ Help client to realize that perfection is unrealistic. A client diagnosed with antisocial personality disorder demands, at midnight, to speak with the ethics committee about the  involuntary commitment process. Which nursing statement is appropriate?   ~ “I realize you’re upset; however, this is not  the appropriate time to explore your concerns.” A client diagnosed with hypochondrias complains to the nurse about others’ doubting the seriousness of the client’s  disease.  The client is angry, frustrated and anxious.  Which nursing intervention takes priority?   ~ Acknowledge the  client’s frustration without fostering continued focus on physical illness. A client diagnosis with anorexia nervosa has nursing diagnosis of imbalance nutrition: less than body requirements R/T  altered body perception AEB client being 5 feet 4 inches tall and weighing 75 pounds. Which nursing intervention would  address this client’s problem?   ~ Monitor physician-ordered nasogastric tube feedings A client has been prescribed naltrexone (Trexan) for treatment of alcohol dependence.  The nurse has explained the  drug’s purpose to the client.  The nurse determines the client has understood the instructions when the client says that  Trexan:  ~  Reduces the appeal for alcohol A client has made multiple visits to the clinic.  The nurse suspects that the client may be experiencing somatization  disorder when the client:   ~ Reports same symptoms during each visit A client is admitted for benzodiazepine dependence detox. This is the client’s fourth detox and the client’s third detox was  considered complicated.  What would determine the nurse’s priority intervention at this time?  
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This note was uploaded on 10/16/2010 for the course NURS 2300 taught by Professor Various during the Spring '10 term at Mid-America.

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MHX3 - ,anxiety,anddepression.Her .?~

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