27-31). St. Louis: Mosby. Cognitive Ability: Applying Client Needs: Psychosocial Integrity Integrated Process: Communication and Documentation Content Area: Mental Health Awarded 1.0 points out of 1.0 possible points. 8. 8.ID: 283626102 A nurse is reading the medical record of a client who has a diagnosis of moderate anxiety and notes that the physician has documented that the client exhibits eustress. On the basis of this information, which of the following findings would the nurse expect to encounter while assessing the client? o The client complains of fatigue. o The client complains of feeling drained. o The client complains of feeling anxious. o The client engages in purposeful movement. Correct
Rationale: Eustress is demonstrated confidence in one’s ability to master given demands or tasks with success. Examples include positive motivating energy and purposeful movement. Distress, the opposite of eustress, is destructive to health. On the basis of this description, fatigue, feeling drained, and feelings of anxiety are incorrect options because they are all examples of distress. Test-Taking Strategy: Use the process of elimination. Eliminate the options that are comparable or alike and indicate client distress. Review assessment findings related to eustress if you had difficulty with this question. Reference: Fortinash, K. & Holoday-Worret, P. (2008). Psychiatric mental health nursing (4th ed., p. 608). St. Louis: Mosby. Cognitive Ability: Analyzing Client Needs: Psychosocial Integrity Integrated Process: Nursing Process/Assessment Content Area: Mental Health Awarded 1.0 points out of 1.0 possible points. 9. 9.ID: 283625654 A client who was admitted to the mental health unit 1 month ago with agoraphobia is cooperative, shares with peers, and makes appropriate suggestions during group discussions. The nurse concludes that this client’s behavior is most consistent with: o Manipulation o Improvement Correct o Attention-seeking o A desire to be accepted
Rationale: The behavior exhibited by the client is appropriate and demonstrates improvement. No pattern of manipulation is exhibited. Acting out is attention-seeking behavior. All clients have the desire to be accepted. Test-Taking Strategy: Use the process of elimination. Focusing on the data provided in the question and noting the words “is cooperative, shares with peers, and makes appropriate suggestions” will help direct you to the correct option. Review the expected outcomes for the client with agoraphobia if you had difficulty with this question. Reference: Varcarolis, E., & Halter, M. (2009). Essentials of psychiatric mental health nursing: A communication approach to evidence-based care (p. 146). St. Louis: Saunders. Cognitive Ability: Evaluating Client Needs: Psychosocial Integrity Integrated Process: Nursing Process/Evaluation Content Area: Mental Health Awarded 1.0 points out of 1.0 possible points.
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