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The client states ìi cant go to group today i have a

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21.The client states, ìI can't go to group today. I have a very upset stomach thismorning.î Which would be the nurse's most appropriate response?A)ìYou have to go to group. The doctor has ordered it.îB)ìOkay, you can miss this time.îC)ìI know you don't feel well, but it's important for you to participate in therapy.îD)ìYou aren't really feeling nauseous. It is part of your illness.îAns: CFeedback:The challenge for the nurse is to validate the client's feelings while encouraging her orhim to participate in activities. The nurse should not strip clients of their somatizingdefenses until adequate assessment data are collected and other coping mechanisms arelearned. The nurse should not attempt to confront clients about somatic symptoms orattempt to tell them that these symptoms are not ìreal.î They are very real to clients whoactually experience the symptoms and associated distress.
22.The nurse has encouraged the client with a somatic symptom illness to keep ajournal. Which treatment outcome might be met by journaling?A)The nurse will control external stressors that trigger the patient'sphysical symptoms.B)The nurse will assess the onset of physical symptoms.C)The client will express emotions privately.D)The client will identify the occurrence of physical symptoms whenstressed. Ans: DFeedback:Teaching about the relationship between stress and physical symptoms is a useful wayto help clients begin to see the mindñbody relationship. Clients may keep a detailedjournal of their physical symptoms. The nurse might ask them to describe the situationat the time such as whether they were alone or with others, whether any disagreementswere occurring, and so forth. The journal may help clients to see when physicalsymptoms seemed worse or better and what other factors may have affected thatperception.23.The nurse is working with the client to develop emotion-focused copingstrategies. Which should the nurse include as an emotion-focused coping strategy?A)Problem solvingB)Assertiveness techniquesC)Role-playingD)Deep breathing techniquesAns: DFeedback:Emotion-focused coping strategies include progressive relaxation, deep breathing,guided imagery, and distractions such as music or other activities. Problem-focusedcoping strategies include learning problem-solving methods, applying the process toidentified problems, and role-playing interactions with others.

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Term
Fall
Professor
NoProfessor
Tags
Psychiatry, Antipsychotic, The Unconscious,

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