A nurse is caring for a client in an outpatient clinic.
Select the 3 interventions the nurse should plan to take.
Encourage the client to think positive thoughts.
Assist the client in distinguishing between anxiety and physical manifestations.
Provide relief measures for manifestations the client is experiencing.
Inform the client that nothing is medically wrong with them.
Suggest to the client's provider that multiple tests need to be performed.
Perform a lengthy exam of client's condition.
Correct Answer : B,C,E
A. Encourage the client to think positive thoughts. While promoting positive thinking can be helpful, this approach may oversimplify the client's experience and does not address their anxiety or physical symptoms effectively.
B. Assist the client in distinguishing between anxiety and physical manifestations. This intervention is crucial as it helps the client understand the connection between their anxiety and physical symptoms. It can empower the client to better manage their feelings and reduce their fixation on health issues.
C. Provide relief measures for manifestations the client is experiencing. Addressing the client's physical symptoms, such as anxiety and stomach discomfort, is important for their overall well-being and can improve their quality of life.
D. Inform the client that nothing is medically wrong with them. This statement may dismiss the client's concerns and could lead to feelings of frustration or invalidation. It is important to listen to the client’s experiences without minimizing them.
E. Suggest to the client's provider that multiple tests need to be performed. Given the client's report of ongoing symptoms and concerns about their health, it is appropriate to recommend further evaluation to rule out any underlying medical issues. This ensures that the client feels heard and their concerns are taken seriously.
F. Perform a lengthy exam of the client's condition. Conducting a lengthy exam may not be necessary at this stage, especially in an outpatient setting. Instead, focusing on understanding the client's experience and addressing their concerns is more beneficial.
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Related Questions
Correct Answer is C
Explanation
A. Somatic symptom disorder. This disorder involves experiencing physical symptoms that cause significant distress or impairment, typically related to an underlying medical condition. The client’s actions do not reflect a focus on physical symptoms for relief of anxiety or distress in the same way.
B. Illness anxiety disorder. This disorder is characterized by excessive worry about having a serious illness despite minimal or no symptoms. The client’s behavior of intentionally cutting themselves does not align with this disorder, as there is no indication of anxiety over illness.
C. Factitious disorder. This disorder involves intentionally producing or feigning symptoms for the purpose of assuming the sick role, without external incentives. The client’s admission of boredom as the reason for self-harm indicates an intent to create a situation for attention or care, aligning with factitious disorder.
D. Functional neurological symptom disorder. This condition involves neurological symptoms that cannot be explained by medical findings, often presenting as involuntary symptoms. The client’s self-inflicted injuries are not indicative of this disorder, as they intentionally engaged in self-harm.
Correct Answer is D
Explanation
A. Treatment is usually enough to overcome any social determinants. This statement is misleading, as social determinants of health significantly impact mental health and treatment outcomes. Effective treatment often requires addressing these determinants rather than relying solely on clinical interventions.
B. The client will be unable to change any of their social determinants of health. This is not accurate; while some social determinants can be challenging to change, individuals and communities can work towards improving their circumstances through support and resources.
C. Social determinants of health are mostly negative effects on a person's physical health. While social determinants can negatively affect physical and mental health, they also encompass positive factors that can support well-being, such as access to education and social support.
D. Social determinants can be an advantage or a challenge to treatment for an SMI. This statement accurately reflects that social determinants, such as socioeconomic status, community support, and access to healthcare, can either facilitate or hinder the treatment and recovery process for individuals with serious mental illnesses.
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