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Chapter 27: Somatic Symptom and Dissociative Disorders When assessing a client with somatic symptom disorder, which would the nurse most likely note?  Denial and repression are the chief defense mechanisms used.  The client's symptoms are under the conscious control of the client.  Reports of physical symptoms do not have a demonstrable organic basis to fully account for them.  The client willfully controls the physical symptoms. Somatic symptom disorder is characterized by ...

Chapter 28: Sleep Disorders: Nursing Care of Persons with Insomnia and Sleep Problems The nurse is assessing a client who was involved in a car accident 2 weeks prior. The client describes sleep quality as "poor" but is unable to elaborate further. Which intervention should the nurse recommend?  Promote relaxation.  Take melatonin.  Encourage physical activity.  Keep a sleep diary. The nurse is caring for a client who is postoperative from a total hysterectomy. The nurse s...

Chapter 30: Mental Health Disorders of Children and Adolescents The nurse is talking with the parents of a child with disruptive behavior disorder about ways to help the child manage behaviors. Which action is best for the nurse advocate for the child to have their needs met?  Interpret the child's thoughts and feelings to the parent.  Teach the parents age-appropriate expectations of the child.  Reinforce the parents' expectations of the child's behavior.  Support transfer...

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CHAPTER LEARNING OBJECTIVES 1. Identify the activities and users associated with accounting. Accounting is an information system that identifies, records, and communicates the economic events of an organization to interested users. The major users and uses of accounting are as follows (a) Management uses accounting information to plan, organize, and run the business. (b) Investors (owners) decide whether to buy, hold, or sell their financial interests on the basis of accounting data. (c) C...

Acute Limb ischemia (ALI) Definition: Acute onset (<2 weeks) ischemia is severe hypoperfusion of limb with signs and symptoms including pain, paralysis, paresthesia, pulselessness, cold, and pallor which threatens tissue viability. Usually due to acute arterial occlusion and rarely due to venous etiology. Criteria for diagnosis ! Must Be Recognized Rapidly. Skeletal Muscle Tolerates Ischemia 4-6 hours!  Onset < 2 weeks  Category I*; Viable: limb not immediately threatened; No...

CULTURE, RELIGION, AND PREGNANCY There are cultural considerations that impact pregnant clients, from religious and family dynamics to guidelines around personal space and privacy. While it is not feasible for nurses to be fully immersed in every culture represented by their clients, it is a nurse’s duty to have a basic understanding of client needs and communicate with them effectively and in a way that makes them feel comfortable. A Cuban couple is excited about the upcoming birth of th...

ETHICS, LEGAL, AND PREGNANCY Some pregnancies are accompanied by additional ethical and legal issues for the mom, baby, or even both. Women may have other health issues, be involved in an abusive relationship, or be victims of human trafficking. Nurses play a key role in the assessment and treatment of these clients. To find solutions, nurses and other healthcare personnel should apply ethical theories and principles to determine the burdens and benefits of any course of action. A client, ...

HEALTH PROMOTION AND PREGNANCY The nurse plays a key role in the prevention of pregnancy and childbirth-related complications through the delivery of quality health care preconception (before pregnancy), prenatally (during pregnancy), and interconception (between pregnancies). For many women, family planning and sexual health services are the only medical care they receive. This presents many preconceptionrelated health promotion opportunities, risk identification opportunities, and risk red...

SOCIAL DETERMINANTS OF HEALTH Pre-pregnancy health behaviors and health status are influenced by a variety of environmental and social factors, such as access to medical care and chronic stress. Some of these factors can affect and compound others, creating a vicious cycle. For instance, factors ranging from age to medical insurance coverage affect a woman’s general health status. A woman’s health status directly influences her risk of pregnancy complications and her child’s cognitive...