A client has been admitted with complaints of lower abdominal pain, difficulty swallowing, nausea, dizziness, headaches and fatigue. The client is agitated, fearful, tachycardia and complains of being 'too sick to return to work.' The client is diagnosed as having somatoform disorder. In formulating a plan of care, the nurse must consider that the client's behavior

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Question 1 of 5

A client has been admitted with complaints of lower abdominal pain, difficulty swallowing, nausea, dizziness, headaches and fatigue. The client is agitated, fearful, tachycardia and complains of being 'too sick to return to work.' The client is diagnosed as having somatoform disorder. In formulating a plan of care, the nurse must consider that the client's behavior

Correct Answer: A

Rationale: Behavior controlled by the subconscious mind fits somatoform disorder. Symptoms are involuntary, physical manifestations of psychological stress, per psychiatric standards. Manipulation implies intent, psychoeducation aids but doesn't control, and reality therapy may help but isn't primary. A guides care toward addressing underlying stress.

Question 2 of 5

The nurse is assessing the mental status of a client admitted with possible organic brain disorder. Which of these questions will best assess the functioning of the client's recent memory?

Correct Answer: C

Rationale: I am going to say the names of three things and I want you to repeat them after me: blue, ball, pen' best assesses recent memory. Immediate recall tests short-term memory function, per neurological assessment. A tests orientation, B attention, and D general knowledge. C targets the deficit.

Question 3 of 5

Dual diagnosis indicates that there is a substance abuse problem as well as a

Correct Answer: B

Rationale: Dual diagnosis means substance abuse and a mental disorder , per psychiatric standards. It addresses co-occurring conditions like depression and alcoholism. Cross addiction , any disorder , or medical issues don't define it. B ensures holistic care.

Question 4 of 5

The most common reason for an Apgar score of 8 and 9 in a newborn is an abnormality of what parameter?

Correct Answer: D

Rationale: Color is the most common reason for an Apgar of 8 or 9. Acrocyanosis (blue extremities) is typical in newborns, deducting 1 point, per neonatal assessment. Heart rate , tone , and cry are usually normal. D reflects this frequent finding.

Question 5 of 5

During the initial physical assessment on a client who is a Vietnamese immigrant, the nurse notices small, circular, ecchymotic areas on the client's knees. The best action for the nurse to take is to

Correct Answer: A

Rationale: Asking the client for more information is best. Circular ecchymoses may reflect coin rubbing (cao gio), a Vietnamese healing practice, per transcultural nursing. Family is secondary, reporting premature, and documenting incomplete. A ensures cultural understanding.

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