CASE STUDY – QUESTION 4 The nurse cares for a 44-year-old male with a known diagnosis of post-traumatic stress disorder (PTSD) in a behavioral health urgent care clinic. Phase Sheet   Name James Wheeler Gender M Age 44 Weight 162 lbs (73.5 kg) Allergies NKDA Preferred language English Marital status Married Clinic Notes   1030/Initial Assessment: Diagnosed with PTSD 5 years ago. Appears disheveled, anxious, and easily startled. Reports increased difficulty sleeping over the last month due to nightmares that cause him to wake up in a panic. Client lost his job two weeks ago due to missing too much time from work and he has not been able to get himself together enough to look for a new one. When he lost his job, he also lost his health insurance. He reports missing 2 scheduled clinic appointments and 3 of his weekly group sessions over the last month. Denies a history of self-harm. He states his wife is supportive, but has been upset with him because he has been so irritable, and he doesn’t blame her. Client states, “She would probably be better off if I wasn’t around.”   1100:  Suicide risk assessment completed. Client admits to fleeting, passive suicidal thoughts. “Sometimes I think it would be better if I went to bed and did not wake up, but I would never kill myself. I couldn’t do that to my family, plus I know God does not want me to do that.”  No history of suicide attempts and client states, “I have been down before, but I have always gotten better.” Vital Signs   Time 1030   T ◦F ( ◦C) 97.8 F (36.6 C)   P 98   RR 20   B/P 138/90   Pulse oximeter 97%  (RA)   Pain Headache 7/10     For each potential nursing or collaborative intervention, click to specify whether the intervention is appropriate (1) or not appropriate (2) to include in the plan of care.

Meditation has been shown to be an effective intervention for management of anxiety. Meditation works by:

For the client with ritualistic hand washing whose goal is the use of more effective coping skills, the nurse should employ the intervention of:

A client is diagnosed with a borderline personality disorder. One of your first nursing actions would be to:

How would a therapist explain systematic desensitization to a client?

A bottle of ear cleanser cost the clinic $5.00 (unit cost). The inventory manager has decided to mark the cleanser up by 140%. What is the final sales price? (2 points) Round to a whole number no dollar sign needed

A 32 year old client has suffered from dissociative identity disorder (DID) for years. She has 22 known personalities. Dissociation appears to serve which of the following functions?

The nurse is assisting a new mother to breastfeed her baby. The mother asks how she can know the baby is getting anything from her breasts. The nurse responds that which of the following is the best indicator that the newborn is getting breast milk?

What is the most helpful nursing response to a client who reports he is thinking of dropping out of nursing school because it is too stressful?

The nurse caring for a client with a panic attack might anticipate that the psychiatrist would order a stat dose of