1014 Medical History: Depression, paranoid personality disorder,
0830 hyperipidemia
Family history:
« Mother diagnosed with schizophrenia at age 28
« Fatheris not i olved in client’s lfe, estranged from family when client
6 years old, history of paranoid personality disorde
« Client victim of adverse childhood events, physical abuse by father as
young child
« Currently homeless, stating, I stay on fiends’ couches sometimes.
Why do you want to know?
Home Medications:
« Simvastatin
+ Escitalopram
« Paroxetine
, Nursing | Other
NURSING ASSESSMENT & NOTES.
1114 Neuro/Cognitive: Alert and oriented x 4
0900
Cardiovascular: $1 and S2 heart sounds. Heart rate within normal limits,
regular rate, and thythm.
Respiratory: Lung sounds clear bilaterally. Breathing is tachypneic.
Psychosocial: The client is pacing the room and visibly upset. The client
frequently taps his foot and tries to see what the nurse is charting on the
computer. The client reports feeling anxious.
1114 Nursing Note: Nurse completing screening questions with client. When
1015 inquiring about thoughts of suicidal/homicidal ideation, client states, “who
asks those kinds of questions? Are you planning to hurt me? No, | would
never hurt anyane elser” Client refuses to contract for safety of himself.
Question 1 Correct Mark 3334 out of 3 .34
Before answering this question, review the client’s health information in
the EHR. Complete the sentences using the drop-down choices.
The nurse knows paranoid personality is a pattem of mistrust ¢
v and suspiciousness ¢ v of others. The client misinterprets
others' motives as malicious ¢ v
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Millenialnurse. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for £15.56. You're not tied to anything after your purchase.
