Given what we know about rheumatoid arthritis, we can confirm that the nurse can determine that the teaching is effective when the client makes the statement that "<em>Rheumatoid arthri</em><em>tis includes </em><em>joint involvement </em><em>that is usually </em><em>symmetric </em><em>and </em><em>polyarticular</em>".
Arthritis is one of many diseases in the autoimmune category. An autoimmune disease is one in which the immune system of the patient attacks its own cells. <em><u>The reasons behind this remain unknown</u></em>. In the case of Rheumatoid arthritis, the attacks remain isolated to the joints. The immune system causes the joints to be unable to produce synovial liquid, which causes inflamation.
As stated by the patient, Rheumatoid arthritis includes joint involvement that is usually symmetric and polyarticular. What this means is that any diarthrodial joint can be affected by the condition and is usually collateral, meaning that <u>if the left hand is affected, the right hand often is as well.</u>
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um I suggest call the ambulance and parents right away...
The most effective way for the nurse to proceed if the hospitalized client is hearing voices due to psychosis and is easily distracted, thus creating barrier in assessment completion, will be to complete the assessment in several short interactions.
<h3>How should a nurse deal with auditory hallucinations?</h3>
The clients who exhibit impaired cognition and psychotic thought processes tend to have insufficient attention span and thus may sometimes be unable to comprehend the questions being asked to them. The nurse may need several sessions with such clients to complete the assessment.
The most important aspect of such assessment is keeping the client under observation, but it also includes interaction with the client and engaging them in verbal communications. Only following this can ensure complete assessment. Psychiatric medications take some time to show their effect and the assessment shall be completed in a timely manner. In addition to this, the nurse can prepare themselves by planning for future acute psychiatric presentations by understanding how a client presents when in a psychotic state. It is within the scope of each nurse to complete the assessment. In the present scenario, the nurse has not been ineffective. The condition of the client is not favorable for conducting the complete assessment at once.
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