Question

The nurse is caring for a client admitted with a bleeding duodenal ulcer. He states that he has difficulty concentrating, is often 'short of breath,' and 'awakes at night thinking and cannot get back to sleep.' He has been unable to work or care for his family for the past 3 months. What should be the nurse's next action?

1) Provide emotional support for the patient using reflective listening technique.
2) Do nothing; people with duodenal ulcers typically cannot work.
3) Notify the primary care provider and ask for a referral to a mental health professional.
4) Ask more questions about his shortness of breath.

Answer 1

The nurse should notify the primary care provider and ask for a referral to a mental health professional.

Step-by-step explanation:

The nurse's next action should be to notify the primary care provider and ask for a referral to a mental health professional. The client's difficulty concentrating, feeling short of breath, and experiencing sleep disturbances may indicate psychological distress, which could be related to the stress of the bleeding duodenal ulcer and its impact on his daily life. By involving a mental health professional, the nurse can ensure that the client receives appropriate support and treatment for any potential mental health issues.