A charge nurse is making room assignments for new client admissions.
Which of the following clients should the nurse place closest to the nurse's station?
A client who has a history of dependent personality disorder.
A client who has moderate-stage Alzheimer's disease.
A client who has schizotypal personality disorder.
A client who has a history of alcohol use disorder.
The Correct Answer is B
Choice A rationale:
A client with a history of dependent personality disorder does not necessarily require close placement to the nurse's station for safety reasons. The primary concern in this case is not related to Alzheimer's or potential wandering, so placing this client closer to the nurse's station is not warranted.
Choice B Reason: A client who has moderate-stage Alzheimer’s disease. This client should be placed closest to the nurse’s station because individuals with moderate-stage Alzheimer’s disease may experience confusion, memory loss, and wandering, which can lead to safety concerns. Close proximity to the nurse’s station allows for better supervision and prompt intervention.
Choice C rationale:
A client with schizotypal personality disorder may have unique care needs, but these typically do not require placement close to the nurse's station. The primary concern in this case is not related to the safety or wandering associated with Alzheimer's disease.
Choice D rationale:
A client with a history of alcohol use disorder may require monitoring and support but does not necessarily need to be placed close to the nurse's station solely based on this history. The primary concern is not related to Alzheimer's disease or safety due to wandering. In a healthcare setting, clients with Alzheimer's disease often experience confusion and may wander, creating a risk of harm to themselves. Placing a client with moderate-stage Alzheimer's disease close to the nurse's station allows for better supervision and prompt response to any safety concerns. Therefore, it is the most appropriate choice for close placement. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Maintaining the group's focus on identified issues is a valuable aspect of group therapy, but it is not specific to the orientation phase. This action should be integrated throughout the entire support group process.
Choice B rationale:
Encouraging the use of problem-solving skills is an important part of support group facilitation, but this is also not unique to the orientation phase. Problem-solving skills can be encouraged and developed throughout the support group sessions.
Choice C rationale:
Managing conflict within the group is an essential skill for a support group leader, but again, this is not specific to the orientation phase. Conflict management should be an ongoing process in group therapy.
Choice D rationale:
Establishing a rapport with group members is a critical action during the orientation phase of a support group. This phase sets the tone for the group and helps build trust and comfort among the members. It is essential for the nurse to create a safe and supportive environment where group members feel comfortable sharing their experiences and emotions. .
Correct Answer is D
Explanation
The correct answer is D. Hyperthermia.
Choice A reason: Hyperglycemia, which is an elevated blood glucose level, is not typically a direct manifestation of alcohol withdrawal. Alcohol withdrawal can sometimes lead to poor oral intake or vomiting, which might indirectly affect blood sugar levels, but hyperglycemia itself is not a primary concern in the context of alcohol withdrawal.
Choice B reason: Decreased blood pressure During alcohol withdrawal, the sympathetic nervous system is often overactive, leading to symptoms such as increased blood pressure, rather than decreased. Therefore, decreased blood pressure is not a common manifestation of alcohol withdrawal. Normal blood pressure ranges for adults are systolic BP of 100-120mmHg and diastolic BP of 70-80mmHg.
Choice C reason: Decreased heart rate Similar to blood pressure, the heart rate typically increases during alcohol withdrawal due to sympathetic nervous system overactivity. A normal resting heart rate for adults ranges from 60 to 100 beats per minute (bpm). Decreased heart rate is not expected during alcohol withdrawal.
Choice D reason: Hyperthermia, or elevated body temperature, is a common symptom of alcohol withdrawal. This occurs as part of the body’s response to the sudden absence of alcohol, and can be a part of the withdrawal syndrome, which includes a range of symptoms from mild anxiety to severe complications like seizures. Normal body temperature ranges from 97°F (36.1°C) to 99°F (37.2°C).
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