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.

Answer and Explanation

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. .

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Correct Answer is D

Explanation

Choice A rationale:

Asking the client to describe what makes them feel stressed is important for understanding their situation, but it is not the immediate priority when there is concern about self-harm.

Choice B rationale:

Inquiring about the client's past coping mechanisms is relevant, but it should not be the first question when there is a potential risk of self-harm.

Choice C rationale:

Discussing what the client is experiencing is important, but it is not the primary concern when there is a risk of self-harm.

Choice D rationale:

Asking the client if they are thinking of harming themselves is the immediate priority in this situation. It helps assess the client's safety and the need for further intervention. Please let me know if you have more questions or need further explanations. .

A. Identify and schedule alternative group activities for the client. B. Discourage the client from expressing feelings of anger. C. Keep a bright light on in the client's room at night. D. Encourage physical activity for the client during the day.

Correct Answer is A

Explanation

Choice A rationale:

"Identify and schedule alternative group activities for the client.”. This is the most appropriate response as it focuses on engaging the client in alternative group activities. Social isolation is a common issue in individuals with major depressive disorder, and offering alternative group activities can help the client to socialize and find enjoyment in different ways, potentially improving their mood.

Choice B rationale:

"Discourage the client from expressing feelings of anger.”. This choice is not suitable because it discourages the client from expressing feelings of anger. While it's essential to guide the client in managing their anger appropriately, discouraging the expression of emotions can be counterproductive and may lead to emotional suppression, which is not recommended.

Choice C rationale:

"Keep a bright light on in the client's room at night.”. This option is not directly related to managing major depressive disorder. While light therapy can be beneficial for certain conditions like seasonal affective disorder, it may not be the most appropriate intervention for every client with major depressive disorder.

Choice D rationale:

"Encourage physical activity for the client during the day.”. This is a valid intervention for managing major depressive disorder. Regular physical activity has been shown to have a positive impact on mood and can be an effective part of a treatment plan for individuals with depression. However, choice A is more specific to addressing social isolation, which is a common concern in major depressive disorder.

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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?

Nursing Test Bank

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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?