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 B

Explanation

Choice A rationale:

Asking how the event is affecting the client's life is important, but it is not the priority during a situational crisis. Safety and assessing for self-harm thoughts come first.

Choice B rationale:

This question is the priority because it assesses the client's safety and potential for self-harm, which is crucial during a crisis. If the client is having thoughts of self-harm, immediate intervention is required.

Choice C rationale:

Inquiring about the client's coping strategies is relevant, but it is not the primary concern when there is a potential risk of self-harm.

Choice D rationale:

Asking about who the client talks to for help is important but not the primary concern in a situation where self-harm may be a risk.

A. "I don't feel anything but numbness anymore.”. B. "It'll be a long time before I'm happy again.”. C. "I feel like I'm angry at the whole world right now.”. D. "I don't know how I could cope if I didn't have my family's support.”.

Correct Answer is A

Explanation

Choice A rationale:

The statement "I don't feel anything but numbness anymore" is indicative of anhedonia, which is a core symptom of clinical depression. Anhedonia is the inability to experience pleasure or interest in previously enjoyed activities. Reporting this statement to the provider is important as it suggests a significant emotional disturbance.

Choice B rationale:

While the statement "It'll be a long time before I'm happy again" does indicate a sense of hopelessness or prolonged sadness, it is not as specific to clinical depression as the presence of anhedonia. Clinical depression involves a range of symptoms, and the absence of pleasure or emotions (anhedonia) is a more concerning sign.

Choice C rationale:

Feeling angry at the world is a common emotional response to grief and loss and is not a direct indication of clinical depression. It is important to consider the context of grief when assessing client statements.

Choice D rationale:

Expressing reliance on family support is a healthy coping mechanism in response to grief and loss. It does not necessarily indicate clinical depression but rather a natural response to seeking support during a difficult time.

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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?

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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?