A client reports to the nurse that her elderly mother has become increasingly angry and responds inappropriately to conversations within the past few months.

She notes that her mother does not respond when the mother’s back is turned. What is the best intervention for the nurse?

Teach the client techniques for coping with the mother’s anger.

Ask if the mother could come in for a hearing evaluation.

Tell the client it appears the mother has a hearing loss.

Inform the client to ignore the behavior and treat the mother with love.

Answer and Explanation

The Correct Answer is B

Choice A rationale
While teaching the client techniques for coping with the mother’s anger might be helpful, it does not address the root cause of the problem. The mother’s anger and inappropriate responses could be due to frustration from not being able to hear properly.
Choice B rationale
The mother’s behavior of not responding when her back is turned and becoming increasingly angry could be signs of hearing loss. A hearing evaluation would help determine if this is the case and appropriate interventions can be put in place.
Choice C rationale
Telling the client that it appears the mother has a hearing loss is not the best intervention because it is based on assumption without any professional evaluation. It is important to have a professional evaluation before making such conclusions.
Choice D rationale
Informing the client to ignore the behavior and treat the mother with love does not address the potential issue of hearing loss. Ignoring the problem does not solve it and could lead to further frustration and misunderstanding.

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Correct Answer is ["A","B","C","E"]

Explanation

Choice A rationale
A treatment plan serves as an instrument for communication and coordination of care among the healthcare team. It ensures that all members of the team are on the same page regarding the client’s care.
Choice B rationale
The treatment plan helps in evaluating the effectiveness of interventions. By comparing the client’s progress to the goals set in the treatment plan, the healthcare team can determine whether the interventions are working or if they need to be adjusted.
Choice C rationale
The treatment plan guides the planning and implementation of care. It outlines the steps that need to be taken to help the client achieve their health goals.
Choice D rationale
Ensuring that the client follows their treatment is not a purpose of the treatment plan. While the treatment plan can guide the client’s treatment, it is ultimately up to the client to adhere to the treatment.
Choice E rationale
The treatment plan serves as a means of monitoring the client’s progress. Regular reviews of the treatment plan can show whether the client is making progress towards their health goals.

A. Encourage the client to take naps during the day to make up for lost sleep. B. Have the client engage in physical exercise just before bedtime. C. Arrange for the client to receive 20 minutes of natural sunlight each day. D. Serve the client a glass of warm milk in the evening. E. Tell the client to take a warm bath before going to bed.

Correct Answer is ["C","D","E"]

Explanation

Choice A rationale
Encouraging the client to take naps during the day to make up for lost sleep can interfere with normal sleep patterns. Therefore, this is not a recommended intervention.
Choice B rationale
Having the client engage in strenuous physical exercise just before bedtime can increase brain metabolic activity and wakefulness. Hence, this is not a suitable intervention.
Choice C rationale
Arranging for the client to receive at least 20 minutes of natural sunlight each day can improve sleep patterns. This is a recommended intervention.
Choice D rationale
Serving the client a glass of warm milk in the evening can promote comfort and relaxation to aid sleepiness. This is a recommended intervention.
Choice E rationale
Suggesting that the client take a warm bath before going to bed can be a part of a relaxing activity before bedtime. This is a recommended intervention.

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A client reports to the nurse that her elderly mother has become increasingly angry and responds inappropriately to conversations within the past few months. She notes that her mother does not respond when the mother’s back is turned. What is the best intervention for the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Upon entrance into a mental health care system, clients are thoroughly assessed, and this is followed by the development of a mental health treatment plan assessment. Which of the following are purposes of the treatment plan? (Select all that apply)

Correct Answer is ["A","B","C","E"]

Explanation

Correct Answer is ["C","D","E"]

Explanation

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A client reports to the nurse that her elderly mother has become increasingly angry and responds inappropriately to conversations within the past few months.

She notes that her mother does not respond when the mother’s back is turned. What is the best intervention for the nurse?