A nurse in a mental health facility is caring for a group of clients. After assessing the clients, which of the following clients requires an update to their plan of care to ensure client safety?

A client who has anorexia nervosa and expresses a fear of gaining weight

A client who has bipolar disorder and is exhibiting poor impulse control

A client who has schizophrenia and is exhibiting clang associations in their speech

A client who has Alzheimer's disease and is having difficulty remember names of family members

Answer and Explanation

The Correct Answer is B

A.   While a client with anorexia nervosa may require close monitoring and support, expressing a fear of gaining weight does not necessarily indicate an immediate safety concern that requires an update to the plan of care.

B.   Bipolar disorder can involve manic episodes characterized by impulsivity and risk-taking behaviors. Exhibiting poor impulse control indicates a potential safety concern that requires an update to the plan of care to ensure the client's safety and the safety of others.
C.   Clang associations in speech are a symptom of disorganized thinking commonly seen in schizophrenia. While it may indicate a need for intervention, it does not necessarily require an immediate update to the plan of care for safety reasons.
D.   Difficulty remembering names of family members is a symptom of Alzheimer's disease and may require ongoing support and management but does not present an immediate safety concern that requires an update to the plan of care.

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Correct Answer is D

Explanation

A. Cocaine use typically causes hyperthermia (elevated body temperature) rather than hypothermia.
B. Cocaine use is more likely to result in increased alertness, agitation, and hyperactivity rather than lethargy.
C. Cocaine use is associated with tachycardia rather than bradycardia.

D. Cocaine is a stimulant drug that increases sympathetic nervous system activity, leading to elevated blood pressure as one of the primary clinical manifestations.

A. The client relates that he is angry that the provider did not save his partner's life. B. The client frequently recalls negative experiences that occurred during his marriage. C. The client says he feels guilty about not spending more time with his partner. D. The client states that he is unable to eat more than once a day.

Correct Answer is D

Explanation

A. While anger is a common emotion in grief, the priority is addressing the client's inability to eat, which can have significant health implications.
B. Recalling negative experiences during the marriage may indicate unresolved issues but is not as immediately concerning as the client's inability to eat.
C. Feelings of guilt are common in grief, but the priority is addressing the client's physical health needs, particularly their inability to eat.
D. Changes in eating habits, such as being unable to eat more than once a day, can indicate maladaptive coping mechanisms or potential physical health concerns, making it the priority for the nurse to address.

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A nurse in a mental health facility is caring for a group of clients. After assessing the clients, which of the following clients requires an update to their plan of care to ensure client safety?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an emergency department is assessing a client who reports recently using cocaine.Which of the following clinical manifestations should the nurse expect?

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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A nurse in a mental health facility is caring for a group of clients. After assessing the clients, which of the following clients requires an update to their plan of care to ensure client safety?