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A nurse in the student health clinic is caring for a client

Exhibits

Complete the following sentence by using the lists of options.

The nurse should care for the client by

and.
Answer and Explanation

The Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"C"}

Rationale for correct choices:

  • Remaining neutral: The nurse should remain neutral to avoid reinforcing or escalating the client’s grandiose beliefs. This helps maintain trust and creates space for self-reflection without judgment.
  • Explaining that the client is not entitled to play on a professional team: Gently addressing the client’s unrealistic expectations helps them understand the reality of their situation and fosters a more grounded perspective on their goals.

Rationale for incorrect choices:

  • Questioning the client's abilities: Directly questioning the client's abilities could be seen as confrontational and may increase defensiveness. A more constructive approach would focus on challenging unrealistic beliefs.
  • Challenging the client's feelings of grandiosity: Challenging grandiosity directly can make the client feel attacked. It’s better to educate and explain the reality of their expectations in a supportive way.
  • Supporting the client's fear of abandonment: The client does not appear to express abandonment fears in this case. The issue is more related to grandiosity, so focusing on this would be more effective.
  • Suggesting another sport: Suggesting a different sport might divert attention from the core issue—grandiosity. Addressing the client's distorted self-image is more important before offering alternatives.


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Related Questions

Correct Answer is A

Explanation

A. Transfer a client who has delirium from a bed to a wheelchair: Assisting with transfers and mobility is within the scope of practice for an AP, especially if the client is stable and the task does not require clinical decision-making.

B. Inform a client who has schizophrenia about available community services: This task requires clinical judgment and communication skills to ensure that the client understands the information and that the services are appropriate for their needs. It should be performed by a nurse, not an AP.

C. Obtain a list of current medications from a client who is experiencing a manic episode: While obtaining a medication list is an important task, it requires assessment and evaluation of the client's condition, which should be done by a nurse, especially when the client is in a manic state and may have impaired judgment or communication.

D. Insert an NG tube for a client who has acetaminophen toxicity: Inserting an NG tube is an invasive procedure that requires clinical knowledge and skill. It should be performed by a licensed nurse or physician, not an AP.

Correct Answer is B

Explanation

A. Minimize time spent gambling each week: While reducing time spent gambling can be helpful, the focus should be on addressing the underlying behaviors and emotions related to the gambling disorder. A more holistic approach is typically more effective.
B. Encourage the client to participate in a self-help group: Self-help groups, such as Gamblers Anonymous, provide valuable support for individuals with gambling disorders. These groups offer shared experiences and coping strategies, making them a crucial part of the treatment plan.
C. Ask the client why they are unable to stop gambling: Asking "why" may feel confrontational or non-supportive. Instead, the nurse should use therapeutic communication to explore the client’s thoughts and feelings in a non-judgmental way.
D. Obtain a prescription for memantine: Memantine is used to treat Alzheimer's disease and other cognitive disorders, not gambling disorder. Medications are not typically the primary treatment for gambling disorder; instead, therapy and behavioral interventions are applied.

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