A nurse is caring for a client who is diagnosed with a conversion disorder. What actions should the nurse include in the plan of care?
Encourage alone time for the client in seclusion
Assess one time for self-harm during treatment
Discuss alternative coping strategies with the client
Allow for unlimited discussion of physical symptoms
The Correct Answer is C
a. Encourage alone time for the client in seclusion: Encouraging alone time in seclusion may exacerbate feelings of isolation and is not typically recommended for clients with conversion disorder, who may benefit more from social support and therapeutic interventions.
b. Assess one time for self-harm during treatment: While assessing for self-harm is important, it is not specific to conversion disorder and should be part of routine nursing care for all clients, regardless of diagnosis.
c. Discuss alternative coping strategies with the client: This is correct because exploring alternative coping strategies can help the client manage stressors and symptoms associated with conversion disorder in healthier ways.
d. Allow for unlimited discussion of physical symptoms: Allowing unlimited discussion of physical symptoms may reinforce symptom focus and is not typically recommended in the treatment of conversion disorder, where the focus is on addressing underlying psychological distress.
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Related Questions
Correct Answer is D
Explanation
a. While taking slow, deep breaths can help with relaxation and possibly with managing anxiety or panic attacks, it is not directly addressing the combined side effects of these medications.
b. Wearing sunscreen and avoiding midday sun exposure is important to prevent photosensitivity reactions caused by some antipsychotics, but it is not related to the combined effects of antipsychotics and beta-blockers.
c. Watching diet and engaging in physical activity are generally good health practices but do not specifically address the combined side effects of these medications.
d. "Rise slowly when you change position from lying to sitting or sitting to standing." Both antipsychotics and beta-adrenergic blocking agents can cause orthostatic hypotension, which is a sudden drop in blood pressure when changing positions. This can lead to dizziness, lightheadedness, or even fainting. Advising the client to rise slowly helps to prevent these effects and ensures the client’s safety
Correct Answer is B
Explanation
a. question the client about choices: This might seem confrontational and does not directly help the client with stressors.
b. explore problem-solving alternatives. This is the most therapeutic purpose. Providing feedback helps the client to consider different ways to address and manage their stressors.
c. express approval or disapproval of the client's thoughts: Expressing approval or disapproval is not therapeutic and can inhibit open communication.
d. give the client good advice: Giving advice is not as effective as helping the client develop their own problem-solving skills.
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