A nurse is caring for a group of clients. For which of the following clients should the nurse implement seizure precautions?

Choice A reason:
This statement indicates spiritual distress because it reflects a disruption in the client's spiritual practice due to the scheduling of therapy sessions. Meditation is often a crucial part of an individual's spiritual routine, providing a sense of peace, connection, and well-being. When such practices are interrupted, especially by factors outside one's control, it can lead to feelings of spiritual disconnection and distress.

Choice B reason:
While increased visits from a spiritual advisor could suggest a need for more support, it does not necessarily indicate spiritual distress. It could mean that the client is seeking additional guidance and comfort during illness, which is a common and proactive approach to maintaining spiritual health.

Choice C reason:
Gaining comfort from meditation is a positive statement reflecting that the client is able to find solace and spiritual support through their practice. This does not indicate spiritual distress; rather, it shows effective use of spiritual resources to cope with challenges.

Choice D reason:
Expressing that faith provides hope during difficult times is a sign of spiritual strength and resilience. This statement suggests that the client's spiritual beliefs are a source of support and do not reflect spiritual distress.

Choice A reason:
A client with anorexia nervosa expressing a fear of gaining weight does require careful monitoring and intervention, but this does not typically pose an immediate risk to their safety. The treatment plan should focus on addressing the eating disorder and any associated psychological issues, but it may not necessitate an urgent change in the plan of care regarding safety concerns.

Choice B reason:
While a client with schizophrenia exhibiting tangential associations in speech indicates a need for ongoing psychiatric care, it does not inherently suggest an immediate risk to safety that would require an urgent update to the care plan. These speech patterns are a symptom of schizophrenia and should be addressed through appropriate therapeutic and medication management strategies.

Choice C reason:
A client with bipolar disorder exhibiting poor impulse control presents an immediate safety concern. Poor impulse control can lead to risky behaviors, self-harm, or harm to others. This situation requires an urgent update to the care plan to include safety measures such as close supervision, environmental modifications, and possibly medication adjustments to manage impulsivity.

Choice D reason:
A client with Alzheimer's disease having difficulty remembering the names of family members is experiencing a symptom of their condition. While this is distressing and requires a compassionate approach to care, it does not typically pose an immediate safety risk that would necessitate an urgent update to the care plan.