A nurse is preparing for an interprofessional meeting to discuss the plan of care for a client.

Which of the following information should the nurse plan to communicate to a social worker?

The client reports frustration with finding an activity to relieve restless energy.

The client will be unable to return home after discharge.

The client asks to talk to someone about changes in their spiritual beliefs.

The client has trouble remembering prescribed food restrictions.

Answer and Explanation

The Correct Answer is B

A.   Frustration with finding an activity to relieve restless energy may be addressed by the nursing or therapy team and does not specifically require involvement from a social worker.
B.   Discharge planning, including concerns about the client's ability to return home, is a significant aspect of social work involvement in the client's care.
C.   Talking about changes in spiritual beliefs may be addressed by a chaplain or spiritual counselor rather than a social worker.
D.   Difficulty remembering prescribed food restrictions may be addressed through education and support from nursing or dietary staff and does not specifically require involvement from a social worker.

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Correct Answer is D

Explanation

A. Speaking in rhyming sentences can be a manifestation of mania but may not necessarily require immediate reporting unless it escalates to disruptive or harmful behavior.
B. Making inappropriate sexual comments can indicate impulsivity and lack of social boundaries. It does not however precede managing the risk of hypoglycemia.
C. Poor hygiene, such as not bathing, is common in mania due to increased energy and decreased need for sleep, but it may not require immediate reporting unless it poses a significant risk to the client's health.
D. Decreased appetite and irregular eating patterns are common during mania due to increased activity levels. Eating twice in teh past is not sufficient to meet energy requirements and the client might be at risk of hypoglycemia.

A. Administer methadone hydrochloride. B. Monitor for orthostatic hypotension. C. Acidify the client's urine. D. Implement seizure precautions.

Correct Answer is D

Explanation

A. Methadone hydrochloride is not indicated for the management of alcohol intoxication or withdrawal. It is primarily used for opioid addiction treatment.
B. While monitoring for orthostatic hypotension is important in clients with alcohol use disorder, implementing seizure precautions is a higher priority because alcohol withdrawal can lead to
seizures.
C. Acidifying the client's urine is not indicated in the care of an intoxicated client with alcohol use disorder.
D. Implementing seizure precautions is essential in clients with alcohol use disorder who are at risk for alcohol withdrawal syndrome, which can include seizures as a potential complication.

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A nurse is preparing for an interprofessional meeting to discuss the plan of care for a client. Which of the following information should the nurse plan to communicate to a social worker?

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Naxlex Comprehensive Predictor Exams

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A nurse is preparing for an interprofessional meeting to discuss the plan of care for a client.

Which of the following information should the nurse plan to communicate to a social worker?