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 A

Explanation

A. Displacement involves redirecting emotions or behaviors from the original source to a less threatening or more accessible target. In this scenario, the client is redirecting his anger from his partner to the nurse, who is perceived as a safer target.
B. Compensation involves overachieving in one area to compensate for deficiencies in another area and is not demonstrated in this scenario.
C. Denial involves refusing to acknowledge the existence of a real situation or the feelings associated with it, which is not evident in the client's behavior.
D. Rationalization involves creating logical or socially acceptable explanations for behaviors or feelings that are unacceptable, which is not demonstrated in the client's behavior in this scenario.

A. Recommend that the client try to sleep during the day when it is quieter. B. Keep conversations and activities to a minimum during the nighttime. C. Turn on the client's television at night to cover up environmental noises. D. Tell the client that they will eventually get used to people talking at night.

Correct Answer is B

Explanation

A. Encouraging the client to sleep during the day disrupts the natural sleep-wake cycle and may not address the underlying issue of noise disturbances at night.

B. Minimizing conversations and activities during the nighttime promotes a quieter environment conducive to sleep, addressing the client's concern directly.
C. Using a television to cover up noise may not address the root cause of the client's sleep disturbance and could interfere with sleep hygiene.
D. Dismissing the client's concern and suggesting they will eventually get used to the noise does not address the immediate issue or offer practical solutions.

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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?