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. Jaundice is not a commonly reported adverse effect of citalopram. It is more commonly associated with liver dysfunction or other medications.
B. Urinary retention is not a commonly reported adverse effect of citalopram. It is more commonly associated with anticholinergic medications.
C. Bruising is not a commonly reported adverse effect of citalopram. It is more commonly associated with medications that affect platelet function or clotting factors.
D. Decreased libido (reduced sexual desire) is a potential adverse effect of citalopram, as it is with other selective serotonin reuptake inhibitors (SSRIs). Monitoring for changes in sexual function is important because it can affect quality of life and treatment adherence.

A. Provide written information about the client's treatment plan. B. Encourage countertransference when developing the nurse-client relationship. C. Monitor the client for splitting behaviors. D. Isolate the client from social or group interactions.

Correct Answer is A

Explanation

A. Providing written information about the treatment plan promotes transparency and helps to establish trust with the client, which is important in the care of individuals with paranoid personality disorder.
B. Encouraging countertransference can blur professional boundaries and may exacerbate distrust or suspicion in clients with paranoid personality disorder.

C. Monitoring for splitting behaviors is important in personality disorders but does not directly address the client's needs or promote therapeutic engagement.
D. Isolating the client from social or group interactions can exacerbate feelings of paranoia and may not be therapeutic or appropriate.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is taking citalopram. For which of the following adverse effects should the nurse monitor the client?

Correct Answer is D

Explanation

A nurse is developing a plan of care for a client who has paranoid personality disorder. Which of the following actions should the nurse include in the plan?

Correct Answer is A

Explanation

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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?