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 C

Explanation

A. Meeting one's own needs without manipulating others may be a desirable outcome but is not specific to the core deficits of autism spectrum disorder.

B. Acknowledging that delusions are not real is more relevant to psychotic disorders rather than autism spectrum disorder.
C. Initiating social interactions with caregivers is an appropriate outcome for individuals with autism spectrum disorder, as it reflects improved social communication skills and social engagement.
D. Individuals with autism spectrum disorder may have difficulty understanding and responding to peer pressure, so changing behavior as a result of peer pressure may not be a realistic or desirable outcome.

A. Document the client's behavior every 15 min. B. Obtain the provider's prescription within 60 min. C. Monitor the client's vital signs every 4 hr. D. Offer the client food and fluids every 2 hr.

Correct Answer is A

Explanation

A. Documenting the client's behavior every 15 minutes is essential for monitoring the client's condition, response to seclusion, and any changes in behavior or status.
B. Obtaining the provider's prescription within 60 minutes may be necessary but does not address immediate nursing actions required after placing the client in seclusion.
C. Monitoring vital signs every 4 hours is not specific to managing a client in seclusion and may not provide timely information about the client's condition or response to seclusion.
D. Offering food and fluids every 2 hours is important for meeting the client's physiological needs but may not be appropriate immediately after placing the client in seclusion, depending on the circumstances and facility policies.

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Body system	Findings
Neurological	Impaired cognition

	Insomnia Seizures
Cardiovascular	Increased blood pressure Increased heart rate Diaphoresis
Gastrointestinal	Lack of appetite Vomiting
Musculoskeletal	Malaise Tremulousness

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 planning care for an adolescent who has autism spectrum disorder. Which of the following outcomes should the nurse include in the plan of care?

Correct Answer is C

Explanation

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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?