A nurse is providing discharge teaching to a client who has borderline personality disorder. The client reports being a single parent caring for two toddlers. Which of the following actions should the nurse take?
Offer the client information about a support group for parents.
Suggest the children live with other relatives.
Notify child protective services.
Encourage the children to visit the psychiatric unit when the client is leaving.
The Correct Answer is A
A Offering information about support groups for parents can provide the client with access to peer support, education, and resources to help them navigate the challenges of parenting while dealing with their mental health condition. This approach supports the client's autonomy and emphasizes a strengths-based perspective, promoting resilience and well-being for both the client and their children.
B. This option may not be appropriate without further assessment of the client's ability to care for their children.
C. This option should be considered only if there are significant concerns about the safety and welfare of the children, such as neglect or abuse, which cannot be addressed through other means.
D. Encouraging the children to visit the psychiatric unit may not be appropriate, as it may be overwhelming or distressing for them.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
C. This statement indicates an understanding of the needs of clients who are part of vulnerable populations because it demonstrates an awareness of the importance of client-centered care. Addressing the problem that the client believes is the most significant acknowledges the client's autonomy, respects their perspective, and ensures that their needs are prioritized.
A. This statement suggests a narrow focus on the immediate reason for the client's visit. While addressing the client's presenting concern is important, a limited assessment may overlook underlying issues or social determinants of health that could impact the client's well-being.
B. While privacy is important, asking clients for income or financial information may be necessary to assess their eligibility for financial assistance programs or to understand socioeconomic factors that may impact their health and access to care.
D. This statement suggests overlooking the importance of cultural competence in nursing practice. Cultural traditions, beliefs, and practices can significantly influence a client's health beliefs, behaviors, and preferences for care.
Correct Answer is D
Explanation
A. One of the most significant potential side effects of clozapine is agranulocytosis, a severe decrease in the number of white blood cells not red blood cells, particularly neutrophils.
B. Limiting fluid intake is not typically a specific concern associated with clozapine.
C. Clozapine is not known to have significant interactions with tyramine-rich foods
D. Medication adherence is a key component in clients on clozapine to prevent acute psychotic episodes.
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