A nurse is receiving change-of-shift report about a group of assigned clients at a mental health facility. Which of the following clients should the nurse assess for risks related to sensory impairments?

A client who has narcissistic personality disorder

A client who has mild anxiety disorder

A client who has severe obsessive-compulsive disorder

A client who has conversion disorder

Answer and Explanation

The Correct Answer is D

Choice A reason: Narcissistic personality disorder involves grandiosity and interpersonal issues, not sensory impairments. There’s no direct link to vision, hearing, or motor deficits unless secondary conditions exist. Assessment priority would focus on behavior, not sensory risks, making this client less likely for this concern at shift start.

Choice B reason: Mild anxiety disorder causes worry or restlessness, but sensory impairments aren’t typical features. Physical symptoms like palpitations don’t equate to sensory loss. Other clients with neurological risks take precedence, so this client’s mild condition doesn’t warrant immediate sensory assessment.

Choice C reason: Severe OCD involves intrusive thoughts and rituals, potentially distracting from sensory input, but not impairing it directly. Sensory issues aren’t a hallmark, and assessment would target compulsions. This client’s risks are behavioral, not sensory, lowering their priority here.

Choice D reason: Conversion disorder presents with neurological symptoms like blindness or paralysis without organic cause, mimicking sensory impairments. Assessing this client first ensures safety, as these deficits could be active, posing immediate risks like falls. This aligns with the focus on sensory concerns, making it the priority.

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Correct Answer is C

Explanation

Choice A reason: Discussing a spiritual counselor addresses potential comfort but assumes spiritual needs without assessment, not an immediate priority. Complicated grieving requires normalizing emotions first to build trust and coping. This intervention is supportive but secondary to addressing current feelings, so it’s not the top focus now.

Choice B reason: Identifying the grief stage (e.g., Kubler-Ross) provides insight but isn’t urgent in complicated grief, where emotions like anger dominate. It’s a tool for understanding, not immediate relief. Normalizing feelings takes precedence to prevent escalation, making this less critical initially.

Choice C reason: Informing the client anger is expected validates their emotions in complicated grief, a priority to reduce isolation and guilt after a child’s death. This normalization prevents worsening distress, aligning with safety and emotional stabilization, the first step in care, making it the correct choice.

Choice D reason: Encouraging physical activity promotes health but doesn’t address acute emotional pain in complicated grief, a secondary coping strategy. Anger and loss need validation before behavioral interventions. This action lacks immediacy for the client’s current state, so it’s not the priority.

A. A unit secretary who speaks the same language as the client B. A translator of the same gender as the client C. Another client who speaks the same language as the client D. A family member of the client

Correct Answer is B

Explanation

Choice A reason: A unit secretary may speak the language but lacks training in medical interpretation, risking errors in conveying alcohol use disorder terms. Confidentiality in a group setting could also be breached. This choice lacks professional standards, so it’s not ideal.

Choice B reason: A gender-matched translator ensures accurate, culturally sensitive communication, vital for alcohol use disorder discussions, while maintaining privacy. Professional translators uphold confidentiality and precision, aligning with group therapy needs. This choice best supports effective, safe participation, making it correct.

Choice C reason: Using another client compromises confidentiality and neutrality, as personal biases or group dynamics may distort translation. It risks peer influence in a therapeutic setting for alcohol use. This unprofessional option undermines trust, so it’s inappropriate.

Choice D reason: A family member may know the language but could filter or emotionally skew communication, especially in alcohol use disorder, affecting objectivity. Confidentiality and group dynamics suffer. This lacks the impartiality of a trained translator, making it unsuitable.

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A nurse is receiving change-of-shift report about a group of assigned clients at a mental health facility. Which of the following clients should the nurse assess for risks related to sensory impairments?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who has complicated grieving following the death of her child. Which of the following interventions should the nurse identify as the priority?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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