A nurse on an acute mental health unit is assessing four clients. Which of the following clients is the highest priority?

A client who has dementia and exhibits aphasia

A client who has bipolar disorder and displays constant pacing

A client who has schizophrenia and uses neologisms

A client who has depressive disorder and has poor personal hygiene

Answer and Explanation

The Correct Answer is B

A.   A client who has dementia and exhibits aphasia: While aphasia can be concerning, it is not necessarily indicative of immediate risk to the client or others.
B.   A client who has bipolar disorder and displays constant pacing: This client is the highest priority because constant pacing may indicate agitation or escalating anxiety, which could lead to agitation or aggression and require immediate intervention to prevent harm to the client or others.
C.   A client who has schizophrenia and uses neologisms: Neologisms, although indicative of disorganized thinking, do not necessarily present an immediate safety concern compared to constant pacing.
D.   A client who has depressive disorder and has poor personal hygiene: While poor personal hygiene is important to address for the client's well-being, it may not present an immediate safety risk compared to the behaviors exhibited by the client in option B.

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Correct Answer is A

Explanation

A. Changing peripheral IV primary tubing every 96 hours is a standard practice that helps prevent infection and maintain the integrity of the IV system while also being cost-effective by reducing unnecessary changes.
B. While replacing peripheral IV solution bags every 96 hours might seem like a cost-saving measure, it may not align with best practices, as solution bags should be changed based on the facility's policy and the condition of the solution.
C. Total parenteral nutrition (TPN) solution bags typically need to be replaced more frequently than every 48 hours to prevent bacterial growth and ensure the integrity of the solution.
D. Changing total parenteral nutrition (TPN) IV tubing every 48 hours may be necessary to prevent contamination and maintain the sterility of the infusion, which can contribute to better patient outcomes despite potentially higher costs.

A. Help her arrange transferring her partner to an assisted living facility. B. Provide volunteers who will run errands for her. C. Allow her to take time off from attending to her partner. D. Send a clinician to assess the safety of leaving her partner alone.

Correct Answer is C

Explanation

A. Help her arrange transferring her partner to an assisted living facility: While respite care may indirectly contribute to exploring long-term care options like assisted living, its primary purpose is to provide temporary relief to caregivers, rather than facilitating permanent transfers.

B. Provide volunteers who will run errands for her: While volunteer services may be part of some respite care programs, the primary benefit of respite care is to give the caregiver a
temporary break from caregiving duties, rather than solely focusing on running errands.

C. Allow her to take time off from attending to her partner: This is the correct answer. Respite care provides the caregiver with the opportunity to take a temporary break from caregiving responsibilities, allowing them to rest, rejuvenate, and attend to their own needs.
D. Send a clinician to assess the safety of leaving her partner alone: While safety assessments may be important, especially for individuals with cognitive impairment, respite care primarily focuses on providing temporary relief to caregivers rather than conducting safety assessments.

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A nurse on an acute mental health unit is assessing four clients. Which of the following clients is the highest priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is serving on a committee whose task is to plan cost-effective care at the facility. Which of the following client care tasks should the nurse recommend?

Correct Answer is A

Explanation

A nurse suggests respite care for the partner of a client who has mild cognitive impairment. The client's partner asks the nurse how that would help. The nurse should explain that respite care would do which of the following?

Correct Answer is C

Explanation

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