A young woman is preparing to be discharged from the psychiatric unit. Which nursing intervention is most important for the nurse to Include in this phase of the nurse-client relationship?

Provide information about available community resources.

Explore the client's feelings related to discharge.

Ask the client to describe alternative coping mechanisms.

Discuss potential medication side effects.

Answer and Explanation

The Correct Answer is A

Choice A rationale: Providing information about available community resources is crucial during the discharge phase to support the client's transition to the community and ongoing care.

Choice B rationale: Exploring the client's feelings related to discharge is important, but providing practical information about available resources is more immediate and can aid in the client's continuity of care.

Choice C rationale: Asking the client to describe alternative coping mechanisms is relevant, but connecting the client with community resources is a more immediate concern during the discharge phase.

Choice D rationale: Discussing potential medication side effects is important, but linking the client to community resources takes precedence during the discharge process.

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Correct Answer is A

Explanation

Choice A rationale: Thiamine (vitamin B1) is the appropriate medication for Wernicke Korsakoff syndrome, as it addresses thiamine deficiency associated with chronic alcohol use, which can contribute to neurological symptoms.

Choice B rationale: Chlordiazepoxide is a benzodiazepine used for alcohol withdrawal symptoms but does not address the underlying thiamine deficiency in Wernicke Korsakoff syndrome.

Choice C rationale: Clonidine is not indicated for the treatment of Wernicke-Korsakoff syndrome; it is primarily used for managing withdrawal symptoms in opioid or alcohol dependence.

Choice D rationale: Carbamazepine is not the appropriate medication for Wernicke Korsakoff syndrome; it is commonly used for mood stabilization in conditions like bipolar disorder.

A. Ask in a non-threatening manner why the client cut own abdomen. B. Provide detailed thorough explanations when cleansing the wound. C. Request another staff member to assist with the dressing change. D. Perform the dressing change in a non-judgmental manner.

Correct Answer is D

Explanation

Choice A rationale: Asking in a non-threatening manner why the client cut their own abdomen is an appropriate therapeutic communication technique but may not be the priority during a dressing change. Safety and hygiene are essential.

Choice B rationale: Providing detailed thorough explanations when cleansing the wound is valuable, but the nurse should prioritize the physical care and safety aspects of the dressing change.

Choice C rationale: Requesting another staff member to assist with the dressing change may be appropriate for some clients, but it may not be necessary for every situation. The nurse should be capable of performing the dressing change safely. Choice D rationale: Performing the dressing change in a non-judgmental manner is crucial. The nurse should focus on providing care in a sensitive and non-critical way to establish trust and ensure the client's physical well-being.

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A young woman is preparing to be discharged from the psychiatric unit. Which nursing intervention is most important for the nurse to Include in this phase of the nurse-client relationship?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with chronic alcohol dependence is diagnosed with Wernicke-Korsakoff syndrome. The client is experiencing memory loss and confusion. Which medication should the nurse administer to help alleviate the client's symptoms?

Correct Answer is A

Explanation

The nurse is providing care for a client diagnosed with a borderline personality disorder who has self-inflicted lacerations on the abdomen. Which approach should the nurse use when changing this client's dressings?

Correct Answer is D

Explanation

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