The nurse is caring for a client diagnosed with catatonia. Which of the following should be a priority action by the nurse?
Schedule the client for a therapeutic group session.
Encourage the client to walk in the hallway.
Encourage the client to verbalize feelings at all times.
Offer small, frequent fluids throughout the day.
The Correct Answer is D
Choice A Reason:
Scheduling the client for a therapeutic group session may not be appropriate as a priority action. Clients with catatonia often experience significant psychomotor disturbances, which can include immobility or stupor, making participation in group activities challenging and potentially distressing.
Choice B Reason:
Encouraging the client to walk in the hallway is not the most immediate concern. While mobility is important, the safety and medical stability of the client take precedence, especially considering the potential for immobility and resistance to movement in catatonic states.
Choice C Reason:
Encouraging the client to verbalize feelings at all times is not practical as a priority action. Catatonia can involve mutism or significantly reduced responsiveness, making it difficult for the client to express themselves verbally.
Choice D Reason:
Offering small, frequent fluids throughout the day is a priority action for a client with catatonia. Due to the potential for decreased oral intake and the risk of dehydration, ensuring the client receives adequate hydration is essential. This intervention addresses a basic physiological need and can prevent further complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A Reason:
An interprofessional team can lead to a decrease in the number of referrals needed for the client because multiple health care providers from different specialties are working collaboratively. This team approach can address various aspects of a client's care simultaneously, reducing the need for external consultations.
Choice B Reason:
While an interprofessional team may streamline care, it does not necessarily decrease the number of visits to the client by staff. Each professional has a role that requires direct interaction with the client, and the frequency of these visits depends on the client's needs and the care plan.
Choice C Reason:
Efficiency in client care services is a key benefit of an interprofessional team. By working together, team members can coordinate care, share information quickly, and make decisions more effectively, leading to better client outcomes and a more efficient use of resources.
Choice D Reason:
An increase in length of stay is not a benefit of an interprofessional team. In fact, effective interprofessional collaboration can lead to a decrease in length of stay by optimizing care, preventing complications, and facilitating timely interventions.
Correct Answer is D
Explanation
Choice A reason:
Telling the client to call their boss and ask for their job back may not be the most supportive response. It could add stress by suggesting immediate action when the client may not be in a position to address the issue effectively due to their hospitalization.
Choice B reason:
This response might come across as dismissive, implying that the client's concerns are not valid or important. It does not offer emotional support or acknowledge the client's feelings about the situation.
Choice C reason:
Questioning why the partner would share such upsetting news does not provide comfort or support to the client. It could potentially create additional stress by introducing doubts about the partner's intentions.
Choice D reason:
This empathetic response acknowledges the client's likely emotional reaction to the news. It validates the client's feelings without making assumptions or judgments about the situation, which is an important aspect of nurse-client communication.
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