A nurse in a mental health facility is caring for a group of clients. After assessing the clients, which of the following clients requires an update to their plan of care to ensure client safety?
A client who has anorexia nervosa and expresses a fear of gaining weight
A client who has bipolar disorder and is exhibiting poor impulse control
A client who has schizophrenia and is exhibiting clang associations in their speech
A client who has Alzheimer's disease and is having difficulty remember names of family members
The Correct Answer is B
A. While a client with anorexia nervosa may require close monitoring and support, expressing a fear of gaining weight does not necessarily indicate an immediate safety concern that requires an update to the plan of care.
B. Bipolar disorder can involve manic episodes characterized by impulsivity and risk-taking behaviors. Exhibiting poor impulse control indicates a potential safety concern that requires an update to the plan of care to ensure the client's safety and the safety of others.
C. Clang associations in speech are a symptom of disorganized thinking commonly seen in schizophrenia. While it may indicate a need for intervention, it does not necessarily require an immediate update to the plan of care for safety reasons.
D. Difficulty remembering names of family members is a symptom of Alzheimer's disease and may require ongoing support and management but does not present an immediate safety concern that requires an update to the plan of care.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Explaining implied consent to the client's family does not address the need for obtaining informed consent for a legally incompetent client.
B. Asking the charge nurse to obtain informed consent may not be appropriate, as the responsibility for obtaining consent typically falls on the healthcare provider or a designated individual.
C. While the social worker may be involved in the process of obtaining consent for a legally incompetent client, it is not their sole responsibility, and the nurse should be actively involved in the process.
D. When a client has been declared legally incompetent, consent must be obtained from the client's legally appointed guardian or surrogate decision-maker.
Correct Answer is D
Explanation
A. Jaundice is not a commonly reported adverse effect of citalopram. It is more commonly associated with liver dysfunction or other medications.
B. Urinary retention is not a commonly reported adverse effect of citalopram. It is more commonly associated with anticholinergic medications.
C. Bruising is not a commonly reported adverse effect of citalopram. It is more commonly associated with medications that affect platelet function or clotting factors.
D. Decreased libido (reduced sexual desire) is a potential adverse effect of citalopram, as it is with other selective serotonin reuptake inhibitors (SSRIs). Monitoring for changes in sexual function is important because it can affect quality of life and treatment adherence.
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