A nurse is preparing for an interprofessional meeting to discuss the plan of care for a client.

Which of the following information should the nurse plan to communicate to a social worker?

The client reports frustration with finding an activity to relieve restless energy.

The client will be unable to return home after discharge.

The client asks to talk to someone about changes in their spiritual beliefs.

The client has trouble remembering prescribed food restrictions.

Answer and Explanation

The Correct Answer is B

A.   Frustration with finding an activity to relieve restless energy may be addressed by the nursing or therapy team and does not specifically require involvement from a social worker.
B.   Discharge planning, including concerns about the client's ability to return home, is a significant aspect of social work involvement in the client's care.
C.   Talking about changes in spiritual beliefs may be addressed by a chaplain or spiritual counselor rather than a social worker.
D.   Difficulty remembering prescribed food restrictions may be addressed through education and support from nursing or dietary staff and does not specifically require involvement from a social worker.

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Correct Answer is C

Explanation

A. Coercing the client into treatment violates the client's autonomy and rights. Involuntary commitment does not mean the client loses the right to refuse treatment.
B. Involving the client's family without their consent or participation in decision-making may not be appropriate and could breach confidentiality.
C. Documenting the client's refusal of treatment ensures that the decision is appropriately recorded in the medical record and facilitates communication among the healthcare team members. It also protects the client's autonomy and legal rights.
D. Informing the client that ECT does not require consent is incorrect. While laws regarding involuntary treatment vary by jurisdiction, clients generally have the right to refuse treatment, even if they are involuntarily committed.

A. The client develops an inability to concentrate. B. The client exhibits an inflated sense of self. C. The client begins sleeping more than usual. D. The client increases participation in social activities.

Correct Answer is A

Explanation

A. Inability to concentrate is a common early sign of relapse in schizophrenia. It can indicate worsening symptoms and difficulty in maintaining focus and attention.
B. An inflated sense of self is not typically associated with relapse in schizophrenia. It may be a symptom of other psychiatric disorders, such as bipolar disorder or narcissistic personality disorder.
C. Increased sleeping can be a symptom of depression but is not specific to schizophrenia relapse.
D. Increased participation in social activities is not typically associated with relapse in schizophrenia. It may indicate improvement in social functioning or adaptation to the illness.

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A nurse is preparing for an interprofessional meeting to discuss the plan of care for a client. Which of the following information should the nurse plan to communicate to a social worker?

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A nurse is preparing for an interprofessional meeting to discuss the plan of care for a client.

Which of the following information should the nurse plan to communicate to a social worker?