A nurse is speaking with the sibling of a client who refuses to see visitors.
Which of the following actions should the nurse take?
Arrange for the sibling to visit the client in the dayroom.
Refer the sibling to the client's provider.
Tell the sibling the client does not want visitors.
Encourage the client to visit with the sibling.
The Correct Answer is C
Choice A rationale
Arranging a visit without the client’s consent disregards their right to refuse visitors, which is important to respect their autonomy.
Choice B rationale
Referring the sibling to the provider does not address the client’s current refusal and bypasses the nurse’s role in facilitating communication.
Choice C rationale
Informing the sibling that the client does not want visitors respects the client’s wishes and maintains their confidentiality.
Choice D rationale
Encouraging the client to visit with the sibling may pressure the client and does not respect their current refusal of visitors. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Codependency support groups are designed for individuals dealing with the effects of another person's addiction. While helpful for some, it might not specifically address the needs of someone with dual diagnoses.
Choice B rationale
Psychodrama involves role-playing techniques used to explore and solve personal problems, which may not be as effective as targeted dual diagnosis treatment for clients with both antisocial personality disorder and alcohol dependency.
Choice C rationale
Dual diagnosis treatment is specifically designed to address the simultaneous presence of a mental health disorder and substance use disorder. It provides an integrated approach to treatment that addresses both conditions simultaneously.
Choice D rationale
Behavioral therapy focuses on modifying harmful behaviors but may not address the complexities of co-occurring mental health and substance use disorders as effectively as dual diagnosis treatment.
Correct Answer is D
Explanation
Choice A rationale
Asthma is a chronic condition affecting the airways in the lungs, but it does not contraindicate electroconvulsive therapy (ECT). ECT does not exacerbate asthma symptoms, and patients with asthma can safely undergo ECT with appropriate monitoring and management of their respiratory condition during the procedure.
Choice B rationale
Crohn's disease is a chronic inflammatory condition of the gastrointestinal tract, and it is not a contraindication for ECT. Although Crohn's disease requires medical management, ECT does not interfere with the treatment or exacerbate the condition, making it a safe option for patients with this disease.
Choice C rationale
Renal colic, which is severe pain caused by kidney stones, is not a contraindication for ECT. Although renal colic is a painful condition that requires medical attention, it does not impact the safety or effectiveness of ECT, allowing patients with this condition to receive ECT if needed.
Choice D rationale
Cardiac arrhythmia, which refers to an irregular heartbeat, is a contraindication for ECT because the procedure can increase the risk of cardiac complications. ECT involves electrical stimulation that can affect heart rhythm, making it unsafe for patients with preexisting cardiac arrhythmias, who require a thorough cardiac evaluation and management before considering ECT.
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