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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale: Providing teaching on the symptoms of substance use dependence may be appropriate, but supporting the client's desire for positive changes is the immediate priority.
Choice B rationale: Advising the client to reschedule is not supportive of their current motivation for change.
Choice C rationale: Supporting the client to list small behavioral changes needed aligns with the client's expressed desire for a healthier lifestyle and is consistent with motivational interviewing techniques.
Choice D rationale: Explaining specific relapse prevention skills may be useful later in the recovery process, but initially supporting the client's motivation for change is the priority.
Correct Answer is A
Explanation
Choice A rationale: Ineffective breathing pattern is the highest priority nursing problem. Aspiration of a caustic material can lead to respiratory compromise, and ensuring adequate oxygenation takes precedence.
Choice B rationale: Risk for injury is important, but respiratory concerns associated with aspiration take priority in this situation.
Choice C rationale: Ineffective coping is relevant but does not take precedence over addressing immediate physiological needs such as breathing.
Choice D rationale: Impaired comfort is important, but the priority is to ensure the client's respiratory status and address potential complications of caustic material aspiration.
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