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• Check the client’s condition after the procedure. This is a task that the nurse should perform because it requires direct observation and assessment of the client’s response to electroconvulsive therapy (ECT).The nurse should also monitor for any adverse effects such as nausea, headache, muscle soreness, or memory loss2.

• Witness the client’s signature on the consent for the procedure. This is a task that the nurse should perform because it involves obtaining informed consent from the client or their legal representative.The nurse should explain the purpose, benefits, risks, and alternatives of ECT to the client and answer any questions they may have3.

• Give the client atropine 30 min before the procedure. This is a task thatthe nurse should not delegateto an AP because it requires direct administration of medication and monitoring of vital signs.Atropine is used as an antiarrhythmic agent to prevent cardiac arrest during ECT4.

An altered level of consciousness is not a typical finding in Alzheimer's disease. This condition is characterized by cognitive decline and memory impairment, but consciousness itself is not directly affected.

Rapid mood swings can occur in individuals with Alzheimer's disease due to the changes in brain structure and function. These mood swings are a common behavioral symptom. However, the more distinctive hallmark of Alzheimer's disease is the cognitive decline rather than mood swings.

Excessive motor activity is not a prominent feature of Alzheimer's disease. Instead, individuals with Alzheimer's disease often experience a decline in motor skills and coordination as the disease progresses.

The client being the oldest of their siblings is not a contributing factor related to the development of conduct disorder. Family dynamics such as birth order may have some influence on personality traits, but they are not a primary factor in the development of conduct disorder.

The fact that the client's father lives in the client's home is a family dynamic, but it does not necessarily contribute to the development of conduct disorder. Other factors related to parenting style, communication, and family interactions play a more significant role in the development of conduct disorder.

The client's mother having asthma is a medical condition and not a family dynamic that directly contributes to the development of conduct disorder. Conduct disorder is more closely associated with social, environmental, and psychological factors.

Decreased heart rate. Alcohol withdrawal often results in increased sympathetic activity, leading to elevated heart rate (tachycardia). The withdrawal-related increase in heart rate is a result of the autonomic nervous system's response to the abrupt cessation of alcohol's depressant effects. This is a more typical manifestation of alcohol withdrawal than decreased heart rate.

Hyperthermia. While alcohol withdrawal can cause an increase in body temperature, it's not one of the primary manifestations. The central nervous system hyperactivity associated with alcohol withdrawal is more likely to cause symptoms like anxiety, tremors, and seizures, rather than hyperthermia.

Hyperglycemia. Hyperglycemia is not a common manifestation of alcohol withdrawal. Instead, alcohol withdrawal is more commonly associated with hypoglycemia due to the effects of alcohol on liver function and glucose regulation.

"It'll be a long time before I'm happy again." This statement reflects a sense of hopelessness, which can be a common reaction to grief but does not specifically indicate clinical depression. It's important for individuals to express their feelings during the grieving process.

"I don't know how I could cope if I didn't have my family's support." This statement reflects a dependency on family support to cope with grief, which is a common reaction. While it's important to consider the impact of support systems, this statement doesn't directly indicate clinical depression.

"I feel like I'm angry at the whole world right now." While irritability and anger can be components of both grief and depression, this statement is not as specific to clinical depression as the numbness described in choice C.

Tell the client he cannot refuse the treatment because he was involuntarily committed. This choice disregards the client's right to make decisions about their own treatment. Involuntary commitment does not negate a person's right to refuse specific treatments, especially if they have the capacity to make informed decisions.

Inform the client that ECT does not require client consent. This statement is incorrect. Electroconvulsive therapy (ECT) typically requires informed consent, even in cases of involuntary commitment. Clients have the right to be informed about the risks, benefits, and alternatives of any treatment and to provide or withhold consent.

Ask the client's family to encourage the client to receive ECT. While involving the client's family can be important for support, it does not bypass the client's autonomy or consent. Encouragement should not override the client's right to refuse treatment. The decision ultimately rests with the client, not their family.

Documenting the client's behavior every 15 minutes is a valid nursing action when a client is placed in seclusion. However, it is not the most critical step to take in this situation. The safety and well-being of the client and staff are paramount, and obtaining the provider's prescription is more crucial.

Offering the client food and fluids every 2 hours is a valid nursing action in a seclusion situation. However, it is not the most immediate priority. Obtaining the provider's prescription takes precedence to ensure the appropriateness of the intervention.

Monitoring the client's vital signs every 4 hours is an important nursing action, but it is not the primary step to take immediately after placing a client in seclusion. Obtaining the provider's prescription is more urgent to ensure the legality and appropriateness of the intervention.

While it's true that many people feel ashamed to tell their secrets, this response does not actively encourage the client to open up about their feelings. It acknowledges the feeling but does not promote a therapeutic conversation.

Encouraging the client to tell the nurse what they did might not be the most appropriate response. The client might not be ready to disclose their actions and pushing them to do so could lead to further distress. It's important to establish trust and create a safe space for the client before delving into specific details.

While it's true that the client shouldn't feel embarrassed to talk to the nurse, this response doesn't actively address the client's feelings or concerns. It's more important to provide a response that acknowledges the client's emotions and invites open communication.

Rationalization is a defense mechanism in which an individual justifies their behavior or feelings by giving reasonable explanations that may not be true. In this scenario, the client's statement about worrying about grades after planning a party reflects procrastination, which is a form of avoidance, not rationalization.

The client mentioned in this choice is displaying the defense mechanism of denial. Denial involves refusing to accept the reality of a situation to avoid the associated discomfort. The client's behavior of referring to a deceased partner in the present tense is an example of denial, not rationalization.

The client described in this choice is using the defense mechanism of displacement. Displacement is redirecting emotions from a threatening target to a less threatening one. The client's stomach pain before presenting a project to coworkers is a displacement of anxiety from the presentation onto physical symptoms.

Crohn's disease is not a contraindication for aripiprazole therapy. While gastrointestinal disturbances can be side effects of antipsychotic medications, Crohn's disease itself is not a direct contraindication for using aripiprazole.

Asthma is not a contraindication for aripiprazole therapy. Antipsychotic medications like aripiprazole primarily target neurotransmitter pathways in the brain and do not directly interact with the respiratory system or worsen asthma symptoms.

Hypothyroidism is not a contraindication for aripiprazole therapy. Aripiprazole does not have direct interactions with the thyroid function. However, careful monitoring may be necessary in individuals with thyroid disorders, as some antipsychotic medications can affect metabolic parameters.

Reporting suspected abuse to Child Protective Services is an important step in cases of suspected child abuse. However, before taking this action, it is crucial to ensure the immediate safety and well-being of the child. Jumping directly to reporting without assessing the immediate safety needs could potentially put the child at further risk if they are left in a dangerous situation. Therefore, while reporting suspected abuse is necessary, it is not the first action the nurse should take in this scenario.

Requesting that the parent leave the room while interviewing the child may be necessary to ensure the child feels comfortable and able to speak freely. However, before conducting the interview, it is essential to address any immediate safety concerns. Additionally, removing the parent from the room may not always be feasible or appropriate, especially if the child requires immediate medical attention or protection. Therefore, while this action may be taken at some point, it is not the first action the nurse should take.

Asking the child how the injury occurred is an important step in gathering information about the incident. However, before conducting the interview, it is essential to prioritize the child's safety and well-being. Jumping directly to questioning without assessing the immediate safety needs could potentially further traumatize the child or put them at risk if they are in a dangerous situation. Therefore, while interviewing the child is necessary, it should not be the first action taken by the nurse.

Relocating from a house to an apartment is not necessarily indicative of a maladaptive grief response. Changes in living situations can occur for various reasons unrelated to grief, such as financial considerations, practicality, or lifestyle preferences.

Giving away some of the partner's belongings does not necessarily indicate a maladaptive grief response. People cope with grief in different ways, and donating belongings could be a healthy step towards acceptance and moving forward.

Expressing feelings of guilt is not necessarily indicative of a maladaptive grief response. Guilt is a common emotion experienced during the grieving process and doesn't automatically suggest maladaptation. It's important to explore the context and reasons behind the feelings of guilt before making an assessment.

Managing conflict within the group is not typically a task for the orientation phase of a support group. Conflict resolution might come into play later during the working phase as the group dynamics develop.

Encouraging the use of problem-solving skills is an important aspect of the working phase of a support group. During the orientation phase, the primary focus should be on establishing group norms, building trust, and providing an overview of the group's purpose and goals.

(Correct Choice) Establishing a rapport with group members is a key objective during the orientation phase. Building trust and creating a safe environment are essential for participants to feel comfortable sharing their experiences and emotions.

Asking the client to describe their current feelings is essential for understanding their emotional state, but it doesn't specifically assess their personal coping skills. This question provides insight into their emotions at the moment but doesn't address their historical coping strategies.

Inquiring whether the client sees their current situation affecting their future helps assess their perception of the situation's impact. While relevant, this question doesn't directly assess their coping skills or strategies.

Asking how the situation affects the client's life is important for gaining an overall understanding of the impact of the job loss and depression. However, it doesn't specifically focus on assessing the client's coping skills or strategies.

Weigh the client weekly for the first month. Regular weight monitoring is crucial for individuals with anorexia nervosa. However, weighing the client weekly for the first month might not be the most appropriate choice because it can trigger anxiety and resistance. Anorexia nervosa is often accompanied by a distorted body image and extreme fear of gaining weight, which can lead to severe emotional distress during frequent weigh-ins.

Notify the client about designated times for meals. While establishing designated times for meals might be part of the overall plan, it's not the most important intervention in this scenario. Anorexia nervosa often involves complex psychological and emotional factors that impact eating habits. Merely notifying the client about meal times might not address the deeper issues contributing to their disorder.

Decrease the client's daily intake of fiber. Reducing fiber intake is not a recommended intervention for someone with anorexia nervosa. People with anorexia might already restrict their food intake significantly, leading to nutritional deficiencies. Decreasing fiber intake could worsen this problem and potentially lead to gastrointestinal issues.

Warfarin. Warfarin is a blood thinner that doesn't have a significant interaction with selegiline. Therefore, it is not contraindicated to be taken concurrently.

Calcium carbonate. Calcium carbonate doesn't typically interact with selegiline in a way that would result in serious adverse effects. Calcium carbonate is commonly used as a dietary supplement and antacid.

Acetaminophen. Acetaminophen is not known to have a significant interaction with selegiline. Acetaminophen is a commonly used pain reliever and fever reducer.

Keep a bright light on in the client's room at night. Exposure to bright light, particularly in the morning, can be helpful for individuals with seasonal affective disorder (SAD). However, in this scenario, there is no indication that the client specifically suffers from SAD. Keeping a bright light on at night might disrupt the client's sleep and negatively impact their sleep patterns.

Discourage the client from expressing feelings of anger. Discouraging the client from expressing their emotions, including anger, is not a therapeutic approach. Suppressing emotions can contribute to further distress and hinder the client's progress. It's important for the nurse to create a safe space for the client to express their feelings openly and work through them.

Encourage physical activity for the client during the day. While physical activity can have positive effects on mood and overall well-being, the appropriateness of this intervention depends on the client's preferences and physical condition. Encouraging physical activity should be done in a supportive and individualized manner, considering the client's energy levels, interests, and any potential physical limitations.

• Refusing to participate in group activities can be a sign of social anxiety,withdrawal,or other mental health issues,but it's not specifically indicative of transference.
• Individuals with personality disorders may withdraw from social interactions for various reasons,such as fear of rejection,discomfort in social settings,or a preference for isolation.
• While refusal to participate in group activities could be a manifestation of transference in some cases,it's not the most typical or defining characteristic.

• Talking negatively about other staff members can occur due to dissatisfaction with treatment,personality traits,or interpersonal conflicts.
• It's not directly related to transference,which involves projecting feelings and expectations from past relationships onto current ones.
• While individuals with personality disorders may engage in negative talk about others,this behavior doesn't necessarily stem from transference.

• Expressing frustration regarding unit rules can be a sign of difficulty with authority or adjusting to the structure of a treatment setting.
• It's not inherently a sign of transference,as it doesn't involve projecting feelings from past relationships onto the current one.
• Individuals with personality disorders may struggle with rules and authority,but this behavior is not a direct manifestation of transference.

• This response is dismissive and minimizes the daughter's concerns. It suggests that depression is not a serious condition and does not warrant professional attention.
• It fails to acknowledge the daughter's feelings of worry and anxiety.
• It does not gather any information about the mother's symptoms or the reasons for the daughter's concern.

• While it is true that depression is more common in older adults, this response does not address the daughter's concerns about her mother's specific symptoms.
• It may unnecessarily alarm the daughter by suggesting that depression is an inevitable part of aging.
• It does not encourage the daughter to share her observations and concerns.

• This response is premature and potentially misleading. It offers reassurance without first gathering enough information to determine whether the mother is actually depressed.
• It may discourage the daughter from sharing important details about her mother's condition.
• It implies that treatment for depression is always simple and straightforward, which is not always the case.

An aspartate aminotransferase (AST) level of 40 units/L is within the normal range and is not a specific marker for lithium toxicity. AST levels primarily reflect liver function, and while lithium toxicity can affect various organ systems, it doesn't typically lead to significant liver enzyme changes

A calcium level of 10.0 mg/dL is within the normal range (8.5 to 10.5 mg/dL) and is not a direct risk factor for lithium toxicity. Lithium toxicity is not primarily associated with calcium levels.

A WBC (white blood cell) count of 6,000/mm³ falls within the normal range (4,500 to 11,000/mm³) and is not directly related to lithium toxicity. Lithium toxicity primarily affects the central nervous system and may lead to symptoms such as tremors, confusion, and seizures.

Weighing the client every other day might not be appropriate in this case. Individuals with binge eating disorder often struggle with body image issues, and focusing on weight can exacerbate these concerns and contribute to a negative psychological state.

Remaining with the client for 1 hour after meals is not a standard nursing practice for clients with binge eating disorder. While providing emotional support is essential, it's not practical for the nurse to stay with the client for such an extended period after each meal.

Offering snacks when the client is hungry can potentially worsen the disorder. Clients with binge eating disorder often struggle with impulse control and may have difficulty stopping themselves from overeating. Providing unlimited access to snacks may reinforce unhealthy eating patterns.

Co-dependents support groups typically focus on addressing issues related to being in relationships with individuals struggling with addiction or other issues. While some aspects of co-dependency might overlap with borderline personality disorder, this group may not provide the specialized therapeutic interventions needed for self-mutilation and emotion dysregulation.

Desensitization therapy is not the primary intervention for individuals with borderline personality disorder who engage in self-mutilation. Desensitization therapy is more commonly used to treat phobias or anxiety disorders by gradually exposing individuals to their triggers.

Dual diagnosis treatment groups focus on individuals who have co-occurring mental health and substance use disorders. While some individuals with borderline personality disorder might have co-occurring substance use issues, the primary concern in this scenario is self-mutilation and emotion regulation.

Clients with schizotypal personality disorder usually do not have immediate safety concerns that require close proximity to the nurse's station. Their symptoms typically involve social and interpersonal difficulties rather than physical risks.

A history of alcohol use disorder might not necessitate close placement to the nurse's station, unless the client is currently exhibiting acute withdrawal symptoms or has a history of recent falls or accidents related to alcohol use.

A history of dependent personality disorder also may not immediately warrant being placed closest to the nurse's station. Clients with this disorder tend to struggle with making decisions and seeking reassurance, but it doesn't inherently involve safety risks as seen in Alzheimer's disease.

Justice is the principle of fairness and equality in the distribution of healthcare resources and treatments. It does not directly apply in this situation where the client's autonomy is the primary concern.

Veracity is the principle of honesty and truthfulness in communication with patients. It does not directly apply in this situation where the client's autonomy is at the forefront of the decision-making process.

Beneficence refers to the principle of promoting the well-being and best interests of the patient. In this case, the nurse is respecting the client's autonomy, which might conflict with the principle of beneficence if the nurse believes the medication is in the client's best interest. However, autonomy takes precedence in this situation.

Asking the client to sign a no-suicide contract is not the first action the nurse should take. While such contracts are used in some settings to engage clients in their own safety planning, they are not a guarantee against self-harm and should not be the initial step in managing a client at immediate risk of suicide.

Establishing a rapport to foster trust is important for the overall care of the client, but it is not the first action when the client's safety is at immediate risk. Safety takes precedence over building rapport in this scenario.

Encouraging the client to participate in group therapy is not appropriate as the first action. Group therapy can be beneficial for clients with mental health challenges, but in this situation, the client's safety is the most urgent concern.