Practice Quiz

NCLEX-RN

Category - Psychosocial

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A client is admitted because of sudden onset of paralysis, which cannot be explained by laboratory or diagnostic tests. The physician is planning to discharge the client the next day, but the client refuses to be discharged. Which one of the following is an inappropriate intervention?
  1. Assess for progression of paralysis and other complications.
  2. Inform the client that the paralysis has no organic cause.
  3. Plan activities to divert attention from self.
  4. Assist the client to relate feelings and conflicts.
Explanation
Answer: A - The nurse should not reinforce the client’s sick role. It is important to reiterate and reassure the client that there is no organic cause for his paralysis. The nurse should assist the client to relate feelings and conflicts that are the cause of the physical symptom. When planning activities, diversional activities must be included to prevent the client’s focus on self.
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