A clients wife of 34 years dies unexpectedly. The client cries often and becomes socially isolated. The clients therapist stresses the importance of proper sleep, nutrition, and exercise. What is the best rationale for the therapists advice?

Correct Answer: D

Rationale: The best rationale for the therapist's advice is that the client is susceptible to illness due to the effects of stress on the immune system. Grief and emotional pain can have a significant impact on physical health by weakening the immune system, making the individual more vulnerable to illnesses. By emphasizing the importance of proper sleep, nutrition, and exercise, the therapist is aiming to support the client's physical well-being during a challenging period. This holistic approach addresses the interconnectedness of mental and physical health, promoting resilience and coping mechanisms amidst the stress of loss. It also helps the client to manage their emotions and cope with grief more effectively.

Correct Answer: B

Rationale: Delta rhythm is characterized by slow, high-amplitude brain waves that occur during the deepest stage of non-REM (rapid eye movement) sleep. This stage is known as stage 3 or slow-wave sleep, which is considered the most restorative and restful stage of sleep. Delta rhythm is typically associated with the maintenance of body functions, growth, and repair processes that occur during deep sleep. In the context of a sleep study, the presence of delta rhythm indicates that the individual is experiencing deep, restorative sleep, which is essential for overall health and well-being.

Correct Answer: B

Rationale: The response "This job will pay the bills, and the workload is light enough for me." indicates that the nursing applicant operates from an ethical egoism framework. Ethical egoism is a normative theory that suggests individuals act in their self-interest, seeking to maximize their own well-being. In this response, the applicant's primary concern is their own financial stability and the manageable workload, reflecting a self-interested approach to decision-making. This contrasts with other responses that focus on care for others (A and C) or a sense of duty (D).

Correct Answer: B

Rationale: A client threatening to commit suicide should be identified as a potential candidate for involuntary commitment. Suicidal ideation or threats pose an immediate risk to the client's life, and if they are deemed to be at imminent risk of harm to themselves, involuntary commitment may be necessary to ensure their safety and provide necessary mental health interventions. It is important for healthcare professionals to take such threats seriously and act promptly to prevent harm.

Correct Answer: A

Rationale: Informed consent is a crucial component of the healthcare process, ensuring that clients are fully aware of the treatment or procedure they will undergo and have the capacity to make decisions regarding their care. In this scenario, the client being paranoid raises significant concerns about their ability to provide valid informed consent. Paranoia may impact the individual's ability to understand the information presented to them, assess the risks and benefits of ECT, and make a decision based on their own free will. Clients must be able to comprehend the information provided to them, weigh the potential consequences, and communicate their decision without any significant impairments that could affect their judgment. Therefore, a nurse should question the validity of informed consent when a client is paranoid, as it may indicate a lack of capacity to make an informed decision.