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?
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A
The therapist is using an interpersonal approach.
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B
The client has an alteration in neurotransmitters.
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C
It is routine practice to remind clients about nutrition, exercise, and rest.
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D
The client is susceptible to illness due to effects of stress on the immune system.
In this situation, the nursing judgment that fits the stem is The client is susceptible to illness due to effects of stress on the immune system..
A. The therapist is using an interpersonal approach.
This could seem tempting if the idea in “The therapist is using an interpersonal approach.” addresses a different mechanism or priority than the one emphasized by the stem The wording does not track the stem’s main cue, so selecting it would shift the nurse away from the most precise interpretation or priority.
B. The client has an alteration in neurotransmitters.
This would apply in a different scenario where the idea in “The client has an alteration in neurotransmitters.” addresses a different mechanism or priority than the one emphasized by the stem The wording does not track the stem’s main cue, so selecting it would shift the nurse away from the most precise interpretation or priority.
C. It is routine practice to remind clients about nutrition, exercise, and rest.
This sounds reasonable when the idea in “It is routine practice to remind clients about nutrition, exercise, and rest.” addresses a different mechanism or priority than the one emphasized by the stem The wording does not track the stem’s main cue, so selecting it would shift the nurse away from the most precise interpretation or priority.
D. The client is susceptible to illness due to effects of stress on the immune system.
This is supported by the detail that The therapists advice should be based on the knowledge that the client has been exposed to stressful stimuli and is at an increased risk of developing illness due to the effects of stress on the immune system. The study of this branch of medicine is called psychoimmunology. Need: Physiological Integrity The underlying principle in the stem is best addressed by choosing the response that is both specific to the cue provided and consistent with evidence-informed psychiatric nursing practice. From a nursing standpoint, this selection guides assessment and interventions toward what is most clinically meaningful in the moment—risk reduction, safety, accurate appraisal, and support for adaptive coping.
Conclusion
The stem provides enough information to select the most accurate interpretation without adding extra assumptions. The chosen answer reflects the correct framework, and the remaining choices drift toward incomplete, premature, or misdirected reasoning