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Chapter 22: Problem 131

A client who developed a conversion reaction after his fiancée cancelled the wedding has developed symptoms of paralysis in his lower extremities. When caring for the client the nurse should: A. Ask the doctor for a physical therapy consult B. Avoid focusing on the client's physical complaints C. Explain that there is no reason for the paralysis D. Encourage the client to walk with a walker

Short Answer

Expert verified
Based on the analysis of the given options, the best approach for caring for a client with conversion reaction and paralysis in their lower extremities is Option B: Avoid focusing on the client's physical complaints. This approach acknowledges the psychological factors contributing to the client's condition while providing empathetic support. It is crucial to address the emotional aspects of a conversion reaction to help the client recover, rather than reinforcing the idea that the problem is rooted in a physical issue.

Step by step solution

01

Understanding Conversion Reaction

Conversion reaction is a type of psychological disorder, where the person experiences neurological symptoms such as paralysis, numbness, or difficulty in speaking without an organic cause. It often occurs due to extreme emotional stress or trauma. In this case, the client has developed paralysis in his lower extremities after his fiancée cancelled the wedding.
02

Option A: Physical Therapy Consult

While physical therapy can help with paralysis, in the case of conversion reaction, the paralysis has no physical cause and is the result of psychological stress. Therefore, physical therapy alone might not address the underlying issue.
03

Option B: Avoid focusing on the client's physical complaints

This option is more appropriate, as focusing too much on the physical complaints can risk reinforcing the idea that the problem is physical rather than psychological. Instead, the care provider should be empathetic and supportive, while acknowledging the need for addressing the emotional aspects of the condition.
04

Option C: Explain that there is no reason for the paralysis

Although there may not be a physical reason for the paralysis, bluntly stating this could come across as invalidating the client's feelings and could potentially worsen their condition. It is important to approach the topic in a sensitive and supportive manner that acknowledges the psychological factors at play.
05

Option D: Encourage the client to walk with a walker

Encouraging the client to walk with a walker may seem helpful, but it could risk reinforcing the idea that the problem is physical. It is essential to focus on the psychological and emotional aspects of the condition to help the client recover.
06

Conclusion

The best option among the given choices is Option B: Avoid focusing on the client's physical complaints. This approach emphasizes the importance of addressing the emotional aspects of a conversion reaction and providing support for the patient's psychological needs rather than reinforcing the idea of a physical issue.

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