A client who recently developed paralysis of the arms is diagnosed with conversion disorder after tests fail to uncover a physical cause for the paralysis. When preparing the plan of care for the client, which of the following interventions should be included in the plan
A. Teaching the client how to use nonpharmacologic pain-control methods.
B. Exercising the client’s arms regularly.
C. Insisting that the client eat without assistance.
D. Working with the client rather than the family.
参考答案：B
解析：To maintain the integrity of the affected areas and prevent muscle wasting and contractures, the nurse should perform regular passive range-of-motion exercises to the client’s arms. The nurse shouldn’t insist that he eat without assistance because he can’t consciously control symptoms and move his arms; furthermore, such insistence may anger the client and endanger the therapeutic relationship. The nurse should include family members because they may be contributing to his stress or conflict, and they’re essential in helping the client regain function of his arms. Because the client isn’t experiencing pain, he doesn’t need education about pain management.