With Complete Solutions
1. A client becomes very dejected it states dejected and states no
one really cares what happens to me life isn't worth living
anymore which of the following responses should the nurse
make?
a. Of course, people care your family comes to visit every day.
b. Why do you feel that way?
c. Tell me who you think doesn't care about you.
d. I care about you, and I am concerned you feel sad
I care about you, and I am concerned you feel sad
1. A nurse educator is discussing community mental health with
a group of nursing students. Which of the following sites should
the educator identify as a source of secondary prevention?
a. Daycare center
b. outpatient rehab center
c. community recreational center
d. crisis center
crisis center
1. A patient has schizophrenia they state I'm frightened do you
hear that the voices are telling me to do terrible things which of
the following responses by the nurse is appropriate?
a. You need to tell me the voices you need to tell the voices to
leave you alone.
b. You need to understand that there are no voices.
,c. What are you hearing?
d. Why do you think you're hearing voices?
What are you hearing?
1. A nurse's reading the medical record for a client who has
schizophrenia which indicates that the client exhibits
depersonalization which of the following statements by the
client confirms that she is experiencing depersonalization?
a. I broken off all my past relationships because my friends and
family are trying to kill me.
b. I hear voices telling me that I have been bad.
c. My hands and feet are much smaller than they used to be.
d. Everything in this room has changed and I don't recognize it
anymore.
My hands and feet are much smaller than they used to be.
1. A nurse is caring for a client who is generalizing anxiety
disorder and is taking buspirone which of the following adverse
affection and nurse report to the provider?
a. sweating
b. decreased appetite
c. discolored urine
d. hallucinations
sweating
1. A nurse is caring for a client who has paranoid personality
disorder which of the following findings should the nurse
expect? Select all that apply.
a. believes the others are deceiving him.
, b. desires to be the center of attention.
c. views himself as inferior to others
d. demonstrates a grandiose sense of self importance
e. persistently holds onto grudges.
a. believes the others are deceiving him.
e. persistently holds onto grudges.
1. A nurse is planning discharge for a client who has borderline
personality disorder which of the following interventions should
be included for this client?
a. Dialectical behavior therapy
b. behavioral contract
c. bibliotherapy
d. Safety plan
Dialectical behavior therapy
1. A client is conducting a group therapy session for several
clients. The group is laughing at a joke that one of the clients
told when a client who has schizophrenia jumps up and runs out
of the room yelling you're making fun of me the nurse should
identify this behavior as which of the following characteristics
of schizophrenia?
a. Magical thinking
b. delusion of grandeur
c. ideas of reference
d. looseness of associated ideas
looseness of associated ideas