ATI RN MENTAL HEALTH WEEK 7 EXAM WITH NGN 2024

A nurse is talking with a client who has schizophrenia. Suddenly the client states, "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? - "What are the voices telling you to do?" This statement recognizes the risk involved with a command hallucination and asks the client directly about the hallucination. This is a therapeutic approach to communicating with a client who is experiencing a hallucination. The nurse is assessing a client who is to undergo a left lobectomy to treat lung cancer. The client tells the nurse that she is scared and wishes she had never smoked. Which of the following responses should the nurse make? - "It's okay to feel scared. Let's talk about what you are afraid of." It is the nurse'sresponsibility to acknowledge the client's statement, to encourage verbalization, and to explore the client's feelings. A nurse is counseling a client for the management of anxiety. The client is consistently late for appointments and ignores household chores. The client states, "I'm just too stressed. I need someone to take care of me." The nurse identifies this behavior as an example of which of the following defense mechanisms? - Regression This is an example of regression which is the mechanism of reverting to childlike or immature behaviors. A nurse is providing teaching for a client who has a new prescription for clozapine. Which of the following statements indicates the client understands the teaching? - "I will rise slowly from a lying position to prevent fainting while taking this medication." - Clozapine can cause orthostatic hypotension, especially during the first few weeks of therapy. The client should be taught to rise slowly from a lying or sitting position.