Comprehensive questions and verified detailed solutions (MULTIPLE
CHOICES) | 100% CORRECT!!
1. A nurse is caring for a client experiencing auditory hallucinations. What is the priority
nursing action?
a. Ask the client what the voices are saying
b. Provide a quiet environment
c. Tell the client the voices aren't real
d. Monitor for signs of increasing agitation
✓✓ ANSW✓✓..a. Ask the client what the voices are saying
2. A client with schizophrenia says, “The world is ending tonight.” What is the nurse's
best response?
a. “You’re being irrational.”
b. “Why do you think that?”
c. “It must be frightening to feel that way.”
d. “That’s not true.”
✓✓ ANSW✓✓..c. “It must be frightening to feel that way.”
3. What is the most appropriate intervention for a client having a panic attack?
a. Leave the client alone
b. Encourage deep breathing
c. Ask them to explain their feelings
d. Tell them to stop panicking
✓✓ ANSW✓✓..b. Encourage deep breathing
, 4. A client says, “I feel so hopeless and want to die.” What should the nurse do first?
a. Tell them everything will be okay
b. Ask if they have a plan
c. Change the topic
d. Call the family
✓✓ ANSW✓✓..b. Ask if they have a plan
5. A client on lithium reports increased thirst and frequent urination. What is the nurse's
priority action?
a. Reassure that this is normal
b. Check lithium levels
c. Encourage more fluid intake
d. Tell the client to reduce salt
✓✓ ANSW✓✓..b. Check lithium levels
6. The nurse notices a client with obsessive-compulsive disorder repeatedly washing hands.
What is the best intervention?
a. Tell them to stop
b. Limit hand washing gradually
c. Encourage group therapy
d. Increase medication dose
✓✓ ANSW✓✓..b. Limit hand washing gradually
7. Which activity is most therapeutic for a withdrawn depressed client?
a. Watching TV alone
b. Attending group art therapy
c. Sleeping longer hours
d. Avoiding social interactions
✓✓ ANSW✓✓..b. Attending group art therapy