COMPREHENSIVE ASSESSMENT SCRIPT
SOLVED QUESTIONS ANSWERS UPDATED
REVIEW SET
◉ A nurse is planning care for a client who has schizophrenia and
reports auditory hallucinations. Which of the following
interventions should the nurse include in the plan?
A. Promote the use of music to compete with the client's auditory
hallucinations
B. Inform the client that the auditory hallucinations are not real
C. Avoid asking the client if they are experiencing auditory
hallucinations
D. Instruct the client on the use of voice recognition regarding the
auditory hallucinations.
Answer: A. Promote the use of music to compete with the client's
auditory hallucinations
Competing reality-based stimulation such as the use of music or
television during auditory hallucinations can assist in limiting the
effect the hallucinations have on the client's stress level
,◉ A client who has paranoid schizophrenia is attending a treatment
planning conference with a family member. During the discussion of
the medication adherence portion of the plan, a nurse notices that
the family member seems distracted. Which of the following actions
should the nurse take?
A. Call the family member to the side to inquire if they have
questions or concerns about the treatment plan
B. Advise the family member that this treatment plan has been
developed specifically for the client to follow
C. Ask the family member if they have any thoughts or questions
about the treatment plan
D. Document that the family member does not support the
medication treatment plan.
Answer: C. Ask the family member if they have any thoughts or
questions about the treatment plan
◉ A nurse is caring for a client who has antisocial personality
disorder and is receiving behavioral therapy through operant
conditioning. Which of the following client behaviors indicates
effectiveness of the therapy?
A. Controls anger outbursts to avoid being placed in seclusion
B. No longer exhibits a fear of social or public situations
C. Refrains from manipulating others to earn dining room privileges
, D. Imitates the therapist's use of a relaxation technique.
Answer: C. Refrains from manipulating others to earn dining room
privileges
◉ A nurse is assessing a school-age child who has conduct disorder.
Which of the following characteristics should the nurse expect the
child to demonstrate?
A. Feelings of remorse
B. Extended periods of depression
C. Deficits in intellectual functioning
D. Aggression toward animals.
Answer: D. Aggression toward animals
◉ A client who has a diagnosis of depression is attending group
therapy. During the group meeting, the nurse asks each member to
identify one goal for the day. When it is the client's turn, they do not
respond. Which of the following actions should the nurse take before
repeating the request to the client?
A. Allow the client time to formulate an answer
B. Prompt the client to give a response
C. Move on to the next client
D. Offer the client a suggestion for a goal.