UPDATE QUESTIONS AND WELL-ELABORATED
ANSWERS!! GUARANTEED PASS+
, A nurse is admitting a client in the emergency department for an intentional overdose of
opioids. The client state, "I feel so alone. No one can help me." Which of the following responses
by the nurse is therapeutic?
A. "Let's finish your admission and then talk about your feelings."
B. "How come you feel that no one can help you when you are receiving help now?"
C. "Why do you feel that no one can help you?"
D. "I would like to sit and talk with you." - DETAILED ANSWER-D
A nurse is caring for a client whose adolescent child died in a motor-vehicle crash. The
client is crying inconsolably. Which of the following actions should the nurse take?
A. Suggest that the client call the facility's chaplain.
B. Provide a quiet place for the client to be alone.
C. Stay with the client and allow the client to cry.
, D. Express sympathy for the client's loss. - DETAILED ANSWER-C
A nurse is caring for a client who has a new diagnosis of colon cancer. Shortly after the
client receives the diagnosis, the nurse enters the client's room and the client begins yelling, "I
have received terrible care here and no one cares about me." The nurse should recognize that the
client is demonstrating which of the following defense mechanisms?
A. Denial
B. Displacement
C. Reaction formation
D. Projection - DETAILED ANSWER-B
A nurse is caring for a client who has schizophrenia. The client states, "My internal
organs have turned to stone." The nurse should document this finding as which of the following
types of delusions?
A. Somatic
B. Reference
C. Persecutory
, D. Grandiose - DETAILED ANSWER-A
A nurse is caring for a client who is brought to the clinic by her adult son who states that
his father recently died. The client repeatedly yells at her son stating, "Quit lying about your
father!" The nurse should recognize that the client is demonstrating which of the following
defense mechanisms?
A. Denial
B. Identification
C. Introjection
D. Sublimation - DETAILED ANSWER-A
A nurse is caring for a client who has major depressive disorder and recently started
taking an antidepressant. The nurse should identify which of the following client statements as
the priority?
A. "I hate being so helpless. I can't even manage my own finances anymore."
B. "At group therapy today I wanted to leave. I didn't feeling like being with other
people."
C. "I have it all figured out. Everything is going to be okay now."