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A 35-year-old male client who has been hospitalized for two weeks for
chronic paranoia continues to state that someone is trying to steal his
clothing. The most appropriate action for the nurse to take is to
,A encourage the client to actively participate in assigned activities on
the unit.
B place a lock on the client's closet.
C ignore the client's paranoid ideation to extinguish these behaviors.
D explain to the client that his suspicions are false. - ANSWER - A
On admission, a highly anxious client is described as delusional. The
nurse understands that delusions are most likely to occur with which
class of disorder?
A Neurotic.
B Personality.
C Anxiety.
D. Psychotic - ANSWER - D
A client is admitted with a diagnosis of depression. The nurse knows
that which characteristic is most indicative of depression?
A Grandiose ideation.
B Self-destructive thoughts.
C Suspiciousness of others.
D. A negative view of self and the future - ANSWER - D.
,A 45-year-old female client is admitted to the psychiatric unit for
evaluation. Her husband states that she has been reluctant to leave
home for the last six months. The client has not gone to work for a
month and has been terminated from her job. She has not left the
house since that time. This client is displaying symptoms of what
condition?
A Claustrophobia.
B Acrophobia.
C Agoraphobia.
D Post-traumatic stress disorder. - ANSWER - C.
A client who has been admitted to the psychiatric unit tells the nurse,
"My problems are so bad that no one can help me." Which response is
best for the nurse to make?
A "How can I help?"
B "Things probably aren't as bad as they seem right now."
C "Let's talk about what is right with your life."
D "I hear how miserable you are, but things will get better soon." -
ANSWER - A.
A woman brings her 48-year-old husband to the outpatient psychiatric
unit and describes his behavior to the admitting nurse. She states that
he has been sleepwalking, cannot remember who he is, and exhibits
, multiple personalities. The nurse knows that these behaviors are often
associated with
A dissociative disorder.
B obsessive-compulsive disorder.
C panic disorder.
D post-traumatic stress syndrome. - ANSWER - A
At the first meeting of a group of older adults at a daycare center for
the elderly, the nurse asks one of the members what kinds of things she
would like to do with the group. The older woman shrugs her shoulders
and says, "You tell me, you're the leader." What is the best response for
the nurse to make?
A "Yes, I am the leader today. Would you like to be the leader
tomorrow?"
B "Yes, I will be leading this group. What would you like to accomplish
during this time?"
C "Yes, I have been assigned to be the leader of this group. I will be here
for the next six weeks."
D "Yes, I am the leader. You seem angry about not being the leader
yourself." - ANSWER - B
Over a period of several weeks, one male participant of a socialization
group at a community day care center for the elderly monopolizes most
of the group's time and interrupts others when they are talking. What is
the best action for the nurse to take in this situation?