Questions and Answers | Latest Version
| 2025/2026 | Correct & Verified
A client with schizophrenia says, “The FBI put a chip in my brain.” What is this thought pattern
called?
A. Hallucination
✔✔B. Delusion
C. Obsession
D. Illusion
A client reports difficulty sleeping for the past 4 weeks. Which intervention should the nurse
recommend first?
A. Prescribe sleep medication.
✔✔B. Establish a consistent bedtime routine.
C. Drink caffeinated tea before bed.
D. Take naps during the day.
A client with severe anxiety is unable to focus during teaching. What is the nurse’s best action?
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,A. Provide detailed written information.
✔✔B. Use simple, short instructions.
C. Delay all communication until calm.
D. Encourage independent study.
A client experiencing alcohol withdrawal has tremors, sweating, and nausea. What is the priority
nursing action?
A. Encourage oral fluids.
✔✔B. Administer benzodiazepines as prescribed.
C. Begin group therapy sessions.
D. Provide a stimulating environment.
A client with depression refuses meals. What is the nurse’s best intervention?
A. Force the client to eat.
✔✔B. Offer small, frequent high-calorie snacks.
C. Tell the client to try harder.
D. Withhold food until the client complies.
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,A client states, “I am responsible for all the world’s problems.” This statement is an example of:
A. Flight of ideas
✔✔B. Delusion of guilt
C. Obsession
D. Hallucination
A client is admitted with suicidal thoughts. What is the nurse’s priority action?
A. Notify the family.
✔✔B. Ensure a safe environment with close observation.
C. Begin long-term teaching.
D. Discuss reasons for living.
A client with panic disorder begins to hyperventilate. What should the nurse do?
A. Leave the client alone.
✔✔B. Stay with the client and use calm reassurance.
C. Teach complex coping strategies immediately.
D. Encourage group therapy.
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, A client prescribed lithium asks about diet. Which teaching is most important?
A. “Limit water intake.”
✔✔B. “Maintain consistent sodium and fluid intake.”
C. “Avoid all salty foods.”
D. “Restrict fluids on hot days.”
A client taking haloperidol develops muscle stiffness and fever. What should the nurse suspect?
A. Serotonin syndrome
✔✔B. Neuroleptic malignant syndrome
C. Tardive dyskinesia
D. Akathisia
A client reports hearing voices that say, “You are evil.” What should the nurse do first?
A. Argue with the client about the voices.
✔✔B. Acknowledge the experience and assess safety.
C. Tell the client to ignore the voices.
D. Provide immediate group therapy.
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