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A client who is diagnosed with schizophrenia is admitted to the hospital. The nurse
assesses the client's mental status. Which assessment finding is characteristic of a
client with schizophrenia?
Mood swings.
Extreme sadness.
Manipulative behavior.
Flat affect. - 🧠ANSWER ✔✔Flat affect.
Disinterest, and diminished or lack of facial expression is characteristic of
schizophrenia and is referred to as a flat affect. The other findings are not
associated with schizophrenia.
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,The nurse is leading a "current events group" with client who have chronic
psychiatric illnesses. One group member states, "Clara Barton was my nurse during
my last hospitalization. She was a very mean nurse and wasn't nice to me." Which
response is best for the nurse to make?
Clara Barton was not your nurse.
What did she do to you that was so mean?
I didn't know that Clara Barton was a nurse.
Clara Barton started the American Red Cross. - 🧠ANSWER ✔✔Clara Barton
started the American Red Cross.
The historical fact that Clara Barton was a nurse during the Civil War is
referencing the concept of universality in this group therapy discussion. Stating the
original role of Clara Barton in nursing should be presented, which is the reality in
nursing and the American culture. The other responses are not indicated.
The nurse is planning the care for an adult client with acute depression. Which
intervention should the nurse implement to help the client deal with depression?
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,Ensure that the client's day is filled with group activities.
Assist the client in exploring feelings of shame, anger, and guilt.
Allow the client to initiate and determine activities of daily living.
Encourage the client to explore the rationale for depression. - 🧠ANSWER
✔✔Assist the client in exploring feelings of shame, anger, and guilt.
Depression is associated with feelings of shame, anger, and guilt. Exploring such
feelings with the client is an important nursing intervention for a client who is
acutely depressed. The other interventions are not indicated.
Over a period of several weeks, a 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?
Talk to the client outside the group about his behavior during group meetings.
Remind the client to allow others in the group a chance to talk.
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, Allow the group to handle the problem.
Ask the client to join another group. - 🧠ANSWER ✔✔Allow the group to handle
the problem.
The phase the group process is in--initial, working, or termination--this will help
determine communication styles between the group members. After several weeks,
the group is in the working phase and the group members should be allowed to
determine the direction of the group. The nurse should ignore the client's
comments and allow the group to address the situation.
A client on the psychiatric unit appears to imitate a certain nurse on the unit. The
client seeks out this particular nurse and imitates the nurse's mannerisms. Which
defense mechanism is the client using?
Sublimation.
Identification.
Introjection.
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