A charge nurse is providing education to a group of newly licensed nurses about the rights of clients who are involuntarily admitted. Which of the following responses indicates understanding of the teaching?

“These clients can receive packages after they are privately inspected by security.”

“These clients cannot be considered for a research study.”

“These clients can vote in local and federal elections.”

“These clients cannot refuse their prescribed antipsychotic medications.”

Answer and Explanation

The Correct Answer is C

Choice A reason:

While clients may receive packages, this statement does not specifically address their rights. The focus should be on their fundamental rights and freedoms.

Choice B reason:

Clients who are involuntarily admitted can be considered for research studies, provided they give informed consent and the study is ethically approved.

Choice C reason:

Clients who are involuntarily admitted retain their right to vote in local and federal elections. This is a fundamental right that is not lost due to their admission status.

Choice D reason:

Clients who are involuntarily admitted still have the right to refuse medications, including antipsychotics, unless there is a court order or emergency situation that mandates treatment.

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Correct Answer is B

Explanation

Choice A reason:

Paranoid personality disorder is characterized by pervasive distrust and suspicion of others. Individuals with this disorder often believe that others are out to harm or deceive them, and they may be reluctant to confide in others due to fear that the information will be used against them. They may also bear grudges and be quick to perceive attacks on their character that are not apparent to others. This disorder does not typically involve attention-seeking behaviors or flirtatious and seductive actions.

Choice B reason:

Histrionic personality disorder is marked by a pattern of excessive emotionality and attention-seeking behavior. Individuals with this disorder often feel uncomfortable when they are not the center of attention and may engage in inappropriate sexually seductive or provocative behavior to draw attention to themselves. They may also exhibit rapidly shifting and shallow expressions of emotions, use their physical appearance to attract attention, and have a style of speech that is excessively impressionistic and lacking in detail. These characteristics align with the behaviors described in the scenario.

Choice C reason:

Narcissistic personality disorder involves a pervasive pattern of grandiosity, need for admiration, and a lack of empathy for others. Individuals with this disorder often have an inflated sense of their own importance and a deep need for excessive attention and admiration. They may exploit others to achieve their own ends and believe they are superior to others. While they do seek attention, their behaviors are more focused on achieving admiration and recognition rather than the flirtatious and seductive behaviors described in the scenario.

Choice D reason:

Antisocial personality disorder is characterized by a disregard for and violation of the rights of others. Individuals with this disorder may engage in deceitful, manipulative, or aggressive behavior and often have a history of criminal activity. They may also show a lack of remorse for their actions. This disorder does not typically involve attention-seeking behaviors or flirtatious and seductive actions.

A. Give the client a cup of hot black tea before bed. B. Wake the client at the same time each morning. C. Take the client for a walk 2 hours before bedtime each night. D. Allow the client to take a 90-minute nap immediately after lunch.

Correct Answer is B

Explanation

Choice A reason:

Giving the client a cup of hot black tea before bed is not advisable. Black tea contains caffeine, which can interfere with sleep and exacerbate sleep disturbances. It is important to avoid stimulants before bedtime to promote better sleep quality.

Choice B reason:

Waking the client at the same time each morning helps establish a consistent sleep-wake cycle, which is beneficial for managing sleep disturbances. Regular wake times can help regulate the body’s internal clock and improve overall sleep patterns.

Choice C reason:

Taking the client for a walk 2 hours before bedtime can be beneficial as physical activity can promote better sleep. However, it is not as crucial as maintaining a consistent wake time, which directly influences the sleep-wake cycle.

Choice D reason:

Allowing the client to take a 90-minute nap immediately after lunch may interfere with nighttime sleep. Long naps during the day can reduce the drive to sleep at night, leading to further sleep disturbances.

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A charge nurse is providing education to a group of newly licensed nurses about the rights of clients who are involuntarily admitted. Which of the following responses indicates understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who exhibits excessive attention-seeking behaviors, including acting flirtatious and seductive. The nurse should identify these behaviors as manifestations of which of the following personality disorders?

Correct Answer is B

Explanation

A nurse is providing teaching to the caretakers of a client who has Alzheimer’s disease with mild cognitive decline. The client is beginning to experience sleep disturbances. Which of the following instructions should the nurse include?

Correct Answer is B

Explanation

A nurse is preparing to teach a client who has major depressive disorder and is scheduled to undergo electroconvulsive therapy (ECT). Which of the following statements should the nurse include in the teaching?

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A nurse is admitting a client who has borderline personality disorder and is at risk for self-mutilation. Which of the following interventions should the nurse incorporate in the plan of care?

A nurse is caring for a client who is aggressive toward other clients and has been placed in wrist restraints. After obtaining a prescription for restraints from the provider, which of the following actions should the nurse take?

A charge nurse is planning an in-service for newly licensed nurses on tort law in mental health care. Which of the following scenarios should the charge nurse provide as an example of an unintentional tort?

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A nurse is caring for a client who has a new diagnosis of major depressive disorder. Which of the following medications should the nurse expect the provider to prescribe to the client as a first-line treatment?