A client has been admited to a psychiatric-mental health facility in a manic state. The client's spouse accompanies the client to the facility and informs the nurse that the client has been displaying manic symptoms for the past 2 weeks. The spouse reports that the client has not slept for the past 2 days and that the client has not eaten anything for at least 3 days. Which would be the priority for this client?

Imbalanced nutrition.

Risk for violence.

Ineﬀective health maintenance.

Risk for suicide.

Answer and Explanation

The Correct Answer is A

Choice A reason: This is the correct choice. Given the client has not eaten for several days, addressing nutritional needs is a priority to prevent further physical health complications.

Choice B reason: While there may be a risk for violence, the immediate physical health needs related to nutrition are more pressing.

Choice C reason: Ineﬀective health maintenance may be a concern, but it is not as immediate as the risk posed by imbalanced nutrition.

Choice D reason: There is no indication in the text that the client is at risk for suicide; therefore, this would not be the priority without further assessment.

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Correct Answer is C

Explanation

Choice A reason: Trying to fix the problem may not be helpful as OCD is a chronic condition that requires professional treatment.
Choice B reason: It is unrealistic to expect that a client with OCD will not have any compulsions at all.
Choice C reason: Patience is key in supporting a family member with OCD as they work through their treatment.
Choice D reason: Reminding the client to not perform rituals can increase anxiety and is not a recommended approach.

A. "You may want to consider moving to a group home, since you will not be free of the troublesome symptoms." B. "While you may not be completely symptom-free, you should still see an increase in your quality of life by continuing with the treatment plan." C. "Why are you not seeing the value of this treatment plan for recovery?" D. "The medical model of recovery works to eliminate all symptoms. Maybe you should see a medical doctor."

Correct Answer is B

Explanation

Choice A reason: Suggesting a move to a group home based on symptom presence may not be appropriate. Quality of life can be improved in various living situations, and the decision should be individualized.

Choice B reason: This statement is supportive and realistic, acknowledging that while symptoms may persist, quality of life can still improve with ongoing treatment.

Choice C reason: This question could be perceived as confrontational. It's important to discuss the treatment plan's value in a way that is supportive and understanding.

Choice D reason: The medical model aims to reduce symptoms, but it is not always possible to eliminate them entirely. Recovery involves managing symptoms and improving quality of life.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A psychiatric-mental health nurse is conducting an educational session for families of clients diagnosed with obsessive-compulsive disorder (OCD). What components should the nurse teach the families of clients diagnosed with OCD?

Correct Answer is C

Explanation

A nurse is discussing quality of life with a client who has schizophrenia. Which of the following statements should the nurse include?

Correct Answer is B

Explanation

The nurse is teaching the client with obsessive-compulsive disorder about reducing anxiety. Which would the nurse not include in teaching?

A 9-year-old patient with atention deficit hyperactivity disorder (ADHD) has been prescribed a stimulant. The nurse knows that the teaching has been eﬀective when the patient's parents make which statement?

A 9-year-old client with atention deficit hyperactivity disorder (ADHD) has been placed on a stimulant. The nurse knows that the teaching has been eﬀective when the client's parents make which statement?

A patient with a phobia asks, "What is desensitization therapy?" The best response is:

Safety is the nursing priority for a client who is at risk for alcohol withdrawal. A care plan for the client who is in withdrawal must include which nursing interventions?

An adolescent is being observed for atention deficit hyperactivity disorder (ADHD). Which circumstance would demonstrate evidence to support this diagnosis?

The nurse is performing a mental health assessment for a client with schizophrenia. Which statement made by the client demonstrates that the client is having auditory hallucinations?