A client is readmited to the substance use disorder program for the second time in 6 months for alcohol use disorder. Upon admission, the client tells the nurse, "I am so ashamed." What should the nurse reply?

"You have nothing to be ashamed of."

"Tell me what has happened since your last admission."

"I really thought you would make it."

"Why did you start drinking again?"

Answer and Explanation

The Correct Answer is B

Choice A reason: While it's important to provide support, simply telling the client they have nothing to be ashamed of does not address the underlying issues or feelings the client may be experiencing.

Choice B reason: This response opens a dialogue and allows the client to share their experiences and challenges since the last admission, fostering a therapeutic relationship and understanding.

Choice C reason: This statement could be perceived as judgmental and may make the client feel worse, potentially hindering the therapeutic relationship.

Choice D reason: Asking why they started drinking again could come across as accusatory and may cause the client to become defensive or feel guilty, which is not conducive to recovery.

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Correct Answer is A

Explanation

Choice A reason: This is the correct choice. The client's belief that "They're out to get me" is indicative of paranoia, a common symptom in schizophrenia.

Choice B reason: This choice is incorrect. Stilted language refers to an unnatural, formal way of speaking, not suspicion or guardedness.

Choice C reason: This choice is incorrect. Pressured speech is rapid and urgent speech, which is not described in the scenario.

Choice D reason: This choice is incorrect. Autistic thinking is associated with autism, not schizophrenia, and does not involve paranoia.

A. Education B. Support C. Safety D. Cognitive interventions

Correct Answer is C

Explanation

Choice A reason: While education is important, it is not the priority for a client with significantly progressed dementia, as their ability to learn new information is likely impaired.

Choice B reason: Support is crucial for clients with dementia, but it is not the immediate priority in the context of safety concerns.

Choice C reason: This is the correct choice. Safety is the priority for clients with significantly progressed dementia due to increased risk of harm from confusion, wandering, and other behaviors.

Choice D reason: Cognitive interventions may be part of the treatment plan, but they are not the priority when compared to ensuring the client's safety.

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A client is readmited to the substance use disorder program for the second time in 6 months for alcohol use disorder. Upon admission, the client tells the nurse, "I am so ashamed." What should the nurse reply?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nursing student is preparing to care for a client diagnosed with schizophrenia. When interacting with the client, the student notices that the client is highly suspicious and guarded, stating, "They're out to get me." The student identifies this as what?

Correct Answer is A

Explanation

A client is diagnosed with dementia that has progressed significantly. Which would be the priority for this client?

Correct Answer is C

Explanation

For a client diagnosed with obsessive-compulsive disorder (OCD), which strategy should the nurse include in the client's plan of care to address the challenge of coping eﬀectively with daily obsessions and compulsions?

Nurses are encouraged to constantly be aware of the nonverbal communication of a client with mental illness primarily for which reason?

The client has been diagnosed with a depressive disorder. Which statement by the client indicates an understanding of this disorder?

A client recovering from a substance use disorder reports feelings of anxiety. Which activity would the nurse recommend to avoid?

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

Which client is most likely to benefit from electroconvulsive therapy (ECT)?

The nurse is talking with a client who states, "I am so sad today, it is the anniversary of my parent's death." Which response by the nurse may impede the communication process between the nurse and client?