A client states “I have something to tell you in confidence.” Which response by the nurse would be appropriate?

“I don’t want to know this. Tell your health care provider.”.

“I’m your nurse and you can tell me anything.”.

“I’ll close the door first so that no one will hear you.”.

“I can’t promise that the information won’t be shared if your health or safety is involved.”.

Answer and Explanation

The Correct Answer is D

“I can’t promise that the information won’t be shared if your health or safety is involved.” This response by the nurse would be appropriate because it respects the client’s confidentiality while also acknowledging its limits of it. The nurse has a duty to report any information that may indicate a risk of harm to the client or others.

Choice A is wrong because it dismisses the client’s need to share something and implies that the nurse is not interested or trustworthy.

Choice B is wrong because it gives a false assurance of confidentiality and may lead to ethical dilemmas if the client reveals something that requires reporting.

Choice C is wrong because it does not address the issue of confidentiality and may give the impression that the nurse is trying to avoid the conversation.

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Correct Answer is A

Explanation

Schizophrenia is a disorder that has genetic risk factors, but is not caused by a single gene. The risk of developing schizophrenia is higher if you have a close relative with the disorder, but it is not certain. The risk varies depending on the degree of relatedness and the number of genes involved. The heritability of schizophrenia, which measures how much of the risk is due to genetic factors, is estimated to be between 60% to 80%.

Choice B is wrong because it exaggerates the risk of schizophrenia for children of affected parents. The risk is about 10%, not 10 times more than the general public.

Choice C is wrong because it gives a false and misleading statistic.

There is no 50% chance that a child will be born with schizophrenia, and there is no evidence that crowded places and high anxiety situations can cause the disorder.

Choice D is wrong because it is based on false and outdated stereotypes. Females with schizophrenia are not infertile and can carry a full-term pregnancy, but most of the people who are affected are male.

A. TMS requires anesthesia prior to administration. B. TMS requires a muscle relaxing medication prior to administration. C. TMS requires the patient to lay flat in bed during administration. D. TMS requires daily treatments for 4 to 6 weeks.

Correct Answer is D

Explanation

TMS requires daily treatments for 4 to 6 weeks. This is because TMS is a noninvasive procedure that uses magnetic fields to stimulate nerve cells in the brain to improve symptoms of depression. TMS is typically used when other depression treatments haven’t been effective. The treatment can last 30 to 60 minutes and is done 5 days a week for about 4 to 6 weeks.

Choice A is wrong because TMS does not require anesthesia prior to administration. The procedure is done without using surgery or cutting the skin and the patient is awake throughout the treatment.

Choice B is wrong because TMS does not require a muscle-relaxing medication prior to administration. The procedure does not cause muscle contractions or spasms and the patient can resume normal activities after the treatment.

Choice C is wrong because TMS does not require the patient to lay flat in bed during administration. The procedure is done in a comfortable chair and the patient can drive themselves home after the treatment.

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A client states “I have something to tell you in confidence.” Which response by the nurse would be appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client newly diagnosed with schizophrenia asks the nurse “Will I pass this disease on to my children?” What is the best response?

Correct Answer is A

Explanation

A nurse should include which statement when instructing a client about Transcranial Magnetic Stimulation (TMS).

Correct Answer is D

Explanation

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