A new nurse is working in an adolescent residential program for children with impulse control disorders. Which action would require the charge nurse to immediately follow up with the new nurse? When the new nurse…

Encourages clients to participate in various activities on the unit

Allows the client to skip mandatory programming as a reward for good behavior

Ignores a client’s attention-seeking behavior of screaming in their bedroom

Removes a client from group after they become disruptive, per unit policy

Answer and Explanation

The Correct Answer is B

A: Encouraging clients to participate in various activities is a positive approach that helps engage them in the program and develop new skills.

B: Allowing the client to skip mandatory programming as a reward for good behavior is inappropriate because it undermines the structure and consistency of the program. Mandatory programming is essential for therapeutic progress and should not be used as a reward or punishment.

C: Ignoring attention-seeking behavior, such as screaming, can be an appropriate strategy to avoid reinforcing negative behaviors, provided it is done within the context of a behavior management plan.

D: Removing a client from group after they become disruptive, per unit policy, is an appropriate action to maintain the therapeutic environment and ensure the safety and well-being of all clients.

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Correct Answer is B

Explanation

A: Echopraxia, the involuntary imitation of another person’s movements, is considered a positive symptom of schizophrenia, reflecting an excess or distortion of normal functions.

B: Flat affect, characterized by a lack of emotional expression, is a negative symptom of schizophrenia. Negative symptoms involve a decrease or loss of normal functions, such as emotional expression, motivation, and social engagement.

C: Somatic delusions, which involve false beliefs about bodily functions or sensations, are positive symptoms of schizophrenia. They represent distortions of reality and are not classified as negative symptoms.

D: Waxy flexibility, where a person maintains a position after being placed in it by someone else, is a catatonic symptom and is not specifically categorized as a negative symptom. It is more related to motor behavior abnormalities.

A. Determine if the medication can be switched to a difficult-to-conceal form (e.g., liquid, fast-dissolving tablet). B. Address underlying reasons for not wanting to take medications. C. Assess for delusions and hallucinations once a shift. D. Administer medications in a seclusion room so they can be closely monitored. E. Don’t allow the patient to attend group activities if medication was not taken.

Correct Answer is ["A","B"]

Explanation

A: Switching to a difficult-to-conceal form of medication can help ensure that the patient takes their medication as prescribed. Liquid or fast-dissolving tablets are harder to hide or spit out.

B: Addressing the underlying reasons for not wanting to take medications is crucial for understanding the patient’s perspective and finding solutions that encourage adherence.

C: While assessing for delusions and hallucinations is important, it is not directly related to ensuring medication adherence.

D: Administering medications in a seclusion room is not a standard practice and can be seen as punitive. It should only be used if the patient poses a risk to themselves or others.

E: Not allowing the patient to attend group activities if medication was not taken can be counterproductive and may increase the patient’s resistance to treatment.

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A new nurse is working in an adolescent residential program for children with impulse control disorders. Which action would require the charge nurse to immediately follow up with the new nurse? When the new nurse…

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is performing an admission assessment for a client who has schizophrenia. Which of the following findings should the nurse identify as a negative symptom?

Correct Answer is B

Explanation

A patient with schizophrenia has been admitted to an inpatient facility. Since admission, the patient has been either refusing medication or cheeking their medications. What interventions should the nurse implement? Select all that apply.

Correct Answer is ["A","B"]

Explanation

A home health nurse is making a visit to a client who has Alzheimer’s disease to assess the home for safety. Which of the following suggestions should the nurse make to decrease the client’s risk for injury? Select all that apply.

A nurse is caring for an adolescent who fainted at school. When interviewing the family, which statement by the mother best aligns with the diagnosis of bulimia?

Which of the following patients is most likely to become violent?

What inpatient setting has the lowest risk for experiencing violence?

The nurse is working with the family of a child diagnosed with autism spectrum disorder. What would be an appropriate intervention for the family?

A client diagnosed with a personality disorder states, “You are the very best nurse on the unit and not at all like that mean nurse who never lets us stay up later than 9 p.m.” This statement would be associated with which personality disorder?

A school-aged patient with attention-deficit/hyperactivity disorder is entering day treatment. During the initial office visit, the mental health nurse anticipates the patient will exhibit which of the following behaviors? Select all that apply.

A nurse in a drug and alcohol detoxification center is planning care for a client who has alcohol use disorder. Which of the following interventions should the nurse identify as the priority?