A nurse assisting in the care of a client who has a mood disorder. Which of the following client statements by the client indicates readiness for discharge?

"I can always come stay in the hospital again if I don't want to take care of my own needs."

"Right now, I can't bathe or dress myself, but my family will help me."

"I will take my medicines as I should and know who to call if I have bad thoughts."

"Taking care of myself is important, but it's okay if I don't want to do anything."

Answer and Explanation

The Correct Answer is C

A.   This statement suggests dependency and a lack of readiness to take responsibility for self-care.
B.   While family support is important, the client should be able to demonstrate some level of independence for discharge readiness.
C.   Taking medications as prescribed and knowing who to contact in case of suicidal thoughts shows insight and preparedness for discharge.
D.   This statement reflects avoidance and a lack of motivation, indicating that the client is not yet ready for discharge.

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Correct Answer is C

Explanation

A. Asking why the client doesn't see the value of treatment is confrontational and dismisses the client’s
experience.
B. Suggesting a group home without addressing the client’s personal goals or preferences could be perceived as dismissive.
C. While complete symptom resolution is not guaranteed, focusing on improving the client’s quality of
life and continuing treatment is more realistic and supportive.
D. The medical model of recovery emphasizes symptom management, but suggesting it works to eliminate all symptoms may be overly optimistic for someone with schizophrenia.

A. The client is hostile and sarcastic towards the staff. B. The client paces in the hallway during the day and most of the night. C. The client gives money away to other clients. D. The client demonstrates flight of ideas once a week but is more quiet during meals

Correct Answer is B

Explanation

A. Hostility and sarcasm are concerning, but they are not as urgent as the risk of injury associated with hyperactivity.
B. Pacing in the hallway during the day and night is indicative of extreme restlessness and may lead to exhaustion or self-harm. The nurse should address this behavior to prevent harm.
C. Giving money away may be problematic, but it is a less immediate risk compared to physical safety.
D. Flight of ideas is a common symptom of mania, but it is less dangerous than pacing and hyperactivity, which can lead to physical harm.

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A nurse assisting in the care of a client who has a mood disorder. Which of the following client statements by the client indicates readiness for discharge?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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