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 D

Explanation

A. Assigning a private room may increase isolation, which is not conducive to a therapeutic environment.
B. Tucking bedcovers over the client’s hands and arms could be a restrictive action, not appropriate for
suicide prevention.
C. Removing utensils is not necessary unless the client has direct access to harmful objects.
D. Inspecting personal belongings ensures that the client does not have items that could be used for self-harm, which is a key suicide precaution.

A. "Let's walk together to group so we can discuss your concerns." B. "I think you should attend group therapy. We will talk about this when you're done." C. "I wouldn't worry about that. They will call you back later." D. "Why do you think you are getting a visit from someone today?"

Correct Answer is A

Explanation

A. Acknowledge the client’s delusion while gently redirecting them to the necessary activity (group
therapy). This approach maintains engagement without directly confronting the delusion.
B. Ignoring the delusion and focusing only on group therapy may cause the client to feel unheard or dismissed.
C. Dismissing the delusion is not therapeutic and could undermine trust.
D. Asking "why" could challenge the delusion, leading to defensiveness rather than productive conversation.

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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 D

Explanation

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Correct Answer is A

Explanation

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