A nurse in an outpatient mental health clinic is assessing a new client. Which of the following findings should the nurse immediately report to the provider?

The client is experiencing anisognosia

The client is experiencing command hallucinations

The client is exhibiting concrete thinking

The client is exhibiting a blunted affect

Answer and Explanation

The Correct Answer is B

A. The client is experiencing anisognosia: Anisognosia, a lack of awareness of one's own illness, is common in various psychiatric disorders, particularly in psychotic disorders like schizophrenia. While it is concerning, it does not typically require immediate reporting.

B. The client is experiencing command hallucinations: Command hallucinations, where the client hears voices telling them to take harmful actions, pose a direct safety risk. These should be immediately reported to the provider for further evaluation and intervention.

C. The client is exhibiting concrete thinking: Concrete thinking is common in individuals with certain psychiatric conditions, such as schizophrenia or intellectual disabilities. While it limits abstract thought, it is not an immediate cause for alarm.

D. The client is exhibiting a blunted affect: A blunted affect, or reduced emotional expression, is a common symptom in various mental health disorders. It is important for diagnosis and treatment planning but is not an immediate emergency or urgent situation.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Provide positive reinforcement when the child uses eye contact: Positive reinforcement is an effective strategy for children with autism, especially for improving communication behaviors like eye contact. It encourages social interaction in a non-overwhelming way.
B. Administer haloperidol to the child as prescribed: Haloperidol is an antipsychotic used for certain symptoms in ASD, but its use should be carefully monitored. Medication is not the first line for addressing communication challenges in children with ASD.
C. Administer tranquilizing medications if the child becomes frustrated: Using tranquilizing medications as a first response is inappropriate. Non-pharmacological approaches, like behavior modification, should be prioritized to manage frustration and other symptoms.
D. Instruct the child's guardian on the use of implosion therapy: Implosion therapy, which involves exposing the child to anxiety-provoking situations, is not appropriate for children with ASD. It can increase distress and is not suitable for managing the child's needs.

A. Traumatic flashbacks B. Clang associations C. Difficulty finding words D. Revenge seeking behaviour

Correct Answer is C

Explanation

A. Traumatic flashbacks: Flashbacks are more commonly associated with post-traumatic stress disorder (PTSD), not dementia. Clients with dementia may experience confusion or memory loss but not typically flashbacks.

B. Clang associations: Clang associations, which involve the use of rhyming words or sounds that are not connected in meaning, are more common in conditions like schizophrenia, not dementia.

C. Difficulty finding words: Difficulty finding words (aphasia) is a common symptom of dementia. As the condition progresses, clients often experience challenges with communication, including word-finding difficulties and trouble with speech.

D. Revenge seeking behavior: Revenge-seeking behavior is not a typical characteristic of dementia. While individuals with dementia may become agitated or exhibit behavioral changes, these are usually related to confusion or frustration, not planned revenge.

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A nurse in an outpatient mental health clinic is assessing a new client. Which of the following findings should the nurse immediately report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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