A nurse is caring for a client in an inpatient mental health facility. The client tells the nurse that the government is reading her mail. Which of the following responses should the nurse make?
"It must be frightening to think that someone is reading your mail."
"You know that's not true, because it is against the law for others to read your mail."
"All of your letters come sealed, so that seems unlikely."
"Why do you think the government wants to read your mail?"
The Correct Answer is A
A. This response acknowledges the client's feelings and validates their experience without confirming or denying the delusion.
B. This response challenges the client's belief and may cause distress or exacerbate paranoia.
C. While factually correct, this response may not address the client's underlying concerns or feelings.
D. This response may invalidate the client's experience and may not effectively address the delusional belief.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["10"]
Explanation
First, we need to determine how many milligrams (mg) are in each milliliter (mL) of the solution.
The available methylphenidate oral solution has a concentration of 10 mg per 5 mL.
To find out how many milligrams are in 1 mL of the solution, we divide 10 mg by 5 mL: 10 mg / 5 mL = 2 mg/mL
The child's prescription is for 40 mg per day, divided into two doses. So, each dose should contain:
40 mg / 2 doses = 20 mg per dose 2mg=1ml
20mg= 20*1/2= 10ml
Therefore, the nurse should administer 10 mL of methylphenidate oral solution per dose
Correct Answer is D
Explanation
A. While anger is a common emotion in grief, the priority is addressing the client's inability to eat, which can have significant health implications.
B. Recalling negative experiences during the marriage may indicate unresolved issues but is not as immediately concerning as the client's inability to eat.
C. Feelings of guilt are common in grief, but the priority is addressing the client's physical health needs, particularly their inability to eat.
D. Changes in eating habits, such as being unable to eat more than once a day, can indicate maladaptive coping mechanisms or potential physical health concerns, making it the priority for the nurse to address.
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