A nurse is caring for a client who has dementia and is experiencing anticipatory grief. Which of the following actions should the nurse take?

Provide the client with a timeline for grieving.

Share personal stories of grief with the client.

Show sympathy for the client when discussing their condition.

Encourage the client to express their feelings.

Answer and Explanation

The Correct Answer is D

Choice A reason:
The statement "Provide the client with a timeline for grieving" is not appropriate. Grieving is a highly individual process, and there is no set timeline for how long it should take. Providing a timeline can create unrealistic expectations and additional stress for the client.

Choice B reason:
The statement "Share personal stories of grief with the client" is not recommended. While sharing personal experiences can sometimes help build rapport, it can also shift the focus away from the client's needs and feelings. The primary goal should be to support the client in expressing their own emotions³.

Choice C reason:
The statement "Show sympathy for the client when discussing their condition" is well-intentioned but not the most effective approach. While showing sympathy is important, it is more beneficial to provide empathetic support that encourages the client to talk about their feelings and experiences.

Choice D reason:
The statement "Encourage the client to express their feelings" is the correct response. Encouraging the client to express their feelings helps them process their grief and can provide emotional relief. It is important to create a safe and supportive environment where the client feels comfortable sharing their emotions.

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Correct Answer is ["A","B","C","D","E","F","G"]

Explanation

The client’s return for a follow-up examination after new onset of symptoms indicates a change in their health status that requires immediate attention.

Loss of appetite can be a sign of various health issues, including depression and other mental health disorders1. It’s important to address this symptom promptly to ensure the client is receiving proper nutrition.

Excessive sleepiness can be a symptom of several conditions, including depression, sleep disorders, and certain medical conditions1. It’s important to investigate this symptom further to determine its cause.

Becoming teary when asked about plans for activities could indicate emotional distress or depression. Mental health is a critical aspect of overall health, and this symptom should be addressed promptly.

Questioning the reason to live if not working is a serious symptom that could indicate suicidal ideation

This requires immediate attention and intervention.

While a dry, nonproductive cough can be a symptom of a respiratory condition, since breath sounds are present bilaterally, it may not require immediate attention. However, any persistent cough should be evaluated.

Occasional muscle aches and pains can be a symptom of various conditions, including fibromyalgia, influenza, and other infections1. It’s important to investigate this symptom further to determine its cause.

Reporting no energy could be a symptom of conditions such as depression, chronic fatigue syndrome, or anemia. This symptom should be addressed promptly to determine its cause and appropriate treatment.

A. A client who has narcissistic personality disorder B. A client who has conversion disorder C. A client who has mild anxiety disorder D. A client who has severe obsessive-compulsive disorder

Correct Answer is B

Explanation

Choice A Reason:
Narcissistic personality disorder is characterized by a pervasive pattern of grandiosity, need for admiration, and lack of empathy. Clients with this disorder do not typically experience sensory impairments as a direct result of their condition. The primary concerns with narcissistic personality disorder involve interpersonal relationships and self-esteem issues rather than sensory deficits.

Choice B Reason:
Conversion disorder, also known as functional neurological symptom disorder, involves neurological symptoms that cannot be explained by medical or neurological conditions. These symptoms can include sensory impairments such as blindness, deafness, or loss of sensation. Assessing clients with conversion disorder for sensory impairments is crucial because these symptoms are a key feature of the disorder. The nurse should evaluate the client's sensory function to provide appropriate care and support.

Choice C Reason:
Mild anxiety disorder typically involves symptoms such as excessive worry, restlessness, and physical symptoms like increased heart rate or muscle tension. Sensory impairments are not a common feature of mild anxiety disorder. While anxiety can affect perception and concentration, it does not usually lead to sensory deficits. The nurse should focus on managing anxiety symptoms rather than assessing for sensory impairments.

Choice D Reason:
Severe obsessive-compulsive disorder (OCD) involves intrusive thoughts (obsessions) and repetitive behaviors (compulsions). While OCD can significantly impact a client's daily functioning and quality of life, it does not typically cause sensory impairments. The primary focus for clients with severe OCD should be on managing obsessions and compulsions through therapy and medication.

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A nurse is caring for a client who has dementia and is experiencing anticipatory grief. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["A","B","C","D","E","F","G"]

Explanation

A nurse is receiving a change-of-shift report about a group of assigned clients at a mental health facility. Which of the following clients should the nurse assess for risks related to sensory impairments?

Correct Answer is B

Explanation

A nurse in an acute care mental health facility is caring for a client who has been placed in seclusion following an acute violent episode. Which of the following actions should the nurse take?

A nurse is caring for a school-age child who has conduct disorder and is in physical restraints after becoming physically aggressive toward other clients on the unit. Which of the following actions should the nurse take?

A nurse is caring for a client who is prescribed massage therapy to treat panic disorder. The client states, "I can't stand to be touched by another person." Which of the following responses should the nurse make?

A nurse is caring for a client who has Alzheimer's disease. Which of the following findings should the nurse expect?

A nurse in a rehabilitation center is caring for a client who has bipolar disorder. Which of the following actions by the client indicates mania?

A nurse is caring for a client who has narcissistic personality disorder. Which of the following treatments should the nurse recommend?

A nurse is caring for a client who has obsessive-compulsive personality disorder. Which of the following findings should the nurse expect?

A nurse in a mental health facility is caring for a client who is being aggressive toward other clients. Which of the following actions is the priority for the nurse to take?