A nurse is caring for a client who has schizophrenia. The client tells the nurse, "Government agents are out to get me." Which of the following responses should the nurse make?
"You will be okay."
"Feelings of persecution are normal with your condition."
"It must be frightening to believe that someone is after you."
"Let me check to see if it's time to take your medication."
The Correct Answer is C
A. Incorrect. This response dismisses the client's concerns and does not acknowledge the distress the client may be experiencing.
B. Incorrect. While it's true that paranoia is a common symptom of schizophrenia, stating that it is "normal" may invalidate the client's feelings and does not address the underlying distress. C. Correct. This response validates the client's feelings and demonstrates empathy by acknowledging the distress associated with the belief that government agents are after them.
D. Incorrect. While medication management is important in the treatment of schizophrenia, this response does not address the client's immediate concerns or validate their feelings of persecution.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}
Explanation
Correct answers:
1. pulmonary edema
2. shallow rapid breaths
Correct Answer is C
Explanation
Choice A Rationale: Pulling the auricle upward and outward is typically recommended for children or infants due to the position of their ear canals. In adults, this method may not align the ear canal properly, making it difficult to administer the medication effectively.
Choice B Rationale: Pulling the auricle downward and backward is not recommended for adults as it can cause the ear canal to narrow, which may hinder the proper administration of the otic suspension and could potentially cause discomfort.
Choice C Rationale: Pulling the auricle upward and backward is the correct method for adults. This technique straightens the ear canal, allowing for easier administration of the medication and ensuring that the medication reaches the eardrum effectively.
Choice D Rationale: Pulling the auricle downward and outward is not the correct method for adults as it does not straighten the ear canal, which could prevent the medication from being properly administered and may not reach the treatment area effectively.
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