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
Related Questions
Correct Answer is B
Explanation
A. Checking the client’s heart rate on the oximeter may provide additional data but does not address the low oxygen saturation or guide immediate intervention.
B. Comparing the result with the baseline reading helps determine if the 88% saturation is a sudden drop or consistent with the client’s usual oxygenation status, guiding further actions.
C. Decreasing the amount of oxygen would be inappropriate, as the client is already experiencing low oxygen saturation. Increasing oxygen may be necessary based on provider orders.
D. Performing another reading while the client ambulates could further decrease oxygen levels and is not an appropriate immediate action. Oxygenation should be assessed at rest before considering exertion.
Correct Answer is ["A","B","E"]
Explanation
A. Insulin aspart: Insulin aspart is a rapid-acting insulin that can be mixed with certain types of insulin, such as NPH insulin, to provide both rapid and intermediate-acting coverage in a single injection.
B. Regular Insulin: Regular insulin is a short-acting insulin that can be mixed with intermediateacting insulins, such as NPH insulin, to provide both short and intermediate-acting coverage in a single injection.
C. Insulin glargine: Insulin glargine is a long-acting insulin that should not be mixed with other insulins due to its pH and precipitation properties.
D. Insulin detemir: Insulin detemir is a long-acting insulin that should not be mixed with other insulins due to its pH and precipitation properties.
E. Insulin lispro: Insulin lispro is a rapid-acting insulin that can be mixed with certain types of insulin, such as NPH insulin, to provide both rapid and intermediate-acting coverage in a single injection
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