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."

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. This is the correct answer. Flushing the tubing with water after medication administration ensures that the medication reaches the stomach and prevents any residue from remaining in the tubing.
B. Clamping the tubing is not typically necessary after medication administration and may impede the flow of subsequent medications or enteral feedings.
C. While checking the patency of the tubing is important before medication administration, it is not specifically performed after administering the medication.
D. Aspirating the tubing after medication administration is not necessary and may disrupt the delivery of the medication into the stomach.

A. "I will apply cold compresses when my joints are painful." B. "I will limit purine intake in my diet." C. "I plan to take water aerobics classes at the gym near my house." D. "I will avoid the use of ibuprofen for pain control."

Correct Answer is C

Explanation

A. "I will apply cold compresses when my joints are painful." Cold compresses can provide temporary relief from pain and inflammation associated with osteoarthritis.
B. "I will limit purine intake in my diet." Limiting purine intake is more relevant for conditions like gout, not osteoarthritis.
C. "I plan to take water aerobics classes at the gym near my house." Water aerobics is a lowimpact exercise that can help improve joint mobility and reduce pain associated with osteoarthritis.
D. "I will avoid the use of ibuprofen for pain control." Ibuprofen is a common nonsteroidal antiinflammatory drug (NSAID) that can help relieve pain and inflammation in osteoarthritis. However, it's essential to consider potential side effects and consult with a healthcare provider before long-term use, especially in older adults.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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