A nurse is caring for a client who has schizophrenia with an exacerbation of hallucinations. The client states, "I do not understand why the hallucinations have come back." The nurse should explain that which of the following is the reason for the exacerbation of hallucinations?

Boundaries

Relapse

The SE model

Stigma

Answer and Explanation

The Correct Answer is B

Rationale:

A. Boundaries refer to maintaining professional limits in the nurse-client relationship, which is not directly related to the cause of hallucination exacerbation.

B. Relapse is the return of symptoms after a period of improvement, which is a common explanation for the recurrence of hallucinations in a client with schizophrenia.

C. The SE model (Social Ecological Model) is a framework for understanding the various levels of influence on health behaviors and is not a direct cause of hallucinations.

D. Stigma refers to the negative attitudes and beliefs about mental illness, which can affect a client’s self-perception but is not a direct cause of symptom exacerbation.

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Correct Answer is D

Explanation

Rationale:

A. Reviewing the client's history and reading progress notes are important for understanding the client's situation but are secondary to ensuring the nurse's readiness.

B. Reviewing current provider prescriptions is relevant but does not address the immediate need for self-preparation.

C. Performing self-reflection is essential to ensure that the nurse is emotionally prepared and empathetic, which is crucial when dealing with clients experiencing significant grief.

D. Performing self-reflection is the most critical first step as it ensures the nurse is emotionally prepared and able to provide empathetic and non-judgmental support to the client during a difficult time.

A. Allowing a client to skip individual therapy if they are tired B. Administering client medications on an inpatient unit C. Allowing the client to use exercise equipment when becoming anxious D. Assisting the client in using adaptive coping skills E. Following suicide precautions for a client

Correct Answer is ["C","D","E"]

Explanation

Rationale:

A. Allowing a client to skip therapy may not be promoting mental health effectively and could hinder progress.

B. Administering medications is a necessary task but does not directly relate to mental health promotion strategies.

C. Allowing the use of exercise equipment to manage anxiety supports mental health promotion by encouraging healthy coping mechanisms.

D. Assisting clients in using adaptive coping skills is a key aspect of mental health promotion, helping clients develop effective strategies to manage their condition.

E. Following suicide precautions ensures safety and is a proactive approach to mental health management.

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A nurse is caring for a client who has schizophrenia with an exacerbation of hallucinations. The client states, "I do not understand why the hallucinations have come back." The nurse should explain that which of the following is the reason for the exacerbation of hallucinations?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing for a home visit with a client whose partner recently died by suicide. Which of the following actions should the nurse take first when preparing to provide client-centered care?

Correct Answer is D

Explanation

A nurse is explaining to a newly hired nurse how mental health promotion can be used for clients. Which of the following examples should the nurse use in the explanation? (Select all that apply.)

Correct Answer is ["C","D","E"]

Explanation

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