A nurse is caring for a client who is refusing to attend group therapy. The client states, "I don't know why you think I need therapy. I am fine without it."" Which of the following responses by the nurse indicates a therapeutic response?

"You don't feel like group therapy is for you. Tell me more about what you know about group therapy".

"I am not saying that you need therapy, but I am sure it will help you."

"I understand that you feel like you don't need it; however, the provider thinks it will help."

"You don't have to be afraid to go. Our therapists are very understanding."

Answer and Explanation

The Correct Answer is A

A. This response validates the client's feelings and opens up a dialogue for the client to express their thoughts and concerns about group therapy, which is a key aspect of therapeutic communication.

B. This response may come across as dismissive of the client's feelings and does not encourage open communication.

C. While this response acknowledges the client's feelings, it does not encourage the client to share more about their concerns.

D. This response makes assumptions about the client's feelings and does not invite them to express their thoughts.

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Correct Answer is A

Explanation

A. A lithium level of 1.6 mEq/L is indicative of mild to moderate lithium toxicity, with symptoms including gastrointestinal discomfort and poor coordination.

B. Lip smacking and tongue thrusting are associated with tardive dyskinesia, not lithium toxicity.

C. Blurred vision and jerking motor movements are more indicative of severe lithium toxicity or other neurological disorders.

D. Fever and fluctuating blood pressure are not typical manifestations of lithium toxicity at this level.

A. Antisocial personality disorder B. Histrionic personality disorder C. Schizotypal personality disorder D. Narcissistic personality disorder

Correct Answer is A

Explanation

A. Antisocial personality disorder is characterized by a disregard for rules and the rights of others, often leading to manipulative and defiant behavior.

B. Histrionic personality disorder involves excessive emotionality and attention-seeking behavior but does not typically include a refusal to follow rules.

C. Schizotypal personality disorder involves eccentric behavior and discomfort in close relationships, not necessarily a refusal to follow rules.

D. Narcissistic personality disorder involves grandiosity and a need for admiration, but it is more focused on self-importance than rule defiance.

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A nurse is caring for a client who is refusing to attend group therapy. The client states, "I don't know why you think I need therapy. I am fine without it."" Which of the following responses by the nurse indicates a therapeutic response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing laboratory results for a client and notes a serum lithium level of 1.6 mEq/L. Which of the following manifestations should the nurse expect the client to report?

Correct Answer is A

Explanation

A nurse on a mental health unit is caring for a client who refuses to follow instructions and states that the unit rules do not apply to them. The nurse should identify that these findings are manifestations of which of the following personality disorders?

Correct Answer is A

Explanation

A nurse is preparing to discharge a client who has been diagnosed with schizophrenia. The client asks, "I am not sure why I need to have a relapse plan." Which of the following responses should the nurse make?

A nurse is caring for a client who has substance use disorder who has expressed interest in receiving treatment to stop using. Which of the following interventions is an example of a tertiary intervention strategy for this client?

A nurse is caring for a client who has schizophrenia. In which of the following phases of the nurse-client relationship should the nurse suggest a guided therapy session?

A nurse is providing dietary teaching to a client who has been diagnosed with Alzheimer's disease about including foods to decrease the progression of the disease. Which of the following foods should the nurse recommend?

A nurse in an emergency department is assessing a client who has a personality disorder and reports that they recently used illicit drugs. Which of the following screening tools should the nurse use to determine if the client has recently used an illicit substance?

A nurse is caring for a client who is experiencing lack of sleep, lack of appetite, and difficulties with concentration. Which of the following types of dementia should the nurse expect this client to have?

A nurse is admitting a client who has anorexia nervosa. Which of the following statements should the nurse expect from this client?

A nurse is discussing treatment options with the guardian of a child who has been diagnosed with dissociative identity disorder. The guardian asks, "How is nursing care different for children diagnosed with dissociative identity disorder compared to adults?" How should the nurse best respond?