A nurse is caring for a client who was admitted to the mental health unit for treatment. The client states, "I am a nurse on the medical-surgical unit, and I don't want my coworkers to know." Which of the following actions should the nurse take?

Explain to the client that there is a legal obligation to share information.

Advise the client that her supervisor will be informed.

Tell the client her coworkers' opinions should not matter.

Inform the client that the information will be shared with the treatment team.

Answer and Explanation

The Correct Answer is D

Choice A reason: Explaining a legal obligation to share information is not accurate in this context.

Choice B reason: Advising the client that her supervisor will be informed is not necessary or appropriate.

Choice C reason: Telling the client her coworkers' opinions should not matter does not address the confidentiality concern.

Choice D reason: The correct answer is d) because informing the client that the information will be shared with the treatment team addresses the need for confidentiality while ensuring the team has the necessary information for treatment.

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Correct Answer is D

Explanation

Choice A reason: Providing a show of force is not therapeutic and does not align with the purpose of a therapeutic milieu.

Choice B reason: Fostering social relationships is important but is not the primary purpose.

Choice C reason: Synergizing with an autocratic leadership style is not the goal of a therapeutic milieu.

Choice D reason: The correct answer is d) because the primary purpose of managing the milieu on a psychiatric unit is to create an environment that supports clients in meeting their treatment goals.

A. To assess cognitive ability, ask the client to write a sentence. B. To assess mood, observe facial expression. C. To assess cognitive ability, ask the client to count backward by sevens. D. To assess appearance, take note of the client's nutritional status. E. To assess recent memory, have the client repeat a list of objects. F. To assess the client's abstract thinking, ask the client to identify our most recent presidents.

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

Explanation

Choice A reason: The correct answer is a) because asking the client to write a sentence helps assess cognitive ability, including language and writing skills.

Choice B reason: Observing facial expression assesses mood, but it is not one of the three selected for understanding cognitive ability.

Choice C reason: Counting backward by sevens assesses cognitive function, but it is not selected in this question.

Choice D reason: The correct answer is d) because taking note of the client's nutritional status is part of assessing appearance.

Choice E reason: The correct answer is e) because asking the client to repeat a list of objects assesses recent memory.

Choice F reason: Asking the client to identify recent presidents assesses abstract thinking but is not one of the three selected for understanding the teaching.

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A nurse is caring for a client who was admitted to the mental health unit for treatment. The client states, "I am a nurse on the medical-surgical unit, and I don't want my coworkers to know." Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The psychiatric nurse works towards providing a therapeutic milieu for clients. What is the primary purpose of managing the milieu on a psychiatric unit?

Correct Answer is D

Explanation

A charge nurse is discussing examinations with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? (Select the 3 that apply.)

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

Explanation

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