In a psychiatric unit, how are bright colors in the client’s environment often perceived?

Frightening.

Calming.

Depressive.

Stimulating.

Answer and Explanation

The Correct Answer is D

Bright colors in a psychiatric unit environment are often perceived as stimulating. They can enhance alertness and motivation in patients.

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Correct Answer is D

Explanation

An 80-year-old patient with chronic obstructive pulmonary disease, chronic respiratory failure, and urosepsis is at the highest risk for developing delirium. Multiple factors such as advanced age, severe illness, and multiple comorbidities increase the risk of delirium.

A. “Tell me more about how you’re feeling.”. B. “You’re not thinking of killing yourself, are you?” C. “Have you thought of therapy?” D. “Let’s discuss some coping strategies.”.

Correct Answer is A

Explanation

Choice A rationale
When a client expresses feelings of hopelessness and exhibits behaviors such as giving away possessions, it is crucial for the nurse to further explore these feelings. Asking the client to elaborate on their feelings allows the nurse to gather more information and assess the severity of the client’s emotional state. It also communicates to the client that the nurse is there to listen and provide support.
Choice B rationale
While it is important to assess for suicidal ideation in clients expressing hopelessness, asking directly, “You’re not thinking of killing yourself, are you?” can come across as confrontational and may cause the client to become defensive or close off.
Choice C rationale
Suggesting therapy is a potential intervention, but it is not the best initial response. The immediate priority is to assess the client’s emotional state and risk for self-harm.
Choice D rationale
Discussing coping strategies may be beneficial once the client’s immediate emotional state and safety have been addressed. However, it is not the best initial response when a client is expressing intense feelings of hopelessness.

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In a psychiatric unit, how are bright colors in the client’s environment often perceived?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

In a medical-surgical unit, the nurse is monitoring several patients. Which patient does the nurse identify as being at the highest risk for developing delirium?

Correct Answer is D

Explanation

The home health aide reports to the practical nurse that the client has been trying to give away possessions. When the nurse asks the client about this behavior, the client says, “With my spouse dead, there’s no reason for me to go on.”. What is the best priority response by the nurse?

Correct Answer is A

Explanation

A patient has been admitted due to severe depression. What symptoms should the nurse anticipate during the assessment?

A client reports to the nurse that her elderly mother has become increasingly angry and responds inappropriately to conversations within the past few months. She notes that her mother does not respond when the mother’s back is turned. What is the best intervention for the nurse?

What are the goals of therapeutic communication?

During the assessment of a mental health client, it is crucial for the nurse to thoroughly check for symptoms of depression. Which symptom is indicative of Depression?

Which medication side effect is irreversible if not detected early?

A confused older adult patient in a skilled nursing facility was asleep when unlicensed assistive personnel (UAP) entered the room quietly and touched the bed to see if it was wet. The patient awakened and hit the UAP in the face. Which statement best explains the patient’s action?