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A nurse is caring for multiple clients on a mental health unit.
Which of the following clients should the nurse attend to first?.

A client who has bipolar disorder and is continuously pacing at the end of the hall.

A client who is standing in her room, yelling obscenities and throwing her clothes.

A client in the dayroom who is screaming at other clients about what is on the television.

A client who is repeatedly approaching the nurses' station to request medication for his anxiety.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

While pacing can indicate anxiety, this client is not currently a threat to themselves or others.

Choice B rationale:

This client is exhibiting aggressive behavior and could potentially harm themselves or damage property.

Choice C rationale:

Although this client’s behavior is disruptive, it is not immediately dangerous.

Choice D rationale:

This client’s repeated requests indicate anxiety, but they are not in immediate danger.

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Correct Answer is B

Explanation

Choice A rationale:

This statement is incorrect. Aripiprazole is an antipsychotic medication and is not used for smoking cessation.

Choice B rationale:

This statement is correct. Bupropion is an antidepressant that has been shown to be effective in helping people quit smoking.

Choice C rationale:

This statement is incorrect. Quetiapine is an antipsychotic medication and is not used for smoking cessation.

Choice D rationale:

This statement is incorrect. Risperidone is an antipsychotic medication and is not used for smoking cessation.

A. Demonstrate a neutral demeanor. B. Be vague when answering the client's questions about instructions. C. Ask the client why he is suspicious of others. D. Use an overly friendly approach.

Correct Answer is A

Explanation

Choice A rationale:

Demonstrating a neutral demeanor helps build trust with a client who has paranoid personality disorder. It’s important to avoid showing too much emotion, which could be misinterpreted by the client.

Choice B rationale:

Being vague when answering the client’s questions about instructions could increase the client’s paranoia. Clear and direct communication is essential.

Choice C rationale:

Asking the client why he is suspicious of others could lead to defensive behavior. It’s better to focus on building trust and understanding.

Choice D rationale:

Using an overly friendly approach could be perceived as insincere or manipulative by a client with paranoid personality disorder. A neutral demeanor is more effective.

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A nurse is caring for multiple clients on a mental health unit. Which of the following clients should the nurse attend to first?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing information to a client about smoking cessation. Which of the following medications should the nurse include?.

Correct Answer is B

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Correct Answer is A

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A nurse is caring for multiple clients on a mental health unit.
Which of the following clients should the nurse attend to first?.