Safety is the nursing priority for a client who is at risk for alcohol withdrawal. A care plan for the client who is in withdrawal must include which nursing interventions?

Seizure precautions and vital signs.

Observation for symptoms, vital signs, seizure and fall precautions, medications as ordered.

Suicide precautions because suicide atempts are frequent during withdrawal.

Vital signs and medications as prescribed.

Answer and Explanation

The Correct Answer is B

Choice A reason: Seizure precautions and monitoring vital signs are important but not comprehensive enough for a complete care plan.
Choice B reason: This is the correct choice. It encompasses a broad range of interventions that are critical for a client undergoing alcohol withdrawal, including monitoring for various symptoms, ensuring safety, and administering medications.
Choice C reason: While suicide precautions are important, they are not the only intervention needed for a client in alcohol withdrawal.
Choice D reason: Monitoring vital signs and administering medications are important but do not cover all necessary precautions such as seizure and fall precautions.

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Correct Answer is A

Explanation

Choice A reason: This statement clearly indicates the presence of auditory hallucinations, which are a common symptom of schizophrenia.
Choice B reason: While this could suggest auditory hallucinations, it could also be a question about shared experience and not necessarily indicative of a hallucination.
Choice C reason: Smelling feces where there is none could indicate an olfactory hallucination, which is less common than auditory hallucinations in schizophrenia.
Choice D reason: Tasting foul substances that are not present could suggest gustatory hallucinations, which, like olfactory hallucinations, are less common in schizophrenia.

A. Explore the availability of support groups. B. Develop strategies to interrupt thoughts. C. Maintain a structured living environment. D. Establish healthy sleep hygiene routines.

Correct Answer is B

Explanation

Choice A reason: While support groups can be beneficial, they are not a direct coping strategy for managing daily obsessions and compulsions.
Choice B reason: This is the correct choice. Developing strategies to interrupt obsessive thoughts is a key component of cognitive-behavioral therapy, which is eﬀective in treating OCD.
Choice C reason: Maintaining a structured environment may help reduce stress but does not directly address coping with obsessions and compulsions.
Choice D reason: Healthy sleep hygiene is important, but it is not a strategy specifically aimed at coping with OCD symptoms.

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Safety is the nursing priority for a client who is at risk for alcohol withdrawal. A care plan for the client who is in withdrawal must include which nursing interventions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is performing a mental health assessment for a client with schizophrenia. Which statement made by the client demonstrates that the client is having auditory hallucinations?

Correct Answer is A

Explanation

For a client diagnosed with obsessive-compulsive disorder (OCD), which strategy should the nurse include in the client's plan of care to address the challenge of coping eﬀectively with daily obsessions and compulsions?

Correct Answer is B

Explanation

When providing care to a client who consistently atempts to manipulate the staﬀ, the nurse can best maintain the therapeutic milieu by doing what?

Which client is most likely to benefit from electroconvulsive therapy (ECT)?

A client is experiencing a panic atack while in the recreation room. Which intervention(s) would be a priority to promote the client's safety?

A client is experiencing a panic atack while in the recreation room. Which intervention(s) would be a priority to promote the client's safety?

Which intervention is appropriate for a psychiatric-mental health nurse at the basic level of practice?

A client is readmited to the substance use disorder program for the second time in 6 months for alcohol use disorder. Upon admission, the client tells the nurse, "I am so ashamed." What should the nurse reply?

A nursing student is preparing to care for a client diagnosed with schizophrenia. When interacting with the client, the student notices that the client is highly suspicious and guarded, stating, "They're out to get me." The student identifies this as what?

The geriatrician has prescribed medication for an 80-year-old client to treat the client's dementia. Which teaching points should the nurse provide to the client's spouse about the new medication?