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 D

Explanation

Choice A reason: Separate personalities are not a characteristic of schizophrenia; this is a common misconception. The disorder involving separate personalities is more accurately associated with dissociative identity disorder.

Choice B reason: While mood swings and hostility can occur in schizophrenia, they are not defining features of the disorder. Schizophrenia is primarily characterized by psychosis, which includes delusions and hallucinations.

Choice C reason: Preoccupation with somatic symptoms is more commonly associated with somatic symptom disorder, not schizophrenia. Schizophrenia involves a range of symptoms including cognitive and emotional dysfunctions.

Choice D reason: Thought disturbances, such as disorganized thinking, and hallucinations, particularly auditory ones, are hallmark symptoms of schizophrenia and are often used in its assessment.

A. Try to fix the problem that the client is currently having. B. Expect the client to not have compulsions at all. C. Be patient with your family member's discomfort. D. Remind the client to not perform rituals.

Correct Answer is C

Explanation

Choice A reason: Trying to fix the problem may not be helpful as OCD is a chronic condition that requires professional treatment.
Choice B reason: It is unrealistic to expect that a client with OCD will not have any compulsions at all.
Choice C reason: Patience is key in supporting a family member with OCD as they work through their treatment.
Choice D reason: Reminding the client to not perform rituals can increase anxiety and is not a recommended approach.

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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

Schizophrenia is most often characterized by which assessment finding?

Correct Answer is D

Explanation

A psychiatric-mental health nurse is conducting an educational session for families of clients diagnosed with obsessive-compulsive disorder (OCD). What components should the nurse teach the families of clients diagnosed with OCD?

Correct Answer is C

Explanation

Which is necessary as a defining feature of mental illness?

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 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 9-year-old patient with atention deficit hyperactivity disorder (ADHD) has been prescribed a stimulant. The nurse knows that the teaching has been eﬀective when the patient's parents make which statement?

A client recovering from a substance use disorder reports feelings of anxiety. Which activity would the nurse recommend to avoid?

While conducting an admission interview with a client, the nurse suspects the client may be in alcohol withdrawal. Which screening tool can help the nurse identify the severity of withdrawal symptoms?

Which goal is appropriate for the client being treated for obsessive-compulsive disorder with response prevention therapy?

The nurse is teaching the client with obsessive-compulsive disorder about reducing anxiety. Which would the nurse not include in teaching?