The client with schizophrenia believes the student nurses are there to spy on the clients. The client is suffering from which of the following symptoms?

Hallucinations

Anhedonia

Illusions

Delusions

Answer and Explanation

The Correct Answer is D

D. Delusions are false beliefs that are firmly held despite evidence to the contrary. They are not based on reality and are often resistant to rational persuasion or evidence. Delusions can take various forms, such as persecutory (feeling targeted or spied on), grandiose (believing in exaggerated self-importance), or paranoid (feeling threatened or persecuted).

A. Hallucinations involve perceiving sensory experiences that are not present in reality. These sensory experiences can occur in any of the five senses, including seeing, hearing, tasting, smelling, or feeling things that are not actually there.

B. Anhedonia refers to the inability to experience pleasure or interest in activities that are typically enjoyable.

C. Illusions involve misinterpreting real sensory stimuli. Unlike hallucinations, which involve perceiving sensory experiences that are not present, illusions occur when existing sensory stimuli are misinterpreted or distorted.

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

Explanation

A. Financial dependence can create barriers to leaving the relationship, especially if the abused person lacks the means to support themselves or their dependents independently.
B. Low self-esteem and a sense of self-worth tied to the relationship can lead individuals to tolerate abuse in hopes of salvaging the relationship or out of fear of being alone.
D. Fear of independence or uncertainty about managing life without the abuser's presence can deter individuals from leaving the relationship.
E. Fear of retaliation or harm from the abuser, including threats of violence or death, can keep individuals trapped in the relationship out of concern for their safety.
C. While substance abuse may contribute to the complexity of an abusive relationship, it is not necessarily a reason why abused persons remain with an abusive partner. Substance abuse can exacerbate existing issues within the relationship but may not be the primary reason for staying.

A. Provide a structured environment for the client. B. Identify the client's nutritional status. C. Plan a therapeutic diet for the client. D. Request a mental health consult.

Correct Answer is B

Explanation

A. A structured environment can include regular meal times, consistent routines, and clear expectations. While providing a structured environment is important in the overall management of eating disorders, it may not address the immediate concerns related to the client's severe weight loss and distorted body image.
B. Given the client's significant weight loss and distorted body image, assessing their nutritional status is crucial in understanding the extent of the problem and determining appropriateinterventions.
interventions. However, the client’s symptoms point to a mental health problem.
C. While planning a therapeutic diet is an essential component of the client's long-term treatment plan, it may not be the first priority given the client's current medical and psychological status.

D.Given the client's distorted body image, severe weight loss, and belief that she is fat, requesting a mental health consult is not the first priority. The physiological needs should be addressed first

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The client with schizophrenia believes the student nurses are there to spy on the clients. The client is suffering from which of the following symptoms?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which are common reasons why abused persons remain with an abusive partner? Select all that apply.

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

Explanation

A nurse is admitting a client who has experienced a weight loss of 11 kg (25 lb) in the past 3 months. The client weighs 40 kg (88 lb) and believes she is fat. Which of the following aspects of care should the nurse consider the first priority for this client?

Correct Answer is B

Explanation

A nurse is teaching a client who has a new prescription for disulfiram (Antabuse). Which of the following information should the nurse include in the teaching?

A nurse is caring for a client with paranoid personality disorder who is extremely suspicious of the nursing staff and other clients. Which of the following nursing approaches is appropriate when establishing a therapeutic relationship with this client?

A nurse in an acute mental health facility is creating a plan of care for a new client who has histrionic personality disorder. Which of the following is the priority intervention for the nurse to make?

A nurse is providing teaching to a client who has schizophrenia and is to begin taking haloperidol. Which of the following information should the nurse include in the teaching?

A nurse on a mental health unit is caring for a client who has generalized anxiety disorder. The client received a telephone call that was upsetting. and now the client is pacing up and down the corridors of the unit. Which of the following actions should the nurse take?

A client is admitted for a drug overdose with a barbiturate. Which is the priority nursing action when planning care for this client?

A nurse is caring for a client who has obsessive-compulsive disorder (OCD). Which of the following characteristics are expected findings of OCD? (Select all that apply.)

A nurse is caring for a client who is having difficulty sleeping and is pacing the floor. The client's head down, and he is wringing his hands. Which of the following actions should the nurse take?