The nurse is caring for a client in an acute mental health unit. The client states, “I believe my food is poisoned.” Which of the following should be an appropriate action by the nurse?

Taking steps to prevent the client from verbalizing the delusional thoughts.

Allowing the client to select food from vending machines.

Explaining that others eat the same food and feel safe.

Encouraging the client to discuss why someone would poison the food.

Answer and Explanation

The Correct Answer is B

Choice A Reason:
Taking steps to prevent the client from verbalizing delusional thoughts is not therapeutic. It can lead to the client feeling misunderstood and unsupported. Nurses should provide a safe environment where clients feel comfortable expressing their thoughts and feelings.

Choice B Reason:
Allowing the client to select food from vending machines can be a temporary measure to address the immediate concern of the client’s fear of being poisoned. It provides a sense of control over their situation and may help to reduce anxiety related to eating.

Choice C Reason:
Simply explaining that others eat the same food and feel safe may not be effective for a client experiencing delusions. Delusions are fixed beliefs that are not easily changed by logical explanations or evidence to the contrary.

Choice D Reason:
Encouraging the client to discuss why someone would poison the food might validate the delusion and could reinforce the false belief. It’s important to acknowledge the client’s feelings without supporting the delusional content.

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Correct Answer is D

Explanation

Choice A Reason:
An adventitious crisis is not applicable here. This type of crisis is usually a result of a natural or man-made disaster, war, or major accident, which is not the case with the client's situation.

Choice B Reason:
Maturational crises are associated with life transitions or developmental stages, such as retirement or menopause. While the client is older, the crisis is not due to a normal life transition but rather an unexpected event.

Choice C Reason:
Developmental crises occur as a person moves through the stages of life. The client's crisis does not stem from a developmental issue but from an external event that has disrupted their life.

Choice D Reason:
Situational crises arise from external sources that an individual may face throughout life, such as the death of a loved one, loss of a job, or severe illness. The client's inability to cope with the sudden death of their spouse is a situational crisis.

A. Decrease in the number of referrals needed for the client. B. Decrease in the number of visits to the client by staff. C. Efficiency in client care services. D. Increase in length of stay.

Correct Answer is C

Explanation

Choice A Reason:
An interprofessional team can lead to a decrease in the number of referrals needed for the client because multiple health care providers from different specialties are working collaboratively. This team approach can address various aspects of a client's care simultaneously, reducing the need for external consultations.

Choice B Reason:
While an interprofessional team may streamline care, it does not necessarily decrease the number of visits to the client by staff. Each professional has a role that requires direct interaction with the client, and the frequency of these visits depends on the client's needs and the care plan.

Choice C Reason:
Efficiency in client care services is a key benefit of an interprofessional team. By working together, team members can coordinate care, share information quickly, and make decisions more effectively, leading to better client outcomes and a more efficient use of resources.

Choice D Reason:
An increase in length of stay is not a benefit of an interprofessional team. In fact, effective interprofessional collaboration can lead to a decrease in length of stay by optimizing care, preventing complications, and facilitating timely interventions.

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The nurse is caring for a client in an acute mental health unit. The client states, “I believe my food is poisoned.” Which of the following should be an appropriate action by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for an older adult client following the sudden death of their spouse. The client feels stuck in their ability to deal with work and family responsibilities. The nurse should recognize that the client is experiencing which type of crisis?

Correct Answer is D

Explanation

A charge nurse is providing an in-service to a group of nurses about the benefits of an interprofessional team. Which of the following information should the nurse include?

Correct Answer is C

Explanation

The nurse is caring for a client in an acute mental health unit. The client states, “I believe my food is poisoned.” Which of the following should be an appropriate action by the nurse?

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