The nurse is educating a client about their diagnosis of somatization disorder prior to the termination phase of the nurse-client relationship. Which statement by the client indicates a need for additional teaching?

"I will let my therapist know if I think suicidal thoughts."

"I have learned that my family can be a support system."

"Drinking strong coffee really helps me combat my fatigue."

"Nicotine makes my heart race, so I need to stop smoking."

Answer and Explanation

The Correct Answer is C

Choice A reason: Informing a therapist about suicidal thoughts is a positive step and indicates good understanding.

Choice B reason: Recognizing the family as a support system shows appropriate understanding of social support in managing somatization disorder.

Choice C reason: This statement indicates a misunderstanding, as caffeine may temporarily alleviate fatigue but does not address the underlying issues of somatization disorder.

Choice D reason: Understanding the need to stop smoking due to its effects on the heart is a correct understanding of managing physical symptoms.

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Correct Answer is ["C","D","E"]

Explanation

Choice A reason: While hobbies can be therapeutic, they are not the primary focus of nursing interventions for a client with schizotypal personality disorder and hygiene issues.

Choice B reason: Establishing close relationships is beneficial but may not be the immediate focus for a client who is struggling with basic self-care.

Choice C reason: Improving functioning in the community is a key goal for clients with schizotypal personality disorder to help them integrate better into society.

Choice D reason: Developing social skills is essential for clients with schizotypal personality disorder to interact more effectively with others.

Choice E reason: Development of self-care skills is crucial, especially given the client's unkempt appearance and lack of bathing, indicating a need for better personal hygiene practices.

A. Monitor the client's weight daily. B. Stay with the client during meals and for 1 hour afterward. C. Provide the client with small, frequent meals. D. Offer specific privileges for sustained weight gain. E. Allow the client to choose the meals she will eat.

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

Explanation

Choice A reason: Monitoring the client's weight daily is essential to track progress and adjust treatment plans accordingly.

Choice B reason: Staying with the client during and after meals helps prevent purging behaviors and provides emotional support.

Choice C reason: Providing small, frequent meals can help manage the client's intake without overwhelming them, which is suitable for someone with anorexia nervosa.

Choice D reason: Offering privileges for sustained weight gain can serve as positive reinforcement for healthy behaviors.

Choice E reason: Allowing the client to choose their meals is not recommended as it may lead to the selection of inadequate nutrition, which could hinder recovery.

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The nurse is educating a client about their diagnosis of somatization disorder prior to the termination phase of the nurse-client relationship. Which statement by the client indicates a need for additional teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["C","D","E"]

Explanation

A nurse on an inpatient eating disorders unit is caring for a client who has anorexia nervosa with a body mass index (BMI) of 17.2. Which of the following actions should the nurse take? Select all that apply.

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

Explanation

A male nurse is assigned to care for a female client who was admitted to the hospital for treatment of injuries following a domestic abuse incident. The client expresses discomfort with a male nurse as her caregiver. Which response should the nurse manager provide?

The nurse is working with clients with personality disorders that are having problems with relationships and other parts of their life. Which barrier(s) is the nurse experiencing when working with this group of clients? Select all that apply.

The nurse is caring for a client who delivered a newborn 2 days ago and states that they are experiencing crying spells, anxiety, and sadness that started the day after delivery. Which is the most therapeutic action by the nurse?

A client diagnosed with Schizophrenia is slow to respond and appears to be listening to unseen others. Which medication should the nurse expect a physician to order to address this type of symptom?

A nurse is discussing comorbidities associated with eating disorders with a newly admitted client. Which of the following conditions should the nurse include in the discussion? (Select all that apply)

A nurse is preparing to assist with electroconvulsive therapy (ECT). Which of the following pieces of equipment should the nurse set up in the room prior to the treatment? (Select all that apply.)

During an assessment of family dynamics for a client with an eating disorder, which observed issue could indicate a reason for the client's eating disorder?