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The nurse is performing a history and physical assessment for a client in the clinic with moderate dementia. The client becomes agitated when asked questions and inquires why so many questions are being asked. What are the best actions for the nurse to take to obtain the necessary data? Select all that apply.

Persistently ask the same question until answered.

Give the client ample time to answer the questions asked.

Ask simple questions instead of compound questions.

Provide simple explanations to the client as often as required.

Take frequent breaks during the interview process.

Answer and Explanation

Correct Answer : B,C,D,E

Choice A reason: Persistently asking the same question can increase agitation in clients with dementia.

Choice B reason: Allowing ample time for responses can reduce pressure and agitation in clients with dementia.

Choice C reason: Simple questions are easier for clients with dementia to understand and respond to.

Choice D reason: Providing simple explanations can help clients with dementia understand the purpose of the questions.

Choice E reason: Taking frequent breaks can help prevent fatigue and agitation during the assessment process.

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

Explanation

Choice A reason: Blunt affect is a negative symptom of schizophrenia, characterized by a significant reduction in the expression of emotions.

Choice B reason: Poor judgments are not specifically categorized as negative symptoms; they can be a result of cognitive deficits associated with schizophrenia.

Choice C reason: Delusions are considered positive symptoms of schizophrenia, involving false beliefs maintained despite evidence to the contrary.

Choice D reason: Anhedonia, the inability to experience pleasure, is a negative symptom of schizophrenia, reflecting a diminished interest or pleasure in all or almost all activities.

Choice E reason: Hallucinations are considered positive symptoms of schizophrenia, involving perceiving things that are not present.

A. Talking in rapid, continuous speech. B. Interacting with others in a flirtatious way. C. Dressing in black or grey clothing. D. Sleeping for long periods of time. E. Spending large sums of money.

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

Explanation

Choice A reason: Rapid, continuous speech is a common symptom of manic behavior, as individuals may feel an increased pressure to speak.

Choice B reason: Flirtatious interaction can be part of the increased sociability and decreased inhibition associated with mania.

Choice C reason: Dressing in black or grey clothing is not specifically indicative of manic behavior.

Choice D reason: Sleeping for long periods is more commonly associated with depressive episodes, not manic behavior.

Choice E reason: Spending large sums of money recklessly can be a sign of the impulsivity and poor judgment that accompany manic episodes.

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Naxlex Comprehensive Predictor Exams

A nurse in a mental health clinic is conducting a staff education session on schizophrenia. Which of the following manifestations should the nurse identify as negative symptoms? Select all that apply.

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

Explanation

A nurse is caring for a client who has bipolar disorder. Which of the following actions by the client should the nurse interpret as displaying manic behavior? Select all that apply.

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

Explanation

A client is seeking counseling due to difficulty coping with being a victim of a violent attack 16 months ago. Which elements will the nurse assess for when determining the major components of posttraumatic stress disorder (PTSD)? (Select all that apply.)

The nurse provides education to a client's family about the client's eating disorder, anorexia nervosa. Which statement would indicate that the education was effective?

The nurse is educating a client with alcoholism who has been in rehabilitation for two weeks to prepare for discharge. Which statement made by the client indicates that education was effective and the client is best prepared for discharge?

The nurse is talking with a client who grew up in a home where both parents were alcoholics. Which behaviors does the nurse identify when assessing this client that correlate with this home life? Select all that apply.

The nurse is providing education for a client to improve mental and emotional health and influence the client's response to illness. Which statement made by the client indicates that the education is effective? (Select all that apply.)

The nurse is teaching a client with paranoid personality disorder to validate ideas with another person before taking action. Which statement made by the client indicates that the teaching is effective?

A nurse is assessing a client who has posttraumatic stress disorder (PTSD) following a sexual assault. Which of the following is an expected finding?