The nurse is preparing the physical environment to interview a new client for admission to the mental health unit. Which environmental setting facilitates the best outcome of the interview?

Position a table between the client and the nurse for extra personal space.

Reduce the noise level in the room by turning off the television and radio.

Sit within two feet of the client to enhance the level of safety and security.

Dim the lights in the room to help the patient feel calm.

Answer and Explanation

The Correct Answer is B

A.   Positioning a table might create a barrier and hinder rapport-building during the interview.
B.   Reducing noise levels helps create a more conducive environment for communication and allows better focus during the interview.
C.   Sitting too close might invade the client's personal space and could be uncomfortable or threatening.
D.   Dimming the lights might not be suitable as it can hinder communication and create a less engaging environment for the interview.

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Correct Answer is A

Explanation

A. Providing a quiet room is important. This is because individuals with PTSD are often hypersensitive to noise and other stimuli, which can trigger flashbacks or other
symptoms. A quiet environment can help to reduce anxiety and promote relaxation.
B. Acquainting the client with the unit rules is important, but connecting the client with peers who understand their experiences can be more therapeutic initially.
C. Ensuring a well-balanced diet is essential but might not be the priority in the immediate plan of care for someone newly admitted with PTSD.
D. Introducing the client to others with similar diagnoses helps foster a sense of belonging.
However, this is a long-term rather than an immediate intervention.

A. Disturbed sensory perception. B. Compromised family coping. C. Impaired environmental interpretation. D. Ineffective sexual patterns.

Correct Answer is A

Explanation

A. The client's belief in having an extraordinarily high IQ and grandiose delusions about being married to a movie star are indicative of disturbed sensory perception.
B. While family coping might be impacted, the primary concern here is the client's altered perception of reality.
C. Impaired environmental interpretation might be related to the delusions but is not the primary problem.
D. Ineffective sexual patterns are not the primary concern in this scenario; the client's altered reality and delusions take precedence.

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The nurse is preparing the physical environment to interview a new client for admission to the mental health unit. Which environmental setting facilitates the best outcome of the interview?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with post-traumatic stress disorder (PTSD) is admitted to the psychiatric unit. Which intervention is most important for the nurse to include in this client's plan of care?

Correct Answer is A

Explanation

A male client tells the nurse that he has an IQ of 400+ and is a genius and an inventor. He also reports that he is married to a female movie star and thinks that his brother wants a sexual relationship with her. Which is the priority nursing problem for admission to the psychiatric unit?

Correct Answer is A

Explanation

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