The nurse is talking with a client who states, "I am so sad today, it is the anniversary of my parent's death." Which response by the nurse may impede the communication process between the nurse and client?

"You will feel beter tomorrow."

"I'll sit here with you for a while."

"I am sorry you feel sad."

"Would you like to talk?"

Answer and Explanation

The Correct Answer is A

Choice A reason: This choice is incorrect as it dismisses the client's feelings and implies a timeline for grief, which can impede communication.

Choice B reason: This choice is appropriate as it oﬀers support and presence, which can facilitate communication.

Choice C reason: This choice is empathetic and acknowledges the client's feelings, promoting communication.

Choice D reason: This choice is open-ended and invites the client to share more, which can enhance communication.

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Correct Answer is C

Explanation

Choice A reason: Multiple motor and vocal tics are more characteristic of Tourete syndrome, not autism spectrum disorder.

Choice B reason: Overly atached behavior is not typically associated with autism spectrum disorder; individuals with ASD often have difficulty with social atachments.

Choice C reason: This is correct. Individuals with autism spectrum disorder often prefer solitary activities and may show limited interest in social interactions.

Choice D reason: An irresistible urge to pull out one's hair is indicative of trichotillomania, not autism spectrum disorder.

A. A client with bipolar disorder who is not compliant with the blood testing necessary for lithium therapy. B. A client with a diagnosis of bipolar disorder who has recently begun experiencing a manic episode. C. A client whose recent strange behavior has been atributed to cyclothymic disorder. D. A client whose major depression has not responded appreciably to antidepressants.

Correct Answer is D

Explanation

Choice A reason: This choice is incorrect. Non-compliance with blood testing does not typically indicate a need for ECT.
Choice B reason: This choice is incorrect. A recent onset of a manic episode is usually managed with medication adjustments, not ECT.
Choice C reason: This choice is incorrect. Cyclothymic disorder is a milder form of bipolar disorder and is not typically treated with ECT.
Choice D reason: This is the correct choice. ECT is often considered for clients with severe depression that is resistant to medication.

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The nurse is talking with a client who states, "I am so sad today, it is the anniversary of my parent's death." Which response by the nurse may impede the communication process between the nurse and client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 6-year-old client who has been diagnosed with autism spectrum disorder would be expected to display which behavior?

Correct Answer is C

Explanation

Which client is most likely to benefit from electroconvulsive therapy (ECT)?

Correct Answer is D

Explanation

The client is being admited with suicidal thoughts. Which questions should the nurse ask the client? Select all that apply.

Which neurological function is aﬀected by the action of serotonin?

The nurse is teaching the client with obsessive-compulsive disorder about reducing anxiety. Which would the nurse not include in teaching?

Nurses are encouraged to constantly be aware of the nonverbal communication of a client with mental illness primarily for which reason?

The nurse is caring for a client with obsessive-compulsive disorder (OCD). Which action by the nurse will increase the client's sense of security?

A 9-year-old client who has been diagnosed with autism spectrum disorder would be expected to display which behavior?

While conducting an admission interview with a client, the nurse suspects the client may be in alcohol withdrawal. Which screening tool can help the nurse identify the severity of withdrawal symptoms?

The nurse is educating a client and family regarding the eﬀects of antipsychotic medications. Which extrapyramidal symptoms that may be caused by antipsychotic drugs will the nurse include in the education plan? Select all that apply.