When providing care to a client who consistently atempts to manipulate the staﬀ, the nurse can best maintain the therapeutic milieu by doing what?

Instructing the staﬀ to enforce all unit rules consistently.

Encouraging questions and discussing the client's concerns.

Promoting social ostracism of the client exhibiting manipulation.

Scheduling staﬀ one-on-one time with the client.

Answer and Explanation

The Correct Answer is A

Choice A reason: This is the correct choice. Consistent enforcement of rules prevents manipulation and maintains a stable environment for all clients.
Choice B reason: While encouraging questions and discussion is generally positive, it does not directly address manipulative behavior.
Choice C reason: Promoting social ostracism is not therapeutic and can harm the client's mental health and recovery.
Choice D reason: Scheduling one-on-one time could be beneficial, but it does not address the issue of manipulation towards the staﬀ.

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Correct Answer is B

Explanation

Choice A reason: This choice is incorrect. While postpartum depression can increase suicide risk, it does not have the highest correlation with completed suicide.

Choice B reason: This is the correct choice. Older male clients, especially those living in rural areas, have a higher risk of completing suicide due to factors like isolation and access to lethal means.

Choice C reason: This choice is incorrect. Being married and having a new baby can be protective factors against suicide.

Choice D reason: This choice is incorrect. While stress from school can contribute to suicide risk, it does not typically pose the highest risk compared to other factors.

A. Talking about the photos will encourage the client to live in the past. B. This can help the children to correctly identify old photographs. C. Viewing photos is a form of reminiscence therapy for the client. D. Sharing photos will encourage interaction with other clients.

Correct Answer is C

Explanation

Choice A reason: Encouraging a client to live in the past is not a therapeutic goal. Reminiscence therapy is used to stimulate memories and conversations, not to have clients dwell in the past.

Choice B reason: Helping children identify old photographs may be a side benefit but is not the primary therapeutic reason for using photo albums in dementia care.

Choice C reason: Viewing photos as part of reminiscence therapy can help clients with dementia recall memories and engage with others, which can improve their mood and cognitive function.

Choice D reason: While sharing photos might encourage interaction, the primary benefit of viewing photos in dementia care is to provide comfort and stimulate memory for the client, not necessarily to foster interactions with others.

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When providing care to a client who consistently atempts to manipulate the staﬀ, the nurse can best maintain the therapeutic milieu by doing what?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When conducting a risk assessment for suicide, the nurse most likely identifies which client as having the greatest risk for completing suicide?

Correct Answer is B

Explanation

The nurse caring for an older adult client with dementia asks the client's children to bring old photo albums when they visit. Which best describes the benefit of viewing photos when caring for the client?

Correct Answer is C

Explanation

A child with atention deficit hyperactivity disorder (ADHD) is prescribed medication. The parent reports that the child is having trouble sleeping. Which question would be most appropriate for the nurse to ask?

A client is experiencing a panic atack while in the recreation room. Which intervention(s) would be a priority to promote the client's safety?

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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?

The client has been diagnosed with a depressive disorder. Which statement by the client indicates an understanding of this disorder?

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

A 9-year-old patient with atention deficit hyperactivity disorder (ADHD) has been prescribed a stimulant. The nurse knows that the teaching has been eﬀective when the patient's parents make which statement?

A nurse is discussing strategies to develop nurse-client therapeutic relationships with a newly licensed nurse. Which statement by the nurse accurately describes strategies for building a therapeutic relationship?