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 A

Explanation

Choice A reason: This statement clearly indicates the presence of auditory hallucinations, which are a common symptom of schizophrenia.
Choice B reason: While this could suggest auditory hallucinations, it could also be a question about shared experience and not necessarily indicative of a hallucination.
Choice C reason: Smelling feces where there is none could indicate an olfactory hallucination, which is less common than auditory hallucinations in schizophrenia.
Choice D reason: Tasting foul substances that are not present could suggest gustatory hallucinations, which, like olfactory hallucinations, are less common in schizophrenia.

A. After the client has taken medication. B. When the client is performing a repetitive ritual. C. Just before the client goes to bed. D. When the client is experiencing low anxiety levels.

Correct Answer is D

Explanation

Choice A reason: Teaching relaxation techniques after medication may not be as eﬀective because the client might be under the inﬂuence of the medication, which could interfere with learning the techniques.
Choice B reason: Atempting to teach relaxation techniques during a ritual can increase the client's anxiety and resistance, as rituals are often used by individuals with OCD to manage their anxiety.
Choice C reason: While bedtime could be a calm time, it's not specifically targeted towards managing anxiety levels, which is crucial for clients with OCD.
Choice D reason: Teaching relaxation techniques when the client is experiencing low anxiety levels is most beneficial. The client is more likely to be receptive and retain the information, which can then be applied during higher anxiety periods.

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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

The nurse is performing a mental health assessment for a client with schizophrenia. Which statement made by the client demonstrates that the client is having auditory hallucinations?

Correct Answer is A

Explanation

The nurse is teaching relaxation techniques to a client with obsessive-compulsive disorder (OCD). When should the nurse teach relaxation techniques to the client?

Correct Answer is D

Explanation

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?

A client is diagnosed with dementia that has progressed significantly. Which would be the priority for this client?

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?

A client is readmited to the substance use disorder program for the second time in 6 months for alcohol use disorder. Upon admission, the client tells the nurse, "I am so ashamed." What should the nurse reply?

Which is necessary as a defining feature of mental illness?

Safety is the nursing priority for a client who is at risk for alcohol withdrawal. A care plan for the client who is in withdrawal must include which nursing interventions?

The geriatrician has prescribed medication for an 80-year-old client to treat the client's dementia. Which teaching points should the nurse provide to the client's spouse about the new medication?