Which of the following actions should the nurse take for a client who lost all possessions in a house fire and states, "I have no idea what I am going to do. I cannot think right now."?

Notify the facility chaplain to request scheduling an appointment.

Confirm that everything will be all right because belongings can be replaced.

Identify other housing options and sources of transportation.

Maintain eye contact with the client and summarize the client's feelings.

Answer and Explanation

The Correct Answer is D

Choice A reason:

Notifying the facility chaplain to request scheduling an appointment may be helpful for some clients, but it assumes the client's willingness or desire for spiritual support. It should not be the first action taken without assessing the client's preferences and needs.

Choice B reason:

Confirming that everything will be all right because belongings can be replaced may seem reassuring, but it can also come across as dismissive of the client's emotional distress. Material possessions often have sentimental value, and their loss can be deeply traumatic beyond their monetary worth.

Choice C reason:

Identifying other housing options and sources of transportation is a practical step and may eventually be part of the care plan. However, it should not be the immediate focus when the client is in acute emotional distress and unable to think clearly.

Choice D reason:

Maintaining eye contact with the client and summarizing the client's feelings is an empathetic approach that validates the client's experience. It demonstrates active listening and provides emotional support, which is crucial in the immediate aftermath of a traumatic event.

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Correct Answer is D

Explanation

Choice A reason:

A history of prior physical health issues and surgeries may contribute to health-related anxieties, but they are not specific findings expected in illness anxiety disorder. This disorder is characterized by excessive worry about having a serious illness, not necessarily a history of actual health problems.

Choice B reason:

Sudden unexplained loss of peripheral sensation could be a symptom of a neurological condition and is not a typical finding in illness anxiety disorder. Individuals with this disorder are preoccupied with the idea of being ill rather than experiencing unexplained physical symptoms.

Choice C reason:

An obsession over a fictitious defect in physical appearance is more indicative of body dysmorphic disorder rather than illness anxiety disorder. While both disorders involve preoccupation with health and appearance, illness anxiety disorder focuses on the fear of having a serious illness.

Choice D reason:

Continuous worry about the undiagnosed presence of an illness is a central feature of illness anxiety disorder. Individuals with this disorder are excessively concerned about the possibility of having a serious, undiagnosed medical condition despite lack of or minimal somatic symptoms

A. "I don't want to defame someone if the report is false." B. "If suspicion of abuse exists, then reporting is mandatory." C. "Evidence must exist prior to reporting." D. "If the potential abuser commits to stopping the abuse, healthcare workers are not required to report it."

Correct Answer is B

Explanation

Now, let's analyze each choice in detail:

Title: Choice A Reason:

The statement "I don't want to defame someone if the report is false" reflects a common concern about the consequences of reporting suspected child abuse. However, healthcare professionals are mandated reporters, which means they are legally required to report any suspicions of child abuse or neglect, regardless of potential defamation concerns. The priority is the safety and well-being of the child, and systems are in place to investigate the validity of reports.

Title: Choice B Reason:

This choice is correct because healthcare workers are mandated reporters and must report any suspicions of child abuse or neglect. According to guidelines, if there is suspicion, reporting is not only a moral obligation but also a legal one. The law protects mandated reporters from liability as long as the report is made in good faith.

Title: Choice C Reason:

The statement "Evidence must exist prior to reporting" is incorrect. Healthcare workers do not need concrete evidence to report suspected child abuse; suspicion alone is sufficient grounds for reporting. Waiting for evidence can result in continued harm to the child.

Title: Choice D Reason:

This statement is incorrect because even if an abuser commits to stopping the abuse, healthcare workers are still required to report it. The commitment does not negate the possibility of ongoing or future harm, and it is not within the healthcare worker's role to assess the credibility of such promises.

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Which of the following actions should the nurse take for a client who lost all possessions in a house fire and states, "I have no idea what I am going to do. I cannot think right now."?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following findings should a nurse expect when assessing a client with illness anxiety disorder?

Correct Answer is D

Explanation

A nurse is teaching a newly licensed nurse about reporting suspected child abuse. Which of the following statements indicates that the newly licensed nurse has correct information about child abuse?

Correct Answer is B

Explanation

Which of the following approaches should the nurse take when interviewing a client during admission to an alcohol treatment center?

What should the nurse do to establish trust in a therapeutic relationship with the clients?

A nurse in an acute mental health unit is admitting a client diagnosed with bipolar disorder. The nurse recognizes which of the following findings supports the admitting diagnosis of acute mania?

A nurse is caring for a client diagnosed with schizophrenia and is experiencing hallucinations. Which of the following actions should the nurse take?

A nurse on an inpatient mental health unit is admitting a client who has panic-level anxiety. After orienting the client to his room, which of the following nursing actions is most therapeutic at this time?

A nurse is planning care for a client newly admitted with major depressive disorder. After ensuring safety, which of the following actions should the nurse plan to take?

A nurse is talking with a client diagnosed with schizophrenia. Suddenly the client states, "I'm frightened. Do you hear that? The voices are telling me to do terrible things." Which of the following responses by the nurse is appropriate?

A nurse is assessing a client who is withdrawing from alcohol. Which of the following findings should the nurse expect? (Select all that apply).