Focused Review Q 26-50

A nurse is caring for a client who has schizophrenia. the nurse observes that the client consistently does the opposite of what he is told. The nurse recognizes this as which of the following alterations in behavior?

• Automatic Obedience

• Waxy flexibility

• Negativism

• Impaired impulse control

A nurse on a mental health unit is assisting with several group therapy sessions. The nurse should include which of the following information about using group therapy as a treatment method?

• "It establishes a situation where the client can relate to others and share perceptions"

• "It enables the client to see that other individuals have mental health issues"

• "It is economical, since one staff member can treat many clients at once"

• "It provides a forum to reinforce client teaching regarding medication administration"

A nurse is collecting data from a client who has histrionic personality disorder. which of the following characteristics should the nurse expect?

• Uses physical appearance to gain attention

• Manipulates others for personal gain

• Unable to identify with the feelings of others

• Views self as inferior to others

A nurse caring for a client who has schizophrenia and begins to talk about fantasy subjects. Which of the following is an appropriate intervention by the nurse?

• Allow the client to continue talking so as to not interrupt the delusion

• Encourage the client to focus on reality-based issues

• Ask the client to explain the meaning behind what he is saying

• Persuade the client that his thoughts are not true

A nurse on an inpatient unit is caring for a newly admitted client who has anorexia nervosa. Which of the following actions should the nurse take? Select all that apply.

• Give the client a weight gain goal of 4-5 lbs per week

• Monitor the clients weight daily after first voiding

• Encourage the client to keep a diary of daily food intake

• Stay with the client during meals and for 1 hour afterwards

• Offer specific privileges for sustained weight gain.

A nurse in an addiction rehabilitation center is contributing to the plan of care for a newly admitted client who has alcohol use disorder. Which of the following interventions is the nurse's priority?

• Pad the side rails of the bed with towels

• Place the client in a private room

• Accompany the client when ambulating

• Determine the client's level of disorientation.

A nurse is conducting a home health visit for an older adult client who lives with family members. The nurse notices that the client has multiple unusual bruises and, based on several other factors, the nurse suspect the client has been physically abused. Which of the following actions should the nurse take first?

• Follow the agency's guidelines for reporting suspected abuse

• Arrange referral for family therapy to deal with home stressors

• Insititute more frequent visits to the client's home

• Check the bruises at the next visit to the client's home.

A nurse is assisting in the care of a client who has schizophrenia. The client states, "the government is forcing thoughts into my brain through satellites." The nurse should document that the client is experiencing which of the following types of delusions?

• Persecution

• Control

• Erotomanic

• Somatic

A nurse is collecting data from a client whose child was killed 2 years ago. Which of the following actions indicates that the client is experiencing maladaptive coping?

• Visiting the child's grave every week

• Volunteering a local children's hospital

• Talking about the child in past tense

• Leaving the child's room exactly as it was before the loss.

A nurse is caring for a client whose wife died 6 months ago. For which of the following findings should the nurse monitor to identify a maladaptive grieving response?

• Openly expresses anger

• Disturbed Self esteem

• Accepts support from others

• Experiences transient physical symptoms