A 70yearold client is admitted to the locked psychiatric unit, diagnosed with delirium. Later in the day, he tries to get out of the locked unit several times. He yells, "I have to leave and get to my barber. I see him every Wednesday. Let me out!"

Which of the following would be the most therapeutic response by the nurse?

"You need to come and take a shower before you can go get your hair cut."

"Please stop banging on the door. Your room is right over there."

"The door is locked so that you don't leave and get hurt."

"You are in the hospital, and I'm your nurse."

Answer and Explanation

The Correct Answer is C

A.   This response does not directly address the client's concern and may be perceived as dismissive.
B.   This response does not provide a clear explanation for the locked door and may not effectively address the client's agitation.
C.   This response provides a clear and honest explanation for the locked door, ensuring the client's safety, which is the priority.
D.   This response acknowledges the situation but does not provide a clear explanation for the locked door.

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Free Nursing Study Resources

Correct Answer is ["16"]

Explanation

The client needs to take 8 mg of risperidone per day in liquid form.
The concentration of the liquid medication is 0.5 mg/mL.
To calculate the daily dose in milliliters, divide the total milligrams by the concentration.
- 8 mg / 0.5 mg/mL = 16 mL
The answer is 16. This is the number of milliliters that would be administered daily.

A. "This therapy helps you learn to think more positively, and thereby reduce depressive thoughts and symptoms." B. "In this therapy, you will explore past events and analyze how these events have affected your behavior and thoughts." C. "This type of therapy focuses on how you use defense mechanisms to feel more comfortable and content." D. "The purpose of this therapy is to determine how to get psychological needs met through interpersonal relationships."

Correct Answer is A

Explanation

A. "This therapy helps you learn to think more positively, and thereby reduce depressive
thoughts and symptoms." Cognitive behavioral therapy (CBT) aims to identify and challenge negative thought patterns and replace them with more positive and realistic thinking, which can help alleviate symptoms of depression.

B. "In this therapy, you will explore past events and analyze how these events have affected your behavior and thoughts." This description is more characteristic of psychodynamic therapy, not cognitive behavioral therapy.

C. "This type of therapy focuses on how you use defense mechanisms to feel more comfortable and content." This description aligns more with psychodynamic therapy, not cognitive behavioral therapy.

D. "The purpose of this therapy is to determine how to get psychological needs met through
interpersonal relationships." This statement does not accurately describe cognitive behavioral
therapy, which primarily focuses on identifying and changing maladaptive thought patterns and behaviors.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["16"]

Explanation

A client diagnosed with major depressive disorder is considering cognitive behavioral therapy. The client asks the nurse how this therapy would help alleviate depressive thoughts. What is the best response by the nurse?

Correct Answer is A

Explanation

The nurse is admitting a client with a dual diagnosis of major depressive disorder and alcohol abuse. What is the primary intervention?

A client is showing early signs of dementia. The client's spouse asks, "What may I expect next?" What is the nurse's best response?

A client has been prescribed lithium for long-term maintenance of bipolar disorder diagnosis. Which statement by the client shows an understanding of the medication?

A physician has prescribed an antidepressant medication for a 15yearold client. Which statement would be appropriate for inclusion in medication teaching?

What intervention is a priority when the client is experiencing auditory hallucinations?

A nurse suspects the client is experiencing delirium. Which of the following assessment findings would support the nurse's suspicion?

When a client diagnosed with schizophrenia was discharged 6 months ago, haloperidol was prescribed. The client now says, "I stopped taking those pills. They made me feel like a robot." What are common side effects the nurse should validate with the client?

A nurse is providing teaching for a client who has schizophrenia and a new prescription for risperidone. Which of the following statements should the nurse include in the teaching?