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?

"You have nothing to be ashamed of."

"Tell me what has happened since your last admission."

"I really thought you would make it."

"Why did you start drinking again?"

Answer and Explanation

The Correct Answer is B

Choice A reason: While it's important to provide support, simply telling the client they have nothing to be ashamed of does not address the underlying issues or feelings the client may be experiencing.

Choice B reason: This response opens a dialogue and allows the client to share their experiences and challenges since the last admission, fostering a therapeutic relationship and understanding.

Choice C reason: This statement could be perceived as judgmental and may make the client feel worse, potentially hindering the therapeutic relationship.

Choice D reason: Asking why they started drinking again could come across as accusatory and may cause the client to become defensive or feel guilty, which is not conducive to recovery.

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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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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?

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?

A 9-year-old client who has been diagnosed with autism spectrum disorder would be expected to display which behavior?

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

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 neurological function is aﬀected by the action of serotonin?

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?

For a client diagnosed with obsessive-compulsive disorder (OCD), which strategy should the nurse include in the client's plan of care to address the challenge of coping eﬀectively with daily obsessions and compulsions?