A nurse at an inpatient mental health facility is receiving report on four clients. Which of the following clients should the nurse see first?

A client who requires constant attention from staff

A client who is being discharged to a group home

A client who refuses to attend group therapy

A client who displays a dramatic change in mood

Answer and Explanation

The Correct Answer is D

A. A client who requires constant attention from staff: This client needs ongoing supervision, but if their condition is stable and not escalating, they do not require immediate intervention. The nurse can continue monitoring while prioritizing clients with acute changes.

B. A client who is being discharged to a group home: Discharge planning is important, but it is not an urgent matter compared to a client exhibiting sudden changes in mental status. This task can be addressed after attending to higher-priority needs.

C. A client who refuses to attend group therapy: Refusal to participate in therapy is a behavioral concern but does not pose an immediate risk to safety or indicate a sudden deterioration in condition. The nurse can address this after ensuring client safety.

D. A client who displays a dramatic change in mood: A sudden mood change may indicate acute psychiatric decompensation, risk of self-harm, or other emergent issues. Assessing this client first allows the nurse to identify and intervene in potentially life-threatening or high-risk situations promptly.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is A

Explanation

A. "For now, we should schedule enough time for my partner to complete rituals.": Allowing time for ritualistic behaviors during the initial phase of treatment helps reduce anxiety and prevents conflict. Gradual exposure and response prevention can then be implemented therapeutically, supporting adherence to the treatment plan and a structured environment.

B. "I should ignore the stressors that cause my partner to perform the ritualistic behaviors.": Ignoring triggers does not help manage obsessive-compulsive behaviors and may allow anxiety to escalate. Effective treatment involves recognizing triggers and gradually helping the client manage or tolerate them through therapy.

C. "To prevent stress, we should avoid trying to make a schedule for daily activities.": Structured routines are important for clients with OCD to reduce unpredictability and associated anxiety. Avoiding a schedule may worsen symptoms rather than supporting treatment goals.

D. "I should expect my partner to begin exhibiting paranoid behaviors.": Paranoia is not a typical feature of obsessive-compulsive disorder. Expecting paranoid behaviors reflects a misunderstanding of the disorder and does not align with evidence-based treatment planning.

A. Physical findings B. Client's feelings of responsibility C. Statement regarding safety D. Report of partner violence E. Emotional status

Correct Answer is {"A":{"answers":"C"},"B":{"answers":"C"},"C":{"answers":"B"},"D":{"answers":"C"},"E":{"answers":"C"}}

Explanation

• Physical findings: The presence of new ecchymosis on the neck two weeks later indicates continued or escalating physical abuse. This demonstrates that the client is at ongoing risk and that the situation has deteriorated compared to the initial left wrist fracture and forearm bruises.

• Client's feelings of responsibility: The client states, "I brought it on myself," reflecting self-blame. Self-blame is a common psychological response to partner violence that can prevent seeking help and perpetuate victimization, indicating a worsening of emotional and psychological well-being.

• Statement regarding safety: The client reports that the children are safe at home. This shows that, despite ongoing abuse, there is some aspect of the environment that remains secure, representing a relative improvement or protective factor in terms of immediate safety for dependents.

• Report of partner violence: The client continues to experience partner violence, evidenced by new bruising. Although the client may minimize the situation verbally, the physical evidence confirms that the abuse is ongoing and escalating, indicating a worsening situation.

• Emotional status:The client reports frequent mood swings and feelings of being "trapped," demonstrating emotional distress, anxiety, and potential depression. These psychological effects suggest a deterioration in mental health as a result of ongoing abuse.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse at an inpatient mental health facility is receiving report on four clients. Which of the following clients should the nurse see first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is speaking with the partner of a client who is beginning treatment for obsessive-compulsive disorder. Which of the following statements by the partner indicates an understanding of the treatment plan?

Correct Answer is A

Explanation

A nurse is assisting with the care of a client who has experienced partner violence. The nurse is collecting data from the client 2 weeks later. For each finding, click to specify whether the finding is unrelated, an improvement, or a worsening of the client's situation.

Correct Answer is {"A":{"answers":"C"},"B":{"answers":"C"},"C":{"answers":"B"},"D":{"answers":"C"},"E":{"answers":"C"}}

Explanation

A nurse is caring for a client who has an opioid use disorder. The nurse should anticipate that the provider will prescribe which of the following medications for treatment?

A nurse is collecting data from a client who has schizophrenia. Which of the following findings is the nurse's priority?

A nurse is participating in a community program about eating disorders. Which of the following information about bulimia nervosa should the nurse include in the presentation?

A nurse is collecting data from an older adult client who was admitted with heart failure. The nurse should report which of the following findings to the provider as an indication of delirium?

A nurse is reinforcing teaching with a client about haloperidol. Which of the following instructions should the nurse include in the teaching?

A nurse is sitting with a client in the dayroom. The client jumps up and states, "There are snakes coming toward me!" Which of the following responses should the nurse make?

A nurse is caring for a client who has borderline personality disorder and recently used manipulation to gain access to a restricted area. Which of the following responses should the nurse make?

A nurse is caring for a young adult client who has major depressive disorder and has been found legally incompetent. The client requires informed consent for abdominal surgery. The nurse should recognize that which of the following people can consent to the surgery?