A nurse in a mental health clinic is assessing a client who was brought in by her adult daughter. The daughter states that her mother has not been able to leave her home for weeks because she is afraid to be outdoors alone. Which of the following phobias should the nurse anticipate planning care for managing?

Acrophobia

Xenophobia

Agoraphobia

Mysophobia

Answer and Explanation

The Correct Answer is C

Choice A reason: Acrophobia is the fear of heights, which is not indicated by the client's fear of being outdoors alone.

Choice B reason: Xenophobia is the fear of strangers or foreigners, which does not align with the client's described fear.

Choice C reason: Agoraphobia is the fear of open spaces or being in crowded, public places like markets. It also includes the fear of leaving a safe place, such as home, which aligns with the client's symptoms.

Choice D reason: Mysophobia is the fear of germs, which is not related to the fear of being outdoors alone.

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Correct Answer is D

Explanation

Choice A reason: Sleeping 12 hours or more each day can be a response to various stressors, but it is not a specific or expected finding in PTSD.

Choice B reason: A constant need to talk about the event may be part of the processing of trauma, but it is not an expected finding as many individuals with PTSD may avoid discussing the traumatic event.

Choice C reason: An increasing sense of attachment to others is not typically associated with PTSD, as individuals may instead experience detachment or estrangement from others.

Choice D reason: Increasing feelings of anger are common in individuals with PTSD as they may have difficulty controlling anger and may be easily irritated.

A. "Your doctor is a man, so it should not be a problem." B. "I can review the assignments and arrange for a female nurse to care for you." C. "The nurse assigned to you is very capable and cares for other women in this situation." D. "I can arrange for a female assistive personnel to do your personal hygiene care."

Correct Answer is B

Explanation

Choice A reason: This response is dismissive of the client's concerns and does not address her discomfort with a male nurse.

Choice B reason: This response is respectful of the client's wishes and offers a solution that could make her more comfortable.

Choice C reason: This response does not acknowledge the client's specific discomfort with a male nurse and does not offer an alternative.

Choice D reason: While this offers an alternative, it may not fully address the client's discomfort with having a male nurse responsible for her overall care.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has posttraumatic stress disorder (PTSD) following a sexual assault. Which of the following is an expected finding?

Correct Answer is D

Explanation

A male nurse is assigned to care for a female client who was admitted to the hospital for treatment of injuries following a domestic abuse incident. The client expresses discomfort with a male nurse as her caregiver. Which response should the nurse manager provide?

Correct Answer is B

Explanation

A client diagnosed with Schizophrenia is slow to respond and appears to be listening to unseen others. Which medication should the nurse expect a physician to order to address this type of symptom?

A nurse is caring for a client who was admitted with acute psychosis and is being treated with haloperidol. The nurse should suspect that the client may be experiencing tardive dyskinesia when the client exhibits which of the following? Select all that apply.

A nurse is assessing a client who has illness anxiety disorder. Which of the following findings should the nurse expect?

A home-health nurse is assessing a client who has obsessive-compulsive disorder (OCD) and observes that the client demonstrates constant repetitive cleaning. The nurse knows that this behavior is an attempt to accomplish which of the following?

A nurse is assessing risk factors for suicide. Which of the following should the nurse consider? Select all that apply.

The nurse is talking with a client diagnosed with histrionic personality disorder. Which statement made by the client does the nurse identify as correlating with this diagnosis?

A nurse on an acute mental health unit is caring for a group of clients. For which of the following clients is seclusion contraindicated?