A nurse is caring for several clients who are attending community-based mental health programs. Which Of the following clients should the nurse plan to visit first?
Select one:

A client who recently burned her arm by accident while using a hot iron at home.

A client who tells the nurse he experienced manifestations of severe anxiety before and during a job interview.

A client who requests that her antipsychotic medication be changed due to some new adverse eﬀects.

A client that says he is hearing a voice that tells him he is not worthy of living anymore.

Answer and Explanation

The Correct Answer is D

This client is experiencing auditory hallucinations and may be at risk for self-harm or suicide. The nurse should prioritize visiting this client first to assess their safety and provide appropriate interventions.

Option a. A client who recently burned her arm by accident while using a hot iron at home may require wound care and education on safety, but this situation is not as urgent as the client experiencing auditory hallucinations.

Option b. A client who tells the nurse he experienced manifestations of severe anxiety before and during a job interview may benefit from interventions to manage anxiety, but this situation is not as urgent as the client experiencing auditory hallucinations.

Option c. A client who requests that her antipsychotic medication be changed due to some new adverse eﬀects may require medication adjustment and monitoring for side eﬀects, but this situation is not as urgent as the client experiencing auditory hallucinations.

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Correct Answer is A

Explanation

This response acknowledges the client's interest in complementary therapies and opens up a conversation about the diﬀerent types available. It also allows the nurse to provide education and information about the potential benefits and risks of complementary therapies and how they may interact with the planned treatment.

A. l keep reliving a car accident." B. My legs often feel weak and spastic." C. I am embarrassed to go out and speak in public." D. l check where my car keys are eight times."

Correct Answer is D

Explanation

This comment indicates the possibility of obsessive-compulsive disorder (OCD) because it describes a repetitive behavior that may be a compulsion. Compulsions are repetitive behaviors or mental acts that an individual feels driven to perform in response to an obsession or according to rules that must be applied rigidly. In this case, the individual’s compulsion may be to repeatedly check the location of their car keys in order to reduce anxiety or distress.

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A nurse is caring for several clients who are attending community-based mental health programs. Which Of the following clients should the nurse plan to visit first? Select one:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is diagnosed with cancer and is told that surgery followed by chemotherapy will be necessary. The client states to the nurse, "l have read a lot about complementary therapies. Do you think I should try any?" The nurse should respond by making which appropriate statement? Select one:

Correct Answer is A

Explanation

A psychiatric nurse assesses a client who commonly experiences anxiety. Which comment by this person indicates the possibility of obsessive-compulsive disorder (OCD)? Select one:

Correct Answer is D

Explanation

A registered nurse assesses a confused older adult, The nurse experiences sadness and reﬂects. "The patient is like one of my grandparents, so helpless." What feelings does the nurse describe? Select one:

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A nurse is caring for several clients who are attending community-based mental health programs. Which Of the following clients should the nurse plan to visit first?
Select one: