A nurse is conducting an in-service for a group of newly licensed nurses about the interventions used for clients experiencing non-suicidal self-harm (NSSH). Which of the following should the nurse include?.

Discourage clients from discussing the NSSH with friends.

Early recognition is crucial to successful treatment.

Recognize non-suicidal self-harm as an attention-seeking behavior.

Ask the client why they do this as soon as possible.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Discouraging clients from discussing NSSH with friends may not be beneficial. Open communication can provide support and understanding.

Choice B rationale:

Early recognition is crucial to successful treatment. Timely intervention can prevent the escalation of self-harm behaviors and facilitate recovery.

Choice C rationale:

Recognizing NSSH as an attention-seeking behavior can be a misconception. NSSI is a complex behavior often associated with various underlying issues like emotional distress.

Choice D rationale:

Asking the client why they do this as soon as possible may not always be helpful. The focus should be on understanding their feelings and providing support.

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Correct Answer is C

Explanation

Choice A rationale:
Ensuring the client goes to group activities as planned is important, but not the priority when the client is confused and has distorted thinking.
Choice B rationale:
Using distraction such as television or music can be helpful, but it is not the priority intervention.
Choice C rationale:
Providing reassurance and comfort ensuring the client is safe is the priority as it directly addresses the client’s immediate needs.
Choice D rationale:
Giving PRN medications to treat increased hallucinations may be necessary, but it is not the first action to take.

A. Withhold the medication. B. Administer the next dose as prescribed. C. Prepare to administer propranolol. D. Plan to administer levothyroxine.

Correct Answer is A

Explanation

Choice A rationale:
The client is displaying manifestations of lithium toxicity, which includes ataxia and blurred vision. Therefore, the nurse should withhold the medication.
Choice B rationale:
Administering the next dose as prescribed could potentially exacerbate the client’s symptoms and increase the risk of further toxicity.
Choice C rationale:
Propranolol is not typically used in the management of lithium toxicity.
Choice D rationale:
Levothyroxine is used to treat hypothyroidism and is not relevant in this context.

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A nurse is conducting an in-service for a group of newly licensed nurses about the interventions used for clients experiencing non-suicidal self-harm (NSSH). Which of the following should the nurse include?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has been diagnosed with schizophrenia and appears confused and has distortions in their thinking and speech patterns. Which of the following is the priority nursing intervention for this client?

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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A nurse is conducting an in-service for a group of newly licensed nurses about the interventions used for clients experiencing non-suicidal self-harm (NSSH). Which of the following should the nurse include?.

A nurse is assessing a client who has schizophrenia and is taking risperidone. Which of the following findings should the nurse expect?.

A nurse is caring for a client who has been prescribed clozapine. Which of the following topics should the nurse prepare to discuss with the client?.

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