A nurse must be alert when a client is giving away possessions, getting his/her life in order, or making vague goodbyes to people. Which of the following should the nurse be concerned about?
Depressive State
Suicidal intent
A plan to relocate
Elopement with partner
The Correct Answer is B
A. A depressive state may involve feelings of hopelessness, but giving away possessions and saying goodbyes are signs of potential suicidal intent.
B. Suicidal intent is the primary concern in this situation. These behaviors are commonly seen when a client is preparing to end their life.
C. A plan to relocate would not typically involve giving away possessions or saying goodbyes in such a manner.
D. Elopement with a partner is not a typical behavior associated with suicidal intent.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. While the voices may be part of the illness, it is important to acknowledge the client’s experience
without dismissing it.
B. Acknowledging the client's experience ("I know you hear the voices, but I do not") is important in establishing rapport and validating their reality.
C. Asking how often the voices are heard can be useful, but acknowledging the client’s perception
should be the first priority.
D. Asking what the voices are telling the client may come later, after the client’s experience has been
acknowledged.
Correct Answer is D
Explanation
A. People with histrionic personality disorder do not have difficulty identifying with the feelings of others; instead, they seek attention through dramatic or exaggerated behavior.
B. A person with histrionic personality disorder does not typically view themselves as inferior. They tend to overvalue their attractiveness and seek admiration.
C. Manipulating others for personal gain is more characteristic of narcissistic personality disorder, not histrionic personality disorder.
D. Clients with histrionic personality disorder often use physical appearance and behavior to draw attention to themselves. This is a key characteristic of the disorder.
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