A nurse on a mental health unit is leading a group therapy session for a group of clients. Which of the following statements should the nurse expect from a client who has an anxiety disorder?

"I check my breasts for lumps every day, but I'm still really scared about getting breast cancer."

"I have had several negative pregnancy tests, but I know they are all wrong."

"I double-check my pills because I think the pharmacist may be putting poison in them."

"I feel really nervous when my partner goes to work, and I am home alone during the day."

Answer and Explanation

The Correct Answer is A

A reason: "I check my breasts for lumps every day, but I'm still really scared about getting breast cancer." This statement reflects excessive worry and fear, which are characteristic of an anxiety disorder. The client's behavior of frequent checking and ongoing fear is consistent with health-related anxiety.

B reason: "I have had several negative pregnancy tests, but I know they are all wrong." This statement suggests a possible delusion, which is more indicative of a psychotic disorder rather than an anxiety disorder.

C reason: "I double-check my pills because I think the pharmacist may be putting poison in them." This statement indicates paranoia, which is more characteristic of a psychotic disorder rather than an anxiety disorder.

D reason: "I feel really nervous when my partner goes to work, and I am home alone during the day." While this statement reflects anxiety, it is less specific to an anxiety disorder and could be associated with general situational stress. The first statement better captures the ongoing, irrational fear typical of anxiety disorders.

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Correct Answer is A

Explanation

A reason: This medication will help control my child's aggressive behavior. Risperidone is often prescribed to manage irritability and aggressive behaviors in children with autism spectrum disorder. This statement accurately reflects one of the medication's intended effects.

B reason: This medication can cause my child to have low blood sugar. Risperidone is not known to cause low blood sugar. It can, however, cause other metabolic side effects like weight gain and increased cholesterol levels.

C reason: This medication won't require my child to have routine lab tests. Routine lab tests are often necessary when taking risperidone to monitor for potential side effects, such as metabolic changes and blood glucose levels.

D reason: This medication might need to be increased if my child has muscle spasms. Muscle spasms or extrapyramidal symptoms may occur with risperidone, but they typically require management with adjunct medications rather than increasing the dosage.

A. A nurse did not clarify a client's prescription that was difficult to read, resulting in a medication error. B. A nurse posted private information on social media about a client who has a substance use disorder. C. A nurse placed a client in mechanical restraints without obtaining a prescription, resulting in injury. D. A nurse threatened a client with physical harm after the client became verbally abusive to staff members.

Correct Answer is A

Explanation

A reason: A nurse did not clarify a client's prescription that was difficult to read, resulting in a medication error. This scenario describes negligence, an unintentional tort, where the nurse failed to act with the standard of care expected, leading to a medication error.

B reason: A nurse posted private information on social media about a client who has a substance use disorder. Posting private information without consent is an intentional tort, specifically a breach of confidentiality and invasion of privacy.

C reason: A nurse placed a client in mechanical restraints without obtaining a prescription, resulting in injury. This scenario describes an intentional tort, as the nurse intentionally restrained the client without proper authorization, leading to harm.

D reason: A nurse threatened a client with physical harm after the client became verbally abusive to staff members. Threatening a client with harm is an intentional tort, specifically assault, which involves an intentional act of creating apprehension of harmful contact.

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A nurse on a mental health unit is leading a group therapy session for a group of clients. Which of the following statements should the nurse expect from a client who has an anxiety disorder?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching the guardian of a school-age child who has autism spectrum disorder about a new prescription for risperidone. Which of the following statements by the guardian demonstrates an understanding of the teaching?

Correct Answer is A

Explanation

A charge nurse is planning an in-service for newly licensed nurses on tort law in mental health care. Which of the following scenarios should the charge nurse provide as an example of an unintentional tort?

Correct Answer is A

Explanation

A nurse is caring for a client who has dementia and insists that a doll is their infant child. Which of the following behavioral management techniques should the nurse use when interacting with the client?

A nurse is caring for a client who is aggressive toward other clients and has been placed in wrist restraints. After obtaining a prescription for restraints from the provider, which of the following actions should the nurse take?

A nurse is caring for a client who has become violent and is threatening self-harm following a crisis. After ensuring enough staff are available, which of the following actions should the nurse take first?

A nurse is preparing to teach a client who has major depressive disorder and is scheduled to undergo electroconvulsive therapy (ECT). Which of the following statements should the nurse include in the teaching?

A nurse is caring for a client who has posttraumatic stress disorder (PTSD) after being physically assaulted. The client is unable to recall any details of the event. Which of the following defense mechanisms should the nurse recognize that the client is displaying?

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A nurse is caring for a client who has a history of suicide attempts. Which of the following findings places the client at risk for another suicide attempt?