A nurse uses Maslow’s hierarchy of needs to plan care for a psychotic patient. Which problem will receive higher priority? The patient who:
Select one:

needs to be taught about medication action and side eﬀects.

refuses to eat or bathe.

reports feelings of alienation from family.

is reluctant to participate in unit social activities.

Answer and Explanation

The Correct Answer is B

According to Maslow’s hierarchy of needs, physiological needs such as food and hygiene are the most basic and fundamental needs that must be met before higher-level needs can be addressed. Therefore, a patient who refuses to eat or bathe would receive higher priority in care planning.

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Correct Answer is C

Explanation

During the termination phase of the nurse-client relationship, the nurse should focus on making appropriate referrals to ensure that the client continues to receive the care and support they need after the relationship with the nurse has ended.

Option a. Developing realistic solutions is an important task during the working phase of the nurse-client relationship, when the nurse and client work together to identify and implement solutions to the client’s problems.

Option b. Building rapport and trust is an important task during the orientation phase of the nurse-client relationship, when the nurse and client get to know each other and establish a therapeutic relationship.

Option d. Identifying expected outcomes is an important task during the planning phase of the nursing process, when the nurse and client work together to set goals and develop a plan of care.

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 uses Maslow’s hierarchy of needs to plan care for a psychotic patient. Which problem will receive higher priority? The patient who: Select one:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The registered nurse is preparing for the termination phase of the nurse-client relationship. The registered nurse prepares to implement which nursing task that is most appropriate and most important for this phase? Select one:

Correct Answer is C

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

Lorazepam (Ativan) is prescribed for a client experiencing severe acute anxiety. Most important teaching should include instructions to:

When reviewing the admission assessment, the Registered nurse notes that a client was admitted to the mental health unit with involuntarily status. Based on this type of admission, the registered nurse should provide which intervention for this client? Select one:

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

A client is agitated and pacing in the hall near the nurses' station and swearing loudly. What response is the best for the registered nurse to provide? Select one:

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:

A nurse is caring for a who requires a crisis intervention for acute anxiety. Which of the following actions is the highest priority?

A nurse uses Maslow’s hierarchy of needs to plan care for a psychotic patient. Which problem will receive higher priority? The patient who:
Select one: