A patient who is experiencing moderate anxiety says, "l feel undone." An appropriate response for the registered nurse who needs clarification would be:
Select one:

I’m not sure I understand. Please give me an example...

"Can you explain me everything again?"

"Why do you feel like that? What would you like me to do to help you?"

You must get your feelings under control before we can continue."

Answer and Explanation

The Correct Answer is A

This response is appropriate because it seeks clarification and more information to help the nurse better understand the patient's statement. By asking for an example, the nurse can gain a better understanding of the patient's experience and identify appropriate interventions to help the patient manage their anxiety.

Option b is not an appropriate response as it does not seek clarification and instead asks the patient to repeat themselves.

Option c is partially appropriate but could be improved by asking more specific questions to help the patient articulate their feelings and needs.

Option d is not an appropriate response as it dismisses the patient's feelings and may cause the patient to feel unsupported and isolated.

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Correct Answer is A

Explanation

According to Erikson's Stages of Psychosocial Development, the first stage is Trust vs. Mistrust, which occurs during the first 18 months of life. During this stage, infants learn to trust their caregivers and develop a sense of security and comfort in their environment. This is accomplished through consistent and responsive caregiving, including meeting the infant's physical and emotional needs.

Therefore, it is crucial for the nurse to understand the importance of building trust and significant early attachments during the first 18 months of life to promote healthy psychosocial development in pediatric clients.

A. Confront the client about the senseless nature of repetitive behaviors. B. Isolate the client for a period of time. C. Plan the client's schedule to allow time for rituals. D. Set very strict limits on the behaviors so that the client can conform to the unit rules and schedules.

Correct Answer is C

Explanation

When caring for a client with obsessive-compulsive disorder (OCD), it is important for the nurse to understand that the client’s compulsive behaviors are a way for them to manage their anxiety and distress. Rather than trying to confront or eliminate these behaviors, the nurse should work with the client to develop a schedule that allows time for their rituals while also incorporating other activities and treatments.

Option a. Confront the client about the senseless nature of repetitive behaviors is not a helpful intervention because it may increase the client’s anxiety and distress.

Option b. Isolate the client for a period of time is not a helpful intervention because it does not address the underlying causes of the client’s compulsive behaviors.

Option d. Set very strict limits on the behaviors so that the client can conform to the unit rules and schedules is not a helpful intervention because it may increase the client’s anxiety and distress and may interfere with their ability to participate in treatment.

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A patient who is experiencing moderate anxiety says, "l feel undone." An appropriate response for the registered nurse who needs clarification would be: Select one:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse provides care for clients in the pediatric clinic. The nurse understands that according to Erikson Stages of Psychosocial development, trust and significant early attachments develop during which time period?

Correct Answer is A

Explanation

A registered nurse in a mental health facility is planning care for a client who has obsessive-compulsive disorder (OCD) and is newly admitted to the unit. Which of the following actions should the nurse plan to take regarding the client's compulsive behaviors?

Correct Answer is C

Explanation

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:

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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:

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A patient who is experiencing moderate anxiety says, "l feel undone." An appropriate response for the registered nurse who needs clarification would be:
Select one: