Linda is pacing the ﬂoor and appears extremely anxious. The daily shift nurse approaches Linda to lessen her anxiety. The most therapeutic statement by the nurse would be:

How about watching a football game?

What do you have to be upset about now?

Tell me how you are feeling today.

Ignore the client.

Answer and Explanation

The Correct Answer is C

This statement shows that the nurse is interested in Linda's feelings and is willing to listen to her. It allows Linda to express her emotions and concerns, which can help to reduce her anxiety.

Option A ("How about watching a football game?") may not be appropriate as Linda may not be interested in football or may not find it helpful in reducing her anxiety.

Option B ("What do you have to be upset about now?") is not a therapeutic statement as it can be perceived as dismissive and invalidating of Linda's feelings.

Option D ("Ignore the client.") is never an appropriate approach for a nurse or any healthcare professional as it goes against the principles of providing care and support to patients.

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Correct Answer is ["A","C","D"]

Explanation

Why did you do that? - This question can come across as judgmental and accusatory, and may cause the client to become defensive or feel criticized.

Tell me more about your relationship with your daughter? - This question encourages the client to open up and share more about themselves, which can promote eﬀective communication.

This is what I think you should say. - This response takes away the client's autonomy and can make them feel like their feelings and opinions are not important.

Don’t stress over it, everything will turn out fine. - This response minimizes the client's concerns and can make them feel like their feelings are not valid or important. It can also come across as dismissive and unempathetic.

A. Whether the client is unable to make arrangements to stay with someone. B. Whether the client is financially incapable of paying for medications. C. Whether the client is in danger of harming herself or others. D. Whether the client is unwilling to accept that treatment is needed.

Correct Answer is C

Explanation

Involuntary admission to a mental health unit is done when an individual poses a threat to themselves or others due to a mental health condition. The initial hold is usually for 72 hours, during which the client's condition is assessed and an appropriate treatment plan is developed. If the client is still deemed to be a danger to themselves or others after the initial hold, the healthcare provider may request an extension of the hold or seek a court order to continue treatment.

In order to keep the client in the hospital, it must be determined that they continue to pose a threat to themselves or others.

Factors such as the client's ability to make arrangements to stay with someone or financial capability to pay for medications are not relevant to the decision of whether to continue the hold.

Similarly, unwillingness to accept treatment is not the determining factor, as involuntary treatment can be provided to clients who do not recognize their need for treatment if they are deemed to be a danger to themselves or others.

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Linda is pacing the ﬂoor and appears extremely anxious. The daily shift nurse approaches Linda to lessen her anxiety. The most therapeutic statement by the nurse would be:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which nurse responses could block eﬀective communication with a client? (Select all that apply)

Correct Answer is ["A","C","D"]

Explanation

A nurse is caring for a client on an acute care mental health unit who was involuntarily admitted for 72 hr. after attacking a neighbor. To keep the client in the hospital when the initial time to hold the client expires, which of the following must be determined?

Correct Answer is C

Explanation

A client can be involuntarily admitted to a psychiatric facility for the following reasons: (Select all that apply)

Linda is pacing the ﬂoor and appears extremely anxious. The daily shift nurse approaches Linda to lessen her anxiety. The most therapeutic statement by the nurse would be:

The nurse’s ability to use therapeutic communication eﬀectively in the mental health setting depends on:

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The set of rules designed to protect patients who are described as vulnerable are known as?

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The psychiatrist asks the nurse to perform a procedure that she is not familiar with and the nurse is unsure whether this is something within the scope of practice. Where can the nurse find the answer to this question?

Order reads Wellbutrin 150 mg po daily. On hand the nurse has 50 mg tablets. How many tablets will the nurse administer? Enter your answer in numbers.