A nurse is collecting data from a client who has schizophrenia.
Which of the following client statements indicates that the client is experiencing a command hallucination? .

"The aliens are going to abduct me tonight.”.

"The voices told me to quit eating the food here.”. .

"Are you planning to kill me?" .

"Can you see these spiders crawling all over me?" .

Answer and Explanation

The Correct Answer is B

Choice A rationale:

This statement indicates a delusion, not a command hallucination. Delusions are fixed false beliefs that are not based in reality.

Choice B rationale:

This statement indicates a command hallucination. Command hallucinations involve hearing voices that direct the person to take action.

Choice C rationale:

This statement indicates paranoia, not a command hallucination. Paranoia involves intense anxious or fearful feelings and thoughts often related to persecution or threat.

Choice D rationale:

This statement indicates a visual hallucination, not a command hallucination. Visual hallucinations involve seeing things that aren’t there.

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Correct Answer is ["2.5"]

Explanation

The correct answer is 2.5 mL. Calculation: Identify the desired dose: 50 mg Identify the available dose: 20 mg/mL Apply the formula: Desired ÷ Available = Volume to administer Calculation: 50 mg ÷ 20 mg/mL = 2.5 mL

A. "Everyone feels depressed during the grieving process.”. B. "You should start participating in your usual activities.”. C. "I remember how depressed I was after my friend died.”. D. "Tell me what your relationship with your partner was like.”.

Correct Answer is D

Explanation

Choice A rationale:

This statement is generalizing the client’s feelings, which can lead to a lack of individualized care.

Choice B rationale:

This statement is not acknowledging the client’s feelings of grief, which can lead to a lack of trust in the nurse-client relationship.

Choice C rationale:

This statement is self-disclosing personal information, which can lead to boundary violations in the nurse-client relationship.

Choice D rationale:

This statement is encouraging the client to express their feelings, which can help in the grieving process.

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A nurse is collecting data from a client who has schizophrenia. Which of the following client statements indicates that the client is experiencing a command hallucination? .

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer sertraline 50 mg PO once daily to a client who has depressive disorder. Available is sertraline oral solution 20 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.).

Correct Answer is ["2.5"]

Explanation

A nurse is caring for a client who has depressive disorder following the recent death of their partner. Which of the following responses should the nurse make?.

Correct Answer is D

Explanation

A nurse is collecting data from a client who experienced physical abuse as a child. Which of the following findings should the nurse identify as a risk factor for the client to become a perpetrator of child abuse?.

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A nurse is contributing to the plan of care for a client who has bipolar disorder and whose admission was voluntary. For which of the following interventions should the nurse confirm that the client has given informed consent?.

A nurse is caring for an adolescent who was recently sexually assaulted. Which of the following statements by the adolescent's guardian represents the presence of a positive support system? .

A nurse in a mental health facility is caring for a client who has antisocial personality disorder and alcohol dependency. The nurse should encourage the client to participate in which of the following groups? .

A nurse in a mental health facility is collecting a blood specimen from a client. The client is hallucinating and states, "That looks like a snake, and I won't let it take all of my blood.”. Which of the following responses should the nurse make?.

The nurse has reviewed the nurses' notes, provider's note, and vital signs at 0400. Exhibits For each potential provider prescription, click to specify if the prescription is expected or unexpected for the client.

A nurse is collecting data from a client who has schizophrenia.
Which of the following client statements indicates that the client is experiencing a command hallucination? .