Regarding the environment, it is important for the nurse to be aware of lighting for some clients. Clients with a diagnosis of schizophrenia may be bothered by lights that are flickering because this may trigger.

Increased sensitivity to light

Aggression

Overstimulation

Hallucinations

Answer and Explanation

The Correct Answer is D

Choice A rationale: Increased sensitivity to light is a possible side effect of some antipsychotic medications, but it is not necessarily caused by flickering lights.
Choice B rationale: aggression is a symptom of schizophrenia but is not directly triggered by flickering lights.
Choice C rationale: over-stimulation is not caused by flickering lights but can instead be caused by excessive sensory input.
Choice D rationale: Flickering lights may trigger or worsen these hallucinations by creating sensory illusions or distortions, for instance, a client may see shadows, shapes, or colors that are not there.

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Correct Answer is B

Explanation

Choice A rationale: this is incorrect since it is not sufficient by itself to warrant an inpatient admission hence the client can be managed as an outpatient.
Choice B rationale: this is one of the criteria for inpatient admission to a mental health facility since with the inability to cope with life stressors or control his behaviors the patient is at risk of harming either themselves or others. Moreover, this criterion reflects the principle of beneficence, meaning that the best is being done for the client's well-being and safety.
Choice C rationale: this is incorrect since depression is not sufficient by itself to warrant an inpatient admission hence the client can be managed as an outpatient.
Choice D rationale: this is incorrect since it is not sufficient by itself to warrant an inpatient admission hence the client can be managed as an outpatient.

A. Identify emotions B. Listen actively C. Explore options D. Offer positive comments

Correct Answer is A

Explanation

Choice A rationale: This is an important step but it comes second after actively listening to the patient. Understanding the underlying emotions allows the nurse to respond appropriately and address the patient's concerns effectively. By identifying the emotions, the nurse can establish a foundation for constructive communication and work towards resolving the source of anger.
Choice B rationale: Listening actively is an important component of effective communication and it entails paying attention to the client's verbal and non-verbal cues. This shows empathy and an interest in the patient’s concerns.
Choice C rationale: Exploring options is relevant, but it is a subsequent step in the communication process after active listening and identifying emotions.
Choice D rationale: this is inappropriate especially when dealing with an angry patient as it may sound patronizing, insincere, and dismissive.

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Regarding the environment, it is important for the nurse to be aware of lighting for some clients. Clients with a diagnosis of schizophrenia may be bothered by lights that are flickering because this may trigger.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which is an accepted criterion for inpatient admission to a mental health facility?

Correct Answer is B

Explanation

When communicating with an angry patient; the nurse must first:

Correct Answer is A

Explanation

Which medication side effect is irreversible if not caught early:

In preparing discharge planning for a client who has been prescribed lithium for the treatment of bipolar disorder, the nurse must be sure that the client demonstrates an understanding of the need to monitor his or her diet for intake of:

A female client tells the care provider that she feels very angry about her recent divorce. Which is the care provider's best response?

To prevent the occurrence of Lithium (Eskalith) toxicity, the nurse should teach the client to maintain adequate intake of

What is the therapeutic range of Lithium (Eskalith)?

The goals of therapeutic communication are to:

The nurse observes the client as he paces the floor and talks to himself. The nurse documents this as "Client confused and agitated." This is an example of

The nurse is administering medications to a client with a diagnosis of depression. The nurse would expect to see which medication was ordered for this client.