The nurse is caring for a client in an acute mental health unit. The client states, “I believe my food is poisoned.” Which of the following should be an appropriate action by the nurse?

Taking steps to prevent the client from verbalizing the delusional thoughts.

Allowing the client to select food from vending machines.

Explaining that others eat the same food and feel safe.

Encouraging the client to discuss why someone would poison the food.

Answer and Explanation

The Correct Answer is B

Choice A Reason:
Taking steps to prevent the client from verbalizing delusional thoughts is not therapeutic. It can lead to the client feeling misunderstood and unsupported. Nurses should provide a safe environment where clients feel comfortable expressing their thoughts and feelings.

Choice B Reason:
Allowing the client to select food from vending machines can be a temporary measure to address the immediate concern of the client’s fear of being poisoned. It provides a sense of control over their situation and may help to reduce anxiety related to eating.

Choice C Reason:
Simply explaining that others eat the same food and feel safe may not be effective for a client experiencing delusions. Delusions are fixed beliefs that are not easily changed by logical explanations or evidence to the contrary.

Choice D Reason:
Encouraging the client to discuss why someone would poison the food might validate the delusion and could reinforce the false belief. It’s important to acknowledge the client’s feelings without supporting the delusional content.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

Choice A reason - "Don't worry. We'll take good care of your parent while you are gone.":
This statement is meant to reassure the son that his parent will be well-cared for in his absence, which is an important concern for family members of patients. However, it does not provide any immediate comfort or solution to his dilemma of needing to be in two places at once.

Choice B reason - "You are feeling drawn in two separate directions.":
By acknowledging the son's feelings, the nurse is showing understanding and empathy. Recognizing the emotional conflict is a key step in providing emotional support, but the response stops short of offering actionable advice or comfort.

Choice C reason - "Perhaps you could call your children to see how they are doing.":
This suggestion is helpful because it gives the son a way to be involved with his children's well-being without having to leave the hospital. It's a compromise that addresses both of his concerns and can provide him with some peace of mind.

Choice D reason - "There's nothing you can do here. You should go home to your children.":
While this might be a practical suggestion, it fails to consider the son's emotional state and his need to support his hospitalized parent. It could make him feel guilty or negligent for considering leaving, even if it's to attend to his children.

A. Schizophrenia can be cured with antidepressants. B. Schizophrenia typically first presents in adolescence or early adulthood. C. Antipsychotic medications can be used to manage symptoms of hallucinations and delusions. D. Some clients with schizophrenia have a higher risk of substance abuse disorders. E. Schizophrenia affects thoughts and perceptions.

Correct Answer is ["B","C","D","E"]

Explanation

Choice A Reason:

Schizophrenia cannot be cured with antidepressants. Antidepressants may be used to treat comorbid depression in individuals with schizophrenia, but they do not address the core symptoms of schizophrenia itself. Schizophrenia is a chronic condition that typically requires lifelong treatment with antipsychotic medications to manage symptoms.

Choice B Reason:

Schizophrenia typically first presents in adolescence or early adulthood. This is the period when symptoms such as hallucinations, delusions, and disorganized thinking often first become apparent. The onset of schizophrenia during this developmental stage can significantly impact an individual's social and vocational abilities.

Choice C Reason:

Antipsychotic medications are the cornerstone of schizophrenia treatment. They can be used to manage symptoms of hallucinations and delusions, which are known as positive symptoms of schizophrenia. These medications work by affecting neurotransmitters in the brain, particularly dopamine.

Choice D Reason:

Individuals with schizophrenia have a higher risk of substance abuse disorders. Substance use can exacerbate symptoms of schizophrenia and complicate the course of the illness. It is important for treatment plans to address any co-occurring substance use disorders.

Choice E Reason:

Schizophrenia significantly affects thoughts and perceptions. It can cause distorted thinking patterns, false beliefs, and sensory experiences that others do not share. These symptoms can be distressing and may lead to difficulties in distinguishing reality.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse is caring for a client in an acute mental health unit. The client states, “I believe my food is poisoned.” Which of the following should be an appropriate action by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

The nurse is caring for a client diagnosed with schizophrenia. Which of the following should the nurse identify as findings consistent with schizophrenia? (Select all that apply.)

Correct Answer is ["B","C","D","E"]

Explanation

A nurse is teaching about physiological responses to stress with a group of clients. The nurse should identify that which of the following changes reflect long-term physiological responses to stress? (Select all that apply)

A nurse in a psychiatric unit is admitting a client who attacked a neighbor. The nurse should know that the client can be kept in the hospital after the 72-hour hold is over for which of the following conditions?

A nurse is caring for a client who states, "I have got to get out of this hospital! They have found my address and are coming for my family!" The nurse responds, "Don't worry, no one will harm your family." Which of the following types of communication breakdown does the nurse's response represent?

A nurse manager on a mental health unit is discussing involuntary admissions during a staff meeting. Which of the following statements should the manager include in the discussion?

Two clients are in the garden disagreeing on which plant should go in the corner. One client says to the other, "I would really like to plant the sunflower." The nurse recognizes this as which form of communication response pattern?

A nurse in a mental health clinic is conducting a staff education session on schizophrenia. Which of the following manifestations should the nurse identify as negative symptoms? (Select all that apply.)

While in a therapeutic group, two clients get into a heated debate over politics that turns aggressive. The nurse makes the decision to have both patients removed from the group session. The nurse has demonstrated which leadership style?