The nurse is monitoring a self-help group session when a client notifies his peers that he recently relapsed with heroin. A fellow member of the group replies, "I have relapsed more times than I can count, but I have been sober for over 7 years now." The nurse should recognize that this demonstrates which curative group factors?

Universality

Imitative Behavior

Instillation of Hope

Altruism

Answer and Explanation

The Correct Answer is C

Choice A Reason:
Universality refers to the realization among group members that they are not alone in their experiences or feelings. While the interaction does show a shared experience, the primary factor demonstrated here is not just the commonality of experience but the encouragement and hope it provides.

Choice B Reason:
Imitative Behavior involves group members learning from each other by observing and copying behaviors. In this scenario, while the member who has been sober for 7 years may serve as a role model, the key element in this interaction is the hope conveyed through sharing personal success.

Choice C Reason:
Instillation of Hope is the encouragement that recovery is possible. The member's statement about overcoming multiple relapses and achieving long-term sobriety serves as a powerful testament to the possibility of recovery, thus instilling hope in others.

Choice D Reason:
Altruism is the unselfish concern for the welfare of others, which can be a byproduct of group therapy as members support each other. However, the primary factor at play in this scenario is the provision of hope rather than the act of giving support.

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Correct Answer is D

Explanation

Choice A reason:
Providing reading material about the surgery can be informative, but it may not be the best approach for someone who is already very nervous. It could potentially increase anxiety if the information is overwhelming or if the client misinterprets the material.

Choice B reason:
Suggesting a walk could serve as a distraction and help to calm the client's nerves. However, it might not address the underlying anxiety about the surgery itself. It's a temporary measure that doesn't offer emotional support or address the client's immediate concerns.

Choice C reason:
Referring the client to the pastoral care team could be beneficial if the client is seeking spiritual support or comfort. However, this should be based on the client's personal preferences and beliefs, and it may not be the most direct way to address the client's stated nervousness.

Choice D reason:
Engaging the client in a conversation about their feelings provides an opportunity for emotional support and can help the nurse understand the client's specific fears. This approach can lead to a more personalized care plan to alleviate anxiety.

A. Laughs when watching a sad movie. B. Maintains an immobilized state for several hours. C. Refuses to eat any unwrapped foods. D. Uses a rhyming form of speech.

Correct Answer is B

Explanation

Choice A Reason:
Laughing inappropriately, such as when watching a sad movie, can be a symptom of schizophrenia, but it is not specific to the catatonic subtype. Inappropriate affect may occur in schizophrenia but does not solely characterize catatonic behavior.

Choice B Reason:
Catatonic schizophrenia is marked by periods of immobility or stupor. A client who maintains an immobilized state for several hours is displaying a classic sign of catatonia. During these periods, the client may be mute, rigid, and resistant to movement, which are key features of this condition.

Choice C Reason:
Refusing to eat certain types of food is not specifically indicative of catatonic schizophrenia. While individuals with schizophrenia may have unusual preferences or fears related to food, this behavior could be related to a variety of factors and is not a definitive sign of catatonia.

Choice D Reason:
Using a rhyming form of speech, known as clang associations, can be seen in schizophrenia but is more characteristic of disorganized thinking associated with the disorder rather than catatonia. Catatonia involves motoric symptoms rather than speech patterns.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is about to undergo open-heart surgery. The client states that he is very nervous about the surgery. Which of the following responses should the nurse make?

Correct Answer is D

Explanation

The nurse is caring for a newly admitted client diagnosed with catatonic schizophrenia. Which of the following behaviors should the nurse document to be consistent with catatonic schizophrenia? The client:

Correct Answer is B

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.)

A nurse is caring for a client diagnosed with a mental illness. Which of the following actions by the nurse demonstrates the ethical concept of autonomy?

A nurse is discussing therapeutic milieu with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of therapeutic milieu?

The lead nurse is orienting a new nurse in a mental health unit about the roles of the nurse in Cognitive Behavioral Therapy (CBT). Which statement made by the new nurse demonstrates an understanding of the role of the nurse in CBT? (Select all that apply.)

A nurse is leading a group therapy session for clients who are newly diagnosed with cancer. Which of the following statements should the nurse make?

A nurse is caring for a client on the Mental Health Unit. The client refuses to get out of bed, go to activities, or participate in any of the unit’s programs. Which of the following responses should the nurse make?

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?

A nurse is reviewing communication styles. Which of the following characteristics should the nurse identify as being exhibited by an aggressive communicator? (Select All that Apply.)