The nurse is talking with the client in an activity room where others are present. The client becomes tearful when talking about his children at home. What is the nurse's best action?

Distract the client by encouraging him to join the group activity

Ask the client to talk more about his children

Take the client into a private area to continue the conversation

Ask the client why he is crying

Answer and Explanation

The Correct Answer is C

Choice A rationale: This is inappropriate since it does not address the client’s feelings about his/her children and may make the client feel that their feelings are not important and have been disregarded.
Choice B rationale: this is inappropriate since the client’s family issues will be exposed if they talk about them in a room full of other patients hence this will potentially increase his distress.
Choice C rationale: taking the client to a private room respects their right to privacy and dignity. Furthermore, it is a form of empathy and would encourage the client to open up with ease to the nurse.
Choice D rationale: asking the client why he is crying sounds judgmental and accusatory hence this may prevent the client from opening up to the nurse concerning his children.

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Correct Answer is D

Explanation

Choice A rationale: Abstract thinking involves the ability to think conceptually and comprehend concrete concepts such as proverbs.
Choice B rationale: Memory assesses the client’s ability to recall previously experienced or learned information and is not directly assessed by the client's ability to follow a written command.
Choice C rationale: General knowledge refers to the ability of a client to answer questions on common topics and facts and is not assessed by the client's response to a written command.
Choice D rationale: The ability to follow a written command, such as "Please raise your left hand," assesses the client's ability to read and understand written instructions.

A. Risperdal (Risperidone) B. Lithium (Eskalith) C. Ativan (Lorazepam) D. Benadryl (Diphenhydramine) E. Depakote (Valproic Acid)

Correct Answer is ["A","B","E"]

Explanation

Choice A rationale: Risperdal is an antipsychotic that can help reduce psychotic symptoms such as delusions and hallucinations, as well as stabilize mood swings.
Choice B rationale: Lithium is a mood stabilizer that can prevent manic episodes and reduce the risk of suicide.
Choice C rationale: Ativan is a benzodiazepine that can relieve anxiety and panic attacks.
Choice D rationale: Benadryl is an antihistamine that can cause drowsiness and sedation, but has no effect on mood.
Choice E rationale: Depakote is a mood stabilizer that can also treat seizures and migraines.

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The nurse is talking with the client in an activity room where others are present. The client becomes tearful when talking about his children at home. What is the nurse's best action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During the mental status assessment, the nurse hands the client a piece of paper that reads "Please raise your left hand." If the client follows the command, the nurse has just assessed which ability of the client

Correct Answer is D

Explanation

The nurse is administering medications to a client with a diagnosis of a mental illness with a mood disorder. The nurse would expect to see which medications were ordered for this client. (Select all that apply)

Correct Answer is ["A","B","E"]

Explanation

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