The nurse recognizes that a function of the Mental Status Exam is:

to obtain information about the client's medical history.

to establish limit setting.

to determine the client's IQ.

a method of organizing clinical observations.

Answer and Explanation

The Correct Answer is D

a. To obtain information about the client's medical history: While the MSE might reveal medical history clues, its primary focus is on mental status.
b. To establish limit setting: Limit setting is a separate therapeutic technique, not a function of the MSE.
c. To determine the client's IQ: IQ tests are separate assessments used to measure intelligence, not a function of the MSE.
d. a method of organizing clinical observations: A Mental Status Exam (MSE) is a structured way to assess a client's cognitive and emotional state. It focuses on areas like orientation, memory, attention, mood, and thought processes.

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Correct Answer is C

Explanation

a. "I am less likely to get an infection while taking this medication." This statement is incorrect. Chlorpromazine can actually increase the risk of infection due to potential side effects like agranulocytosis (a drop in white blood cell count).
b. "Weight loss is a sign that my medication dose is too low." This statement is incorrect. Chlorpromazine typically causes weight gain rather than weight loss.
c. "I will contact my healthcare provider if I have difficulty urinating." This statement indicates an understanding of one of the potential side effects of chlorpromazine, which can cause urinary retention due to its anticholinergic properties.
d. "I will stop taking this medication once my hallucinations go away." This statement is incorrect. Discontinuing antipsychotic medication without a healthcare provider's guidance can lead to a relapse of symptoms.

A. Encourage the client to ignore these thoughts and feelings. B. Promote safety and immediately terminate the relationship with the client. C. Immediately reassign the client to another staff member. D. Help the client to clarify the meaning of the relationship, based on the present situation.

Correct Answer is D

Explanation

a. Encourage the client to ignore these thoughts and feelings: This invalidates the client's experience and might hinder the therapeutic relationship.
b. Promote safety and immediately terminate the relationship with the client: Termination is a last resort, and transference can be a valuable tool for therapy if addressed constructively.
c. Immediately reassign the client to another staff member: This avoids the issue and doesn't address the underlying cause of transference.
d. Help the client to clarify the meaning of the relationship, based on the present situation. (Correct) Transference is a phenomenon where a client unconsciously redirects emotions and feelings from significant figures in their past onto the nurse. A therapeutic response involves acknowledging these feelings and helping the client explore them in a safe and supportive environment

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The nurse recognizes that a function of the Mental Status Exam is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with schizophrenia is receiving teaching from the nurse about their prescribed medication, Chlorpromazine. Which of the following client statements indicates an understanding of the teaching?

Correct Answer is C

Explanation

If a client demonstrates transference towards the nurse, how should the nurse respond?

Correct Answer is D

Explanation

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