When providing care to a client who consistently atempts to manipulate the staﬀ, the nurse can best maintain the therapeutic milieu by doing what?

Instructing the staﬀ to enforce all unit rules consistently.

Encouraging questions and discussing the client's concerns.

Promoting social ostracism of the client exhibiting manipulation.

Scheduling staﬀ one-on-one time with the client.

Answer and Explanation

The Correct Answer is A

Choice A reason: This is the correct choice. Consistent enforcement of rules prevents manipulation and maintains a stable environment for all clients.
Choice B reason: While encouraging questions and discussion is generally positive, it does not directly address manipulative behavior.
Choice C reason: Promoting social ostracism is not therapeutic and can harm the client's mental health and recovery.
Choice D reason: Scheduling one-on-one time could be beneficial, but it does not address the issue of manipulation towards the staﬀ.

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Correct Answer is D

Explanation

Choice A reason: Separate personalities are not a characteristic of schizophrenia; this is a common misconception. The disorder involving separate personalities is more accurately associated with dissociative identity disorder.

Choice B reason: While mood swings and hostility can occur in schizophrenia, they are not defining features of the disorder. Schizophrenia is primarily characterized by psychosis, which includes delusions and hallucinations.

Choice C reason: Preoccupation with somatic symptoms is more commonly associated with somatic symptom disorder, not schizophrenia. Schizophrenia involves a range of symptoms including cognitive and emotional dysfunctions.

Choice D reason: Thought disturbances, such as disorganized thinking, and hallucinations, particularly auditory ones, are hallmark symptoms of schizophrenia and are often used in its assessment.

A. Prescribing psychotropic medications. B. Conducting family therapy. C. Interpreting laboratory tests. D. Promoting symptom management.

Correct Answer is D

Explanation

Choice A reason: This choice is incorrect as prescribing medications is not within the scope of practice for a basic- level psychiatric-mental health nurse.
Choice B reason: Conducting family therapy typically requires advanced training and is not usually within the scope of a basic-level nurse.
Choice C reason: Interpreting laboratory tests is generally not within the scope of a basic-level psychiatric-mental health nurse.
Choice D reason: This is the correct choice. Promoting symptom management is an appropriate intervention for a psychiatric-mental health nurse at the basic level of practice.

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When providing care to a client who consistently atempts to manipulate the staﬀ, the nurse can best maintain the therapeutic milieu by doing what?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Schizophrenia is most often characterized by which assessment finding?

Correct Answer is D

Explanation

Which intervention is appropriate for a psychiatric-mental health nurse at the basic level of practice?

Correct Answer is D

Explanation

The nurse is teaching relaxation techniques to a client with obsessive-compulsive disorder (OCD). When should the nurse teach relaxation techniques to the client?

Safety is the nursing priority for a client who is at risk for alcohol withdrawal. A care plan for the client who is in withdrawal must include which nursing interventions?

A patient with a phobia asks, "What is desensitization therapy?" The best response is:

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A nurse is discussing strategies to develop nurse-client therapeutic relationships with a newly licensed nurse. Which statement by the nurse accurately describes strategies for building a therapeutic relationship?