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This statement is not acknowledging the client’s feelings or fears, which can lead to a lack of trust in the nurse-client relationship.

This statement is not addressing the client’s hallucination, which can lead to increased anxiety and fear.

This statement is contradicting the client’s reality, which can lead to increased anxiety and fear.

A rationale: This statement is generalizing the client’s feelings, which can lead to a lack of individualized care.

B rationale: This statement is not acknowledging the client’s feelings of grief, which can lead to a lack of trust in the nurse-client relationship.

C rationale: This statement is self-disclosing personal information, which can lead to boundary violations in the nurse-client relationship.

A rationale: This statement is incorrect. People with bulimia nervosa often consume large amounts of food in a short period of time, known as binge eating.

C rationale: This statement is incorrect. While self-induced vomiting is a common method of purging in bulimia nervosa, other methods such as excessive exercise, fasting, or misuse of laxatives, diuretics, or enemas can also be used.

D rationale: This statement is incorrect. While bulimia nervosa can lead to various health complications, it is not directly associated with the development of diabetes mellitus.

A rationale: This statement is incorrect. Opioid withdrawal typically results in tachycardia, not bradycardia.

C rationale: This statement is incorrect. Opioid withdrawal often results in restlessness and agitation, not hypokinesis.

D rationale: This statement is incorrect. Opioid withdrawal typically results in dilated pupils, not meiosis.

A rationale: This statement is incorrect. Aripiprazole is an antipsychotic medication and is not used for smoking cessation.

C rationale: This statement is incorrect. Quetiapine is an antipsychotic medication and is not used for smoking cessation.

D rationale: This statement is incorrect. Risperidone is an antipsychotic medication and is not used for smoking cessation.

A rationale: Absence of impulsive behaviors is not a risk factor for becoming a perpetrator of child abuse. Impulsive behaviors can lead to unpredictable and potentially harmful actions, but their absence does not increase the risk of abusive behavior.

B rationale: Being involved in community activities is generally a positive factor and does not increase the risk of becoming a perpetrator of child abuse. It can provide a support network and positive role models, which can help prevent abusive behaviors.

D rationale: A submissive personality is not a risk factor for becoming a perpetrator of child abuse. While it may affect interpersonal relationships, it does not directly increase the risk of abusive behavior.

A rationale: Absence of seizures is not an expected outcome of fluoxetine therapy. Fluoxetine is an antidepressant, not an anticonvulsant.

B rationale: Reduction in hand tremors is not an expected outcome of fluoxetine therapy. Fluoxetine is used to treat depression, obsessive-compulsive disorder, some eating disorders, and panic attacks.

C rationale: Decreased hallucinations is not an expected outcome of fluoxetine therapy. Fluoxetine is not typically used to treat conditions that cause hallucinations.

A rationale: Obtaining a prescription for haloperidol is not the first intervention the nurse should implement. Medication should be considered only after non-pharmacological interventions have been attempted.

B rationale: Taking the client to the seclusion room is not the first intervention the nurse should implement. Seclusion should be used only as a last resort when all other interventions have failed and the client is a danger to themselves or others.

D rationale: Placing the client in restraints is not the first intervention the nurse should implement. Restraints should be used only as a last resort when all other interventions have failed and the client is a danger to themselves or others.

B rationale: Giving a client with dementia a list of foods to choose from for dinner may be overwhelming due to impaired decision-making abilities.

C rationale:

D rationale: Providing a dark environment for sleeping can be disorienting for a client with dementia. A low level of light can help the client maintain orientation to their surroundings.

B rationale: Agreeing to a prescription for an alcohol use deterrent can be a part of the recovery process, but it is not typically the first step.

C rationale: Incorporating a form of spirituality into daily life can be a part of the recovery process for some individuals, but it is not typically the first step.

D rationale: Forming a close support network is crucial in the recovery process, but it comes after acknowledging the problem.