A client states, 'People think I'm no good, you know what I mean?' Which of these responses would be most therapeutic?

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Question 1 of 5

A client states, 'People think I'm no good, you know what I mean?' Which of these responses would be most therapeutic?

Correct Answer: C

Rationale: I'm not sure what you mean. Tell me a bit more about that' is most therapeutic. It clarifies, encourages elaboration, and builds trust, per communication principles. Projection , reassurance , or analysis assume or judge. C fosters understanding, making it the best response.

Question 2 of 5

A client frequently admitted to the locked psychiatric unit repeatedly compliments and invites one of the nurses to go out on a date. The nurse's response should be to

Correct Answer: D

Rationale: Discussing therapeutic boundaries is best. It reinforces professional limits, addressing behavior constructively, per ethics. Reassignment , reprimand , or policy avoid engagement. D maintains care, making it optimal.

Question 3 of 5

A client has been tentatively diagnosed with Graves' disease (hyperthyroidism). Which of these findings noted on the initial nursing assessment requires quick intervention by the nurse?

Correct Answer: C

Rationale: Exophthalmos requires quick intervention in Graves'. Bulging eyes signal thyroid orbitopathy, needing urgent referral to prevent vision loss. Weight loss , restlessness , and irritability are managed less acutely. C prioritizes complication, making it critical.

Question 4 of 5

The nurse is assigned to care for a client who had a myocardial infarction (MI) 2 days ago. The client has many questions about this condition. What area is a priority for the nurse to discuss at this time?

Correct Answer: D

Rationale: Activity and rest guidelines are priority 2 days post-MI. They prevent strain, aiding recovery, per acute phase needs. Daily needs , rehab , and meds/diet follow. D ensures safety, making it key.

Question 5 of 5

The nurse is performing a physical assessment on a toddler. Which of the following actions should be the first?

Correct Answer: B

Rationale: Using minimal physical contact is first for a toddler. It builds trust, reducing fear, per development. Traumatic procedures , head-to-toe , or explanation follow. B ensures cooperation, making it initial.

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