A patient in alcohol rehabilitation reveals to the nurse, 'I feel terrible guilt for sexually abusing my -year-old before I was admitted' Select the nurse’s most important action

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Adult Behavioral Health Nursing Questions

Question 1 of 5

A patient in alcohol rehabilitation reveals to the nurse, 'I feel terrible guilt for sexually abusing my -year-old before I was admitted' Select the nurse’s most important action

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

Nursing behaviors associated with the implementation phase of nursing process are concerned with:

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

Select the most appropriate label to complete this nursing diagnosis: related to feelings of shyness and poorly developed social skills as evidenced by watching television alone at home every evening.

Correct Answer: C

Rationale: The diagnosis describes a patient who is alone due to shyness and poor social skills, fitting 'Social isolation' (Option C). This label matches the etiology (shyness, poor skills) and evidence (solitary TV watching). Option A (knowledge) is unrelated, Option B (coping) is too broad, and Option D (powerlessness) implies lack of control, not isolation.

Question 4 of 5

The nurse asks a patient to list the days of the week in reverse order. The nurse is assessing which of the following?

Correct Answer: A

Rationale: The nurse assesses the client's ability to concentrate by asking the client to perform certain tasks such as repeating the days of the week backward. The nurse directly assesses memory, both recent and remote, by asking questions with verifiable answers. Orientation refers to the client's recognition of person, place, and time. Abstract thinking is to making associations or interpretations about a situation or comment.

Question 5 of 5

Which of the following would best assess a client's judgment?

Correct Answer: B

Rationale: The client's judgment can be elicited by asking the client to discuss hypothetical situations, which would indicate one's ability to interpret one's environment and situation correctly and to adapt one's behavior and decisions accordingly. Counting by serial sevens and spelling words backward would assess the client's ability to concentrate. Interpreting proverbs would assess the client's abstract thinking.

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