A patient says, "I've done a lot of cheating and manipulating in my relationships." Select a nonjudgmental response by the nurse.

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Question 1 of 5

A patient says, "I've done a lot of cheating and manipulating in my relationships." Select a nonjudgmental response by the nurse.

Correct Answer: A

Rationale: The correct answer is A: "How do you feel about that?" This response is nonjudgmental as it focuses on exploring the patient's feelings rather than imposing the nurse's opinion. By asking about the patient's emotions, the nurse shows empathy and encourages self-reflection. Summary of why the other choices are incorrect: B: "I am glad that you realize this." - This response implies judgment by expressing personal feelings, which may make the patient feel criticized. C: "That's not a good way to behave." - This choice is judgmental and may lead to the patient feeling defensive or ashamed. D: "Have you outgrown that type of behavior?" - This response is presumptive and also implies judgment by suggesting that the behavior should have already been outgrown.

Question 2 of 5

The nurse is caring for a group of patients in a partial hospitalization program. The nurse would most likely be involved in which of the following activities?

Correct Answer: C

Rationale: The correct answer is C because in a partial hospitalization program, the nurse's role often includes teaching patients practical skills to support their daily living. Teaching patients how to plan a menu and shop for groceries is important for promoting healthy eating habits and overall wellness. This activity directly aligns with the goal of a partial hospitalization program, which is to help patients develop skills to function independently. Choice A is incorrect because facilitating a drug abuse prevention group is more likely to be part of a substance abuse program, not a partial hospitalization program. Choice B is incorrect because providing spiritual assessment and interventions is typically the role of a spiritual care provider or counselor, not a nurse in a partial hospitalization program. Choice D is incorrect because providing an educational group about the nutritional content of canned foods is not directly related to teaching patients practical skills for daily living, which is the focus of a partial hospitalization program.

Question 3 of 5

A nurse is caring for a psychiatric patient who is receiving an antacid that contains aluminum salts. Which action by the nurse would be most appropriate?

Correct Answer: C

Rationale: The correct answer is C: Administer the antacid 1 hour after the antipsychotic medication. Aluminum salts can reduce the absorption of certain medications, including antipsychotics. Giving the antacid 1 hour after the antipsychotic medication allows for adequate absorption of the antipsychotic while still providing relief from gastric symptoms. Option A would not be ideal as it may interfere with the absorption of the antipsychotic. Option B could potentially decrease the effectiveness of the antipsychotic by reducing its absorption. Option D is not recommended as aluminum salts can cause reflux when lying down, potentially worsening the patient's symptoms.

Question 4 of 5

While caring for a family who lost a 10-year-old son in a car accident, the nurse should instruct the parents to tell the 4-year-old sister which of the following about her brother?

Correct Answer: A

Rationale: The correct answer is A because it is important for children to be given clear and honest information about death to help them process their grief effectively. This choice provides the 4-year-old sister with a direct and simple explanation of her brother's death, which can help her understand the permanence of the situation. Choices B, C, and D use euphemisms or abstract concepts that may confuse or mislead the child, potentially causing more distress or misunderstanding. It is crucial to be honest and straightforward with children about death to support their emotional well-being.

Question 5 of 5

The nurse is caring for an older adult patient who has no history of violence but is agitated and appears ready to strike out at a staff member. The nurse would assess the patient for which of the following?

Correct Answer: D

Rationale: The correct answer is D: Sensory losses. In this scenario, the older adult patient's agitation and readiness to strike out may be due to sensory losses such as hearing or vision impairment, leading to frustration and miscommunication. Assessing for sensory losses is crucial to understand the root cause of the patient's behavior and provide appropriate interventions. A: Panic disorder - This choice is incorrect as panic disorder typically presents with sudden and intense episodes of fear or anxiety, not necessarily leading to physical aggression. B: Epilepsy - This choice is incorrect as epilepsy is a neurological disorder characterized by seizures, not typically associated with sudden aggression. C: Bipolar disorder - This choice is incorrect as bipolar disorder involves distinct episodes of mania and depression, which may not directly cause the patient's behavior in this situation.

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