During the mental status assessment, the client expresses the belief that the CIA is stalking him and plans to kidnap him. The best response by the nurse would be,

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Assessing Health Behavior Nursing Questions

Question 1 of 5

During the mental status assessment, the client expresses the belief that the CIA is stalking him and plans to kidnap him. The best response by the nurse would be,

A. That makes no sense at all.' B. You can tell me about that after I finish asking these questions.' C. What kinds of things have been happening?' D. Why would the CIA be interested in you?'

Correct Answer: C

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

Question 2 of 5

A holistic plan of recovery would be especially important to a client from which of the following cultural groups?

A. American Indian B. African American C. Mexican American D. Arab American

Correct Answer: A

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

Question 3 of 5

The nurse considers cultural variations pertaining to a client’s nonverbal communication. Which of the following is the primary rationale for considering alternative meanings of nonverbal communication?

A. The nurse must become expert at interpreting the client’s gestures. B. Nonverbal signs indicative of certain mental illnesses transcend cultural differences. C. Mental illnesses impair a client’s ability to express nonverbal messages. D. Nonverbal messages have different meanings in various cultures.

Correct Answer: D

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

Question 4 of 5

Which nursing intervention demonstrates false imprisonment?

A. A confused and combative patient says, 'I’m getting out of here, and no one can stop me' The nurse restrains this patient without a health care provider’s order and then promptly obtains an order B. A patient has been irritating and attention-seeking much of the day A nurse escorts the patient down the hall saying, 'Stay in your room, or you’ll be put in seclusion' C. An involuntarily hospitalized patient with suicidal ideation runs out of the psychiatric unit The nurse rushes after the patient and convinces the patient to return to the unit D. An involuntarily hospitalized patient with homicidal ideation attempts to leave the facility A nurse calls the security team and uses established protocols to prevent the patient from leaving

Correct Answer: B

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

Question 5 of 5

A family member of a patient with delusions of persecution asks the nurse, 'Are there any circumstances under which the treatment team is justified in violating a patient’s right to confidentiality?' The nurse should reply that confidentiality may be breached:

A. under no circumstances B. at the discretion of the psychiatrist C. when questions are asked by law enforcement D. if the patient threatens the life of another person

Correct Answer: D

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

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