The nurse is assessing a newly admitted client diagnosed with schizoaffective disorder. The nurse assesses the client's level of anxiety and reactions to stressful situations, obtaining this information for which reason?

Correct Answer: C

Rationale: The correct answer is C: To act as a predictor of the client's risk for a suicide attempt. Assessing the client's level of anxiety and reactions to stressful situations is crucial in determining the likelihood of a suicide attempt, as individuals with schizoaffective disorder are at a higher risk for suicide. By understanding the client's anxiety levels and responses to stress, the nurse can intervene early to prevent potential harm. Choice A is incorrect because assessing anxiety levels is more focused on immediate risk factors rather than long-term outcomes. Choice B is incorrect because mental competency is typically assessed through other means. Choice D is incorrect as social skills evaluation is not the primary purpose of assessing anxiety levels in this context.

Correct Answer: B

Rationale: The correct answer is B: "Have you ever felt sorry after acting as you did on the spur of the moment?" This question directly assesses the client's level of impulsivity by probing into their past impulsive actions and their subsequent feelings of regret. Impulsivity is characterized by acting without thinking of the consequences, often leading to regret afterwards. Choices A, C, and D do not directly address impulsivity but instead focus on the client's emotions, views on others, and dissociative experiences respectively, which are not specifically related to impulsivity.

Correct Answer: B

Rationale: The correct answer is B: The client's experience of pain is real. In complex somatic symptom disorder, physical symptoms are real to the client even if there is no clear medical explanation. It is crucial for the nurse to validate the client's experience of pain to establish trust and promote therapeutic alliance. This approach can help address the underlying psychological factors contributing to the pain. Incorrect choices: A: Opioid analgesics are not always the primary mode of therapy for somatic symptom disorder as they may not address the underlying psychological factors contributing to the pain. C: Complementary therapies can be beneficial in managing pain and promoting overall well-being in clients with somatic symptom disorder. D: Outcomes need to consider not only the biologic aspects but also the psychosocial and environmental factors influencing the client's pain experience.

Correct Answer: B

Rationale: The correct answer is B because maintaining regular bedtimes and rising times helps establish a consistent sleep schedule, which is crucial for managing insomnia. This intervention promotes the client's natural sleep-wake cycle and overall sleep quality. Encouraging the client to consider stopping smoking (Choice A) is important for overall health but may not directly address the immediate sleep issue. Taking frequent naps (Choice C) can disrupt the client's ability to fall asleep at night. Administering sleep medications (Choice D) should be a last resort and not the initial intervention.

Correct Answer: D

Rationale: The correct answer is D: Use lower pitched tones. Presbycusis causes difficulty in hearing high-frequency sounds, so using lower pitched tones can help the patient hear better. Higher volume (choice A) may distort the sound and not necessarily improve understanding. Addressing family members (choice B) does not directly address the patient's hearing deficit. Asking about sign language (choice C) assumes the patient knows sign language, which may not be the case. Thus, using lower pitched tones is the most appropriate approach for effective communication with a patient with presbycusis.