The nurse is caring for four clients who are simultaneously being treated for chronic medical conditions and psychiatric conditions. Which client would the nurse anticipate as being most resistive to taking medications for both conditions?

Correct Answer: C

Rationale: The correct answer is C because the client who is convinced he is the president's twin brother may be experiencing delusions, a symptom of a psychiatric condition that could lead to resistance in taking medications. Delusions can alter one's perception of reality, making it challenging for the client to recognize the necessity of medications. A, B, and D do not demonstrate the same level of potential resistance to medication. A client exhibiting push of speech (A) may still understand the need for medication. Difficulty sleeping (B) is a common symptom that can be addressed with appropriate medication. Inability to establish eye contact (D) may indicate social difficulties but does not necessarily correlate with resistance to medication.

Correct Answer: A

Rationale: The correct answer is A: erotomaniac. This delusion involves falsely believing that someone of higher social status, like a celebrity or royalty, is in love with them. In this case, the client believes they will marry Prince Harry. This delusion is characterized by a romantic or sexual focus on the person of interest. Choice B, grandiose delusion, involves an exaggerated sense of self-importance or power, not related to a specific person. Choice C, somatic delusion, involves beliefs about one's body, health, or physical condition. Choice D, persecutory delusion, involves feeling targeted, harassed, or conspired against, which is not applicable in this scenario.

Correct Answer: D

Rationale: The correct answer is D because the client's statement about the partner being 'sorry' for their breakup indicates potential harm or danger. This statement may suggest thoughts of retaliation or harm towards the partner, raising concerns for safety and potential violence. It should be the nurse's priority to assess the client's risk of harm to themselves or others. Explanation of why the other choices are incorrect: A: The client being silent during some interviews may indicate anxiety or distress, but it does not necessarily pose an immediate safety concern. B: A history of preeclampsia with a past pregnancy is important for medical history but does not indicate an immediate risk to the client's safety. C: The family bringing in magazines is not a critical detail that raises concerns about the client's safety or well-being.

Correct Answer: C

Rationale: The correct answer is C: Hypervocalization. In Alzheimer's disease, individuals may exhibit increased vocalization, including screaming and cursing, due to various factors such as confusion, frustration, or agitation. This behavior is known as hypervocalization. Choice A, hypersexuality, refers to inappropriate sexual behavior, not vocalization. Choice B, disinhibition, involves lack of restraint in behaviors, not specifically vocalization. Choice D, apathy, refers to lack of interest or emotion, not excessive vocalization. Therefore, the most appropriate interpretation in this scenario is hypervocalization due to Alzheimer's disease.

Correct Answer: A

Rationale: The correct answer is A: To have the client choose the topic of the conversation. By asking the client to share what's on their mind, the nurse is allowing the client to lead the discussion and express their concerns or thoughts. This empowers the client to direct the conversation towards what is most important to them, promoting client-centered care and fostering a sense of autonomy. Choice B is incorrect because the purpose is not to present new ideas but to encourage the client to share their own thoughts. Choice C is incorrect as conveying interest is important in therapeutic communication but not the primary purpose of this specific technique. Choice D is incorrect as the purpose is not specifically to provide time for reflection but to allow the client to initiate the conversation.