The physician has prescribed Haldol 10 mg for a se

Question 1 of 5

The physician has prescribed Haldol 10 mg for a severely psychotic client. The client refuses the medication. Which nursing intervention is an appropriate response?

A. Accept the client's decision B. Obtain a discharge order for noncompliance C. Tell the client that he is too sick to refuse D. Restrain the client and give the medication IM

Correct Answer: A

Rationale: Clients have the right to refuse medication even when they are psychotic. The client cannot be discharged just because he refuses to take his medications. In this situation, it is not appropriate for the nurse to tell the client that he is too sick to refuse. Restraints are not an appropriate means of getting the client to take the medication.

Question 2 of 5

Termination of a therapeutic nurse-patient relationship has been successful when the nurse:

A. avoids upsetting the patient by shifting focus to other patients before the discharge. B. gives the patient a personal telephone number and permission to call after discharge. C. discusses with the patient changes that happened during the relationship and evaluates outcomes. D. offers to meet the patient for coffee and conversation three times a week after discharge.

Correct Answer: C

Rationale: Successful termination involves closure through reflection and evaluation of the relationship’s progress, as in Option C. This validates the experience for both parties. Option A avoids closure, Option B maintains dependency, and Option D blurs boundaries into a social relationship, all of which are non-therapeutic.

Question 3 of 5

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

A. How do you feel about that? B. I am glad that you realize this. C. That’s not a good way to behave. D. Have you outgrown that type of behavior?

Correct Answer: A

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

Question 4 of 5

A patient diagnosed with schizophrenia tells the nurse, The CIA is monitoring us through the fluorescent lights in this room. Be careful what you say. Which response by the nurse would be most therapeutic?

A. Let’s talk about something other than the CIA. B. It sounds like you’re concerned about your privacy. C. The CIA is prohibited from operating in health care facilities. D. You have lost touch with reality, which is a symptom of your illness.

Correct Answer: B

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

Question 5 of 5

A Filipino American patient had a nursing diagnosis of situational low self-esteem related to poor social skills as evidenced by lack of eye contact. Interventions were used to raise the patient’s self-esteem, but after 3 weeks, the patient’s eye contact did not improve. What is the most accurate analysis of this scenario?

A. The patient’s eye contact should have been directly addressed by role-playing to increase comfort with eye contact. B. The nurse should not have independently embarked on assessment, diagnosis, and planning for this patient. C. The patient’s poor eye contact is indicative of anger and hostility that were unaddressed. D. The nurse should have assessed the patient’s culture before making this diagnosis and plan.

Correct Answer: D

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

The physician has prescribed Haldol 10 mg for a severely psychotic client. The client refuses the medication. Which nursing intervention is an appropriate response?

Nurselytic

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