Extract:

Question 1 of 5

A young client diagnosed with paranoid schizophrenia is talking with the nurse. 'You know, when I thought everyone was out to get me, I was staying in my apartment all the time. Now, I'd like to get out and do things again.' What is the best initial response by the nurse?

Correct Answer: C

Rationale: Focusing on the client's interests encourages engagement and supports their desire to reintegrate socially, aligning with their expressed goal of wanting to 'do things again.'

Question 2 of 5

A client with schizophrenia has poor hygiene. Which intervention is most effective?

A. Criticize the client's appearance. B. Assist with hygiene tasks step-by-step. C. Schedule hygiene tasks for the evening. D. Ignore the issue to avoid conflict.

Correct Answer: B

Rationale: Assisting step-by-step encourages hygiene while accommodating cognitive deficits, promoting independence.

Question 3 of 5

The client hospitalized for diagnosis and treatment of atrial fibrillation states to the nurse, 'Please hand me the telephone. I need to check on my stocks and bonds.' Which of the following responses by the nurse is most therapeutic?

A. You will get more upset if you make that call.' B. Let's talk about what that call means to you.' C. You really don't care about the fact that you're sick, do you?' D. Do you realize you have a life-threatening condition?'

Correct Answer: B

Rationale: Asking to discuss what the call means is therapeutic, as it explores the client's priorities and feelings without judgment, promoting understanding. The other responses are confrontational or dismissive, potentially escalating anxiety or shutting down communication.

Question 4 of 5

At the admission interview, the father of a 4-year-old boy with attention deficit hyperactivity disorder (ADHD) says to the nurse, 'I know that my wife or I must have caused this disease.' Which of the following is the nurse's best response?

A. ADHD is more common within families, but there is no evidence that problems with parenting cause this disorder.' B. What do you think you might have done that could have led to causing this disorder to develop in your son?' C. Many parents feel this way, but I doubt there is anything that you did that caused ADHD to develop in your child.' D. Let's not focus on the cause but rather on what needs to be done to help your son get better. I know that you and your wife are very interested in helping him to improve his behavior.'

Correct Answer: A

Rationale: This response provides accurate information, alleviating guilt while addressing the genetic component of ADHD.

Question 5 of 5

A client has been taking increased amounts of alprazolam (Xanax) for about 6 months for anxiety. She asks the nurse how she can 'get off the Xanax.' The most accurate answer by the nurse is which of the following?

A. There will be an immediate discontinuation of the Xanax and haloperidol (Haldol) will be available if needed.' B. Instead of Xanax, you will take lorazepam (Ativan) in decreasing doses and frequency over a period of 3 to 4 days.' C. The Xanax will be tapered down over a period of 48 hours.' D. Xanax will be available on an as needed basis for 4 to 5 days.'

Correct Answer: C

Rationale: Tapering Xanax over 48 hours is accurate, as gradual reduction prevents withdrawal symptoms, given the client's prolonged use.