RN Comprehensive Predictor 2023 | Nurselytic

Questions 169

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RN Comprehensive Predictor 2023 Questions

Extract:

History and Physical
Vital Signs
Nurses' Notes
Laboratory Results
0700:
Majority of client's history is obtained from client's parent who presents with client today. According to the parent, client has been acting strangely for a few months. Client's symptoms have been progressively worsening.
In the last month, the client has been seeing things that are not present and believes that they are in a close relationship with "a powerful spirit." Client has not been bathing regularly for the last few weeks.
Client has no significant health history. Client reports that they do not take illicit substances or drink alcohol. Client's grandparent has a history of schizophrenia.


Question 1 of 5

For each potential action, click to specify if the action is indicated or contraindicated for the client.

OptionsIndicatedContraindicated
Ask the client about the content of their hallucinations
Instruct the client on expected hygiene practices
Allow the client to watch TV at a high volume
Assess the client for suicidal ideation
Place the client in a room near the activity

Correct Answer: A,B,C,D,E

Rationale: Ask about hallucinations: Indicated - Assesses severity. Instruct on hygiene: Indicated - Promotes well-being. Allow high volume TV: Contraindicated - May exacerbate symptoms. Assess for suicidal ideation: Indicated - Ensures safety. Place near activity: Contraindicated - Reduces overstimulation.

Extract:


Question 2 of 5

Correct Answer:

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Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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