Nokea
When providing care for an Asian client diagnosed with mental illness, which barriers should be considered before the treatment? Select all that apply.
- A. Language
- B. Literacy
- C. Somatization of mental health symptoms
- D. Food preferences
- E. Client's tendency to give limited information
- F. Financial status
Correct Answer: A,C,E
Rationale: Language barriers, somatization, and limited disclosure are common cultural factors in Asian clients, impacting mental health treatment access.
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The nurse is developing the plan of care for the client diagnosed with schizophrenia who is having an alcohol-induced crisis. Which specific client outcome best reflects the primary goal of crisis intervention for this client?
- A. Client will be successfully detoxified within 20 days.
- B. Client will return to his or her part-time job within 20 days.
- C. Client will state two effective coping mechanisms prior to discharge.
- D. Client will demonstrate self-administration of medications prior to discharge.
Correct Answer: B
Rationale: Returning to pre-crisis functioning like work (B) is the crisis intervention goal. Detox (A) stating coping mechanisms (C) and medication administration (D) are secondary.
The nurse is educating the client on the methadone prescribed for replacement therapy while in an outpatient treatment program for heroin addicts. The client asks how taking a pill is going to help the client stay substance-free. Which statement is the nurse’s best reply?
- A. “The methadone will give you the same high so you won’t want heroin anymore.”
- B. “The methadone will cause you to become very sick if you take heroin at the same time”
- C. “The methadone ‘replaces’ heroin in your body so you will have fewer cravings for heroin.”
- D. “The methadone causes sedation; you’ll sleep better so you can participate in your treatment.”
Correct Answer: C
Rationale: Methadone displaces heroin reducing cravings (C). It doesn’t produce a high (A) cause sickness (B) or sedate (D).
The nurse correctly explains to the nursing assistant that this is an example of a client using which coping mechanism?
- A. Introjection
- B. Projection
- C. Compensation
- D. Displacement
Correct Answer: D
Rationale: Displacement involves redirecting emotions, such as anger from a spouse, onto a safer target like the nursing assistant, as seen in the client's behavior.
If a diagnosis of panic disorder is accurate, the nurse would correctly assume that the chest pain is related to which cause?
- A. Unknown cause
- B. Feigned illness
- C. Attention-seeking behavior
- D. Intense fear
Correct Answer: D
Rationale: Chest pain in panic disorder results from intense fear, which triggers physical symptoms like muscle tension and hyperventilation.
Which finding in the client's history strongly suggests lack of achieving the characteristic developmental level expected at this age in the life cycle?
- A. The client drifts in and out of relationships.
- B. The client worries about financial security.
- C. The client questions personal sexual identity.
- D. The client hesitates to be assertive.
Correct Answer: A
Rationale: Drifting in and out of relationships indicates difficulty achieving intimacy, a key developmental task of young adulthood per Erikson's stages.