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Which characteristic would be a concern for the nurse when caring for a client with schizophrenia in the early phase of treatment?
- A. Continual pacing
- B. Suspicious feelings
- C. Inability to socialize with others
- D. Disturbed relationship with the family
Correct Answer: B
Rationale: In the early phase of treatment for a client with schizophrenia, the nurse needs to address the client's suspicious feelings to establish trust and create a therapeutic environment. Suspicious feelings can hinder the development of a positive nurse-client relationship. Continual pacing, while a symptom, can be managed by the nurse and does not directly impact the therapeutic relationship. Inability to socialize with others and a disturbed relationship with the family are important factors but are of lesser concern in the early treatment phase as compared to addressing suspicious feelings to build trust and rapport.
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The nurse in the psychiatric day program provides care for a client diagnosed with recurrent depression. In doing the initial assessment based on the therapist's recommendation for a cognitive approach to therapy, which aspect is important for the nurse to evaluate?
- A. The client's use of language.
- B. The client's insight into the depression.
- C. The client's socialization history and skills.
- D. The client's attitude toward medications.
Correct Answer: B
Rationale: Cognitive therapy focuses on thought patterns and self-awareness. Evaluating the client's insight into their depression is critical to assess their understanding of their condition and tailor therapy effectively. Other aspects are less directly tied to cognitive approaches.
A nurse is caring for a client with agoraphobia. Which signs and symptoms would the nurse anticipate? Select all that apply.
- A. panic attacks
- B. impaired short-term memory
- C. auditory hallucinations
- D. inability to leave home
Correct Answer: A,D
Rationale: Agoraphobia involves panic attacks and fear of leaving safe environments, leading to inability to leave home. Memory issues and hallucinations are not typical.
Identify the type of 'trigger' with the correct 'trigger' that can possibly lead to disturbed behavior.
- A. Emotional: room coldness
- B. Environmental: boredom
- C. Physical: pain
- D. Communication: silence
Correct Answer: C
Rationale: Physical pain is a common trigger that can lead to disturbed behavior in individuals, especially when they are unable to communicate their pain effectively. Choices A, B, and D are incorrect. Room coldness falls under environmental triggers, boredom is associated with emotional triggers, and silence is a communication aspect rather than a direct trigger for disturbed behavior.
A client is discussing her problematic marital relationship with the nurse. Which statement by the nurse is an example of the nontherapeutic communication technique of giving reassurance?
- A. I think you should try marital counseling. I've had to do that myself once and it helped.
- B. Why don't you see a conflict resolution specialist? I can give you that information.
- C. I agree with you. He should not argue with you when he has problems at work that are not your fault.
- D. Everything will be okay if you talk to him about how it makes you feel.
Correct Answer: D
Rationale: Giving reassurance, such as saying 'Everything will be okay,' is nontherapeutic because it dismisses the client's concerns and may minimize their feelings without addressing the underlying issue.
What feeling is likely to result from withdrawn behavior?
- A. Anger
- B. Paranoia
- C. Loneliness
- D. Boredom
Correct Answer: C
Rationale: Withdrawn behavior involves avoiding social interactions and isolating oneself. This isolation can lead to feelings of loneliness as the individual lacks connection and companionship. While anger or paranoia may contribute to withdrawal, loneliness is a common emotional consequence of prolonged social isolation. Boredom may also arise from withdrawal if meaningful activities and social engagements are reduced.