Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is developing a plan of care for a client who has schizophrenia and is experiencing auditory hallucinations. Which of the following actions should the nurse include in the plan?
A. Encourage the client to lie down in a quiet room.
Incorrect. Encouraging the client to lie down in a quiet room is not specifically related to addressing auditory hallucinations.
B. Refer to the hallucinations as if they are real.
Incorrect. Referring to hallucinations as if they are real can reinforce the client's delusions or hallucinations.
C. Avoid eye contact with the client.
Incorrect. Avoiding eye contact can be perceived as dismissive or uninterested.
D. Ask the client directly what he is hearing.
Correct. Asking the client directly about their hallucinations helps assess their content and severity, which is essential for developing an effective plan of care.
This question is an excerpt from Nurse Dive's nursing test bank - RN Comprehensive Predictor Proctored Exam. Take the full exam now
Full Explanation
A. Incorrect. Encouraging the client to lie down in a quiet room is not specifically related to addressing auditory hallucinations.
B. Incorrect. Referring to hallucinations as if they are real can reinforce the client's delusions or hallucinations.
C. Incorrect. Avoiding eye contact can be perceived as dismissive or uninterested.
D. Correct. Asking the client directly about their hallucinations helps assess their content and severity, which is essential for developing an effective plan of care.
Similar Questions
A parish nurse is leading a support group for clients whose family members have committed suicide. Which of the following strategies should the nurse plan to use during the group session?
A. Encourage clients to establish a timeline for their own grieving process.
Incorrect. Encouraging clients to establish a timeline for grieving might not be appropriate or helpful, as grief processes are individual and non-linear.
B. Initiate a discussion with clients about ways to cope with changes in family dynamics.
Correct. Coping with changes in family dynamics is a relevant topic for a support group of this nature, as suicide often brings significant family changes.
C. Assist clients in identifying ways suicide could have been prevented.
Incorrect. Focusing on preventing suicide is not the primary goal of this support group; coping and healing are more appropriate.
D. Discourage clients from sharing negative aspects of their relationship with the deceased persons.
Incorrect. Allowing clients to share negative aspects of their relationship can promote emotional healing and understanding, which is essential in this context.
Full Explanation
A. Incorrect. Encouraging clients to establish a timeline for grieving might not be appropriate or helpful, as grief processes are individual and non-linear.
B. Correct. Coping with changes in family dynamics is a relevant topic for a support group of this nature, as suicide often brings significant family changes.
C. Incorrect. Focusing on preventing suicide is not the primary goal of this support group; coping and healing are more appropriate.
D. Incorrect. Allowing clients to share negative aspects of their relationship can promote emotional healing and understanding, which is essential in this context.
A nurse is developing an in-service about personality disorders. Which of the following information should the nurse include when discussing borderline personality disorder?
A. "The client might act seductively."
Incorrect. Acting seductively is more characteristic of histrionic personality disorder.
B. "The client is overly concerned about minor details."
Incorrect. Being overly concerned about minor details is more characteristic of obsessive- compulsive personality disorder.
C. "The client exhibits impulsive behavior."
Correct. Impulsive behavior, such as reckless spending or self-harm, is a common feature of borderline personality disorder.
D. "The client is exceptionally clingy to others."
Incorrect. Being exceptionally clingy to others is not a defining feature of borderline personality disorder.
Full Explanation
A. Incorrect. Acting seductively is more characteristic of histrionic personality disorder.
B. Incorrect. Being overly concerned about minor details is more characteristic of obsessive-compulsive personality disorder.
C. Correct. Impulsive behavior, such as reckless spending or self-harm, is a common feature of borderline personality disorder.
D. Incorrect. Being exceptionally clingy to others is not a defining feature of borderline personality disorder.
A nurse is completing an admission assessment for a client who has narcissistic personality disorder. Which of the following findings should the nurse expect?
A. Suspicious of others
Incorrect. Being suspicious of others is more characteristic of paranoid personality disorder.
B. Ritualistic behavior
Incorrect. Ritualistic behavior is more characteristic of obsessive-compulsive personality disorder.
C. Preoccupied with aging
Correct. Preoccupation with aging and a fear of losing their physical attractiveness or power is a common trait in individuals with narcissistic personality disorder.
D. Exhibits separation anxiety
Incorrect. Exhibiting separation anxiety is not a defining characteristic of narcissistic personality disorder.
Full Explanation
A. Incorrect. Being suspicious of others is more characteristic of paranoid personality disorder.
B. Incorrect. Ritualistic behavior is more characteristic of obsessive-compulsive personality disorder.
C. Correct. Preoccupation with aging and a fear of losing their physical attractiveness or power is a common trait in individuals with narcissistic personality disorder.
D. Incorrect. Exhibiting separation anxiety is not a defining characteristic of narcissistic personality disorder.