Practice Question
A client with schizophrenia states, "The devil keeps telling me I am going to burn in hell." What is the appropriate nursing response?
Answer Choices:
Correct Answer:
"The voices must be scary for you. Would you like to talk more about how you are feeling."
Rationale:
🟢 This response acknowledges the client’s feelings without reinforcing or denying the hallucination.
🟢 It demonstrates empathy and therapeutic communication, opening the door for the client to express emotions safely.
🟢 Confronting the hallucination directly (telling them it’s not real) can increase defensiveness, while agreeing with it reinforces delusions.
🟢 Offering support and active listening helps build trust and rapport, essential for clients with schizophrenia.
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This question is from NUR180 Mental Health Exam 2 SU 25 which contains 74 questions.
More Questions from This Exam
A client with schizophrenia is hallucinating and experiencing paranoid thinking. Which nursing intervention would promote in developing trust interventions with this client?
Answer Choices:
A. Help the client understand that anxiety causes paranoid thinking.
B. Show acceptance of the client's delusional beliefs.
C. Encourage the client to participate in group activities.
D. Assign consistent staff members to care for this client.
During an assessment of a patient diagnosed with schizophrenia, the nurse observes new symptoms of restlessness, tremors, involuntary abnormal skeletal muscle movements. Which medication would the nurse expect to give this client?
Answer Choices:
A. haloperidol (Haldol)
B. benztropine (Cogentin)
C. lorazepam (Ativan)
D. fluoxetine (Prozac)
Which medication would a nurse expect to administer when a client is experiencing EPS symptoms and is unable to tolerate an anticholinergic like benztropine (Cogem
Answer Choices:
A. diphenhydramine (Benadryl)
B. aripiprazole (Abilify)
C. haloperidol (Haldol)
D. risperidone (Risperdal)
A 22-year-old client arrives at the emergency department with a history of depression. The client expressed feelings of hopelessness, social withdrawal, and difficulty sleeping. The nurse notes that the client has recently given away personal belongings and expresses a sense of "peace" about their future. which of the following precautions should the nurse initiate? (Select all that apply)
Answer Choices:
A. Initiate one-on-one supervision
B. Assume the client will seek help if needed
C. Remove potentially harmful objects from the room
D. Determine history of suicide attempts
E. Leave the client alone for brief periods
The nurse is talking with a male client regarding his recent alcohol relapse. The client's statement hints to the idea that he started to drink again after a fight with his wife. What is the best therapeutic response to the patient?
Answer Choices:
A. "Let's talk more about what triggers you to drink alcohol."
B. "Why do you feel the need to drink alcohol when something stressful happens to you?"
C. "Tell me what your childhood was like."
D. "Everyone fights with their spouse from time to time, it shouldn't lead you to drink again."
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: Examplify Exam(s)
- Domain: Mental Health
- Answer Choices: 4
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