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Free NCLEX-RN Exam Braindumps (page: 224)

Page 224 of 431
PDF with 862 Questions

In admitting a client to the psychiatric unit, the nurse must explain the rules and regulations of the unit. A client with antisocial personality disorder makes the following remark, "Forget all those rules. I always get along well with the nurses." Which nursing response to him would be most effective?

  1. "OK, don't listen to the rules. See where you end up."
  2. "I'm pleased that you get along so well with the staff.You must still know and abide by the rules."
  3. "It is irrelevant whether you get along with the nurses."
  4. "I'm not the other nurses. You better read the rules yourself."

Answer(s): B

Explanation:

(A) This answer is incorrect. A nurse should be an appropriate role model. Threats are not appropriate. No limit setting was stated. (B) This answer is correct. The nurse made a positive statement followed by a simple, clear, concise setting of limits. (C) This answer is incorrect. It appears to have a negative connotation. There was no limit setting. (D) This answer is incorrect. The nurse obviously responded in a negative manner. Learning takes place more readily when one is accepted, not rejected. No limits were set.



In admitting a client to the psychiatric unit, the nurse must explain the rules and regulations of the unit. A client with antisocial personality disorder makes the following remark, "Forget all those rules. I always get along well with the nurses." Which nursing response to him would be most effective?

  1. "OK, don't listen to the rules. See where you end up."
  2. "I'm pleased that you get along so well with the staff.You must still know and abide by the rules."
  3. "It is irrelevant whether you get along with the nurses."
  4. "I'm not the other nurses. You better read the rules yourself."

Answer(s): B

Explanation:

(A) This answer is incorrect. A nurse should be an appropriate role model. Threats are not appropriate. No limit setting was stated. (B) This answer is correct. The nurse made a positive statement followed by a simple, clear, concise setting of limits. (C) This answer is incorrect. It appears to have a negative connotation. There was no limit setting. (D) This answer is incorrect. The nurse obviously responded in a negative manner. Learning takes place more readily when one is accepted, not rejected. No limits were set.



A 25-year-old lawyer who is married with three young children works long hours in an effort to become a partner in the law firm. Following a recent hospitalization for a bleeding ulcer, he was referred for therapy to treat this psychophysiological disorder. On meeting with the therapist, he informed him or her that he was a busy man and did not have much time for this "psych stuff." When guiding the client to ventilate his feelings, the therapist can expect him to express feelings of:

  1. Guilt
  2. Shame
  3. Despair
  4. Anger

Answer(s): D

Explanation:

(A) Guilt relates to depression. (B) Shame is not associated with psychophysiological disorders. (C) Despair relates to depression. (D) Repressed anger is associated with psychophysiological disorders.



A 25-year-old lawyer who is married with three young children works long hours in an effort to become a partner in the law firm. Following a recent hospitalization for a bleeding ulcer, he was referred for therapy to treat this psychophysiological disorder. On meeting with the therapist, he informed him or her that he was a busy man and did not have much time for this "psych stuff." When guiding the client to ventilate his feelings, the therapist can expect him to express feelings of:

  1. Guilt
  2. Shame
  3. Despair
  4. Anger

Answer(s): D

Explanation:

(A) Guilt relates to depression. (B) Shame is not associated with psychophysiological disorders. (C) Despair relates to depression. (D) Repressed anger is associated with psychophysiological disorders.



Page 224 of 431



Post your Comments and Discuss NCLEX NCLEX-RN exam with other Community members:

Naveen Ahlam commented on November 29, 2024
Great stuff
Anonymous
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Isadora Guimarães commented on November 10, 2024
Very good to study
UNITED STATES
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Marydee commented on April 02, 2020
Just purchased, will see if it is the real deal. Will give a further update later!
Anonymous
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