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Free NCLEX-RN Exam Braindumps (page: 212)

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PDF with 862 Questions

Except for initial explosiveness on admission, a client diagnosed with schizophrenia stays in her room. She continues to believe other people are out to get her. A nursing intervention basic to improving withdrawn behavior is:

  1. Assigning her to occupational therapy
  2. Having her sit with the nurses while they chart
  3. Helping her to make friends
  4. Facilitating communication

Answer(s): D

Explanation:

(A) The nurse does not make this assignment. (B) One-to-one observation is not appropriate. It does not focus on the client or encourage communication. (C) The client is too suspicious to accomplish this goal. (D) The withdrawn individual must learn to communicate on a one-to-one level before moving on to more threatening situations.



Except for initial explosiveness on admission, a client diagnosed with schizophrenia stays in her room. She continues to believe other people are out to get her. A nursing intervention basic to improving withdrawn behavior is:

  1. Assigning her to occupational therapy
  2. Having her sit with the nurses while they chart
  3. Helping her to make friends
  4. Facilitating communication

Answer(s): D

Explanation:

(A) The nurse does not make this assignment. (B) One-to-one observation is not appropriate. It does not focus on the client or encourage communication. (C) The client is too suspicious to accomplish this goal. (D) The withdrawn individual must learn to communicate on a one-to-one level before moving on to more threatening situations.



As a nurse works with an adolescent with cystic fibrosis, the nurse begins to notice that he appears depressed and talks about suicide and feelings of worthlessness. This is an important factor to consider in planning for his care because:

  1. It may be a bid for attention and an indication that more diversionary activity should be planned for him
  2. No threat of suicide should be ignored or challenged in any way
  3. He needs to be observed carefully for signs that his depression has been relieved
  4. He needs to be confronted with his feelings and forced to work through them

Answer(s): B

Explanation:

(A) Threats of suicide should always be taken seriously. (B) This client has a life-threatening chronic illness. He may be concerned about dying or he may actually be contemplating suicide. (C) Sometimes clients who have made the decision to commit suicide appear to be less depressed. (D) Forcing him to look at his feelings may cause him to build a defense against the depression with behavioral or psychosomatic disturbances.



As a nurse works with an adolescent with cystic fibrosis, the nurse begins to notice that he appears depressed and talks about suicide and feelings of worthlessness. This is an important factor to consider in planning for his care because:

  1. It may be a bid for attention and an indication that more diversionary activity should be planned for him
  2. No threat of suicide should be ignored or challenged in any way
  3. He needs to be observed carefully for signs that his depression has been relieved
  4. He needs to be confronted with his feelings and forced to work through them

Answer(s): B

Explanation:

(A) Threats of suicide should always be taken seriously. (B) This client has a life-threatening chronic illness. He may be concerned about dying or he may actually be contemplating suicide. (C) Sometimes clients who have made the decision to commit suicide appear to be less depressed. (D) Forcing him to look at his feelings may cause him to build a defense against the depression with behavioral or psychosomatic disturbances.






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