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Question
An anxious client is to complete the Minnesota Multiphasic Personality Inventory-2 as part of the psychological testing. The client is worried about not having enough time to prepare for the test. To decrease anxiety, the nurse reviews the purpose of the test and explains that the client will:1. Just need to complete a series of sentences.
2. Interpret ink blots.
3. Only have to copy geometric designs.
4. Be answering true or false questions.
Answer
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Related questions
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A client is standing in the hallway on the phone arguing with the caller. As the client becomes increasing loud and argumentative, an appropriate action for the nurse to take would be to:1. Move the other clients away from the area providing the client privacy to continue the conversation.2. Stand next to the client and say in a calm, firm voice, "If you cannot lower your voice, you will lose your phone privileges indefinitely."3. Walk up to the client and softly say, "This conversation appears to be getting you upset, tell this person that you will talk later and come sit with me to discuss what is bothering you."4. Do nothing. The client does not pose any danger as the person the client is angry with is not physically present.
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The nurse suspects that a male client may become violent. Which verbal cue might have indicated this? The client:1. Receives news that his wife is filing for divorce and begins sobbing inconsolably.2. Demands, "Give me my medicine now or you"ll be sorry."3. Begins pacing the hall exhibiting clenched jaw and fists.4. States, "I don"t know why people seem afraid of me."
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Which statement by a client would suggest that the ABCs of crisis counseling have been met?1. "I am really glad we did this counseling."2. "I will call you if I need you."3. "I now know some better ways of coping."4. "I will miss working with you."
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Taking into consideration the client's level of motivation and ability to manage complex instructions, a nurse counsels a client seen for repeated episodes of anxiety to consider adding the use of complementary and/or alternative modalities to help manage the anxiety. The nurse may suggest which of the following CAM modalities?1. Kudzu2. Running3. Acupressure4. Ginkgo
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Which of the following statements made by the nurse displays a positive attitude about client autonomy and self-determination?1. "I comfortable with clients deciding what the programs, schedule, activities, or rules will be."2. "Clients should not be permitted to decide their own treatment goals."3. "Clients should not be permitted to comment on each other's behaviors or treatment goals while in group."4. "I am sad when a client does not choose my plan of care."
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A client with chronic paranoid schizophrenia was recently referred to a psychosocial rehabilitation "clubhouse" program following discharge from the inpatient psychiatric unit. Which of the following client goals is most appropriate for this situation?1. The client will attend recreational and educational group activities on a daily basis.2. The client will obtain food, clothing, and transportation services.3. The client will obtain a sponsor and attend weekly AA meetings.4. The client will identify career goals and develop a resume of job experiences.
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A family member says to the nurse, "I think my sister needs more medication because she says she cannot sit still and is moving her legs back and forth." The client's risperidone (Risperdal) was recently increased to 10 mg daily. What is the correct nursing response?1. "I will check with your sister because what you are describing sounds like a side effect called akathisia."2. "I will check to see what your sister has been prescribed because some clients get anxious when their medications are increased."3. "I will see if your sister has been prescribed a medication to counteract the dystonic reaction that she is having."4. "I will call the doctor and report that your sister is developing a tolerance to risperidone and the dose is not effective."
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The nurse instructs the clients to take the medications that are prescribed because the psychiatrist knows what is best for the client. How would the nurse's supervisor evaluate the effectiveness of the nurse's teaching?1. The nurse is demonstrating a paternalistic attitude that may contribute to client nonadherence.2. Teaching the client to take all medications should help keep the client out of the hospital.3. The nurse is helping the client develop trust in the psychiatrist.4. The nurse is giving simple instructions that will be readily accepted by the client.
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The client received aripiprazole (Abilify) on admission to the inpatient unit with a diagnosis of schizophrenia, paranoid type. Which of the following would the nurse note as a sign that the aripiprazole is becoming effective?1. The client paces in the hall and engages in solitary activities most of the day.2. The client sleeps for shorter periods of time during the day.3. The client establishes eye contact and remains in conversation with the nurse for longer periods.4. The client eats only the food that is in its original container such as individual packages of crackers.
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The nurse student taking care of a client with schizophrenia has difficulty keeping up with the client's music therapy and individual therapy times. The nurse knows, however, that the case manager is helpful in maintaining the routines and schedules of:1. Self-study.2. All clients on the unit.3. Cognitive behavioral interventions..4. Clients in music therapy.
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The nurse knows that a client who has panic attacks when she sees waterfalls because she had been physically assaulted in a park with a waterfall, would benefit from the feature of cognitive and behavioral treatment of:1. Suggesting alternative behavior.2. Seeking social support.3. Reframing.4. Expressing affection.
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A client admitted with borderline personality disorder complains during group therapy that she, "always falls for the bad guy." She has been in and out of rehabilitation and abuse crisis centers. The nursing student knows this client would benefit from:1. Intrapsychic cognitive therapy.2. Family conflict therapy.3. Dialectical behavioral therapy.4. Self-reflective therapy.
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The nurse therapist skilled in rational emotive therapy (RET) helps clients identify:1. Cognitive causes for rational beliefs.2. Health-damaging beliefs and practices.3. Rational thoughts and healthy emotions.4. Irrational thoughts and develop more rational life philosophies.
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The mother of a young child diagnosed with conduct disorder asks the nurse to recommend a qualified nurse to provide family therapy. The nurse knows that:1. Nurse family therapists should be clinical specialists or advanced practitioners in mental health nursing.2. Nurses with a bachelor's degree are qualified to provide family therapy if they are nationally certified in mental health nursing.3. Nurses are not reimbursed by third party insurers to provide family therapy.4. Nurses specializing in family therapy are expensive and it is difficult to get a timely appointment.