Author: Anonymous

A client has hallucinations during a period of severe depression and later continues to show psychotic symptoms even when mood symptoms lessen. Which nursing understanding is most accurate?

A client with paranoid personality disorder says, “I know the staff are talking about me behind my back.” Which nurse response is best?

A client 2 weeks after delivery is confused, emotionally labile, says the baby is “marked by evil,” and reports hearing voices. Which nursing action is the priority?

The nurse is working with a client undergoing treatment for bulimia nervosa who has been asked to use a self-monitoring diary. Which explanation by the nurse best supports the therapeutic purpose of self-monitoring?

A client with major depression says, “I can’t make even simple decisions anymore.” Which nursing action is best?

The nurse is caring for a client admitted with anorexia nervosa. When creating the nursing interventions for the plan of care, which is the primary objective and priority?

A primary care nurse suspects a client’s “depression” may actually be bipolar disorder because the client later describes episodes of decreased sleep, grandiosity, and spending sprees. Which action by the nurse is best?

A 15-year-old client with newly diagnosed anorexia nervosa lives with both parents, who want to participate in treatment. Which intervention should the nurse anticipate as most beneficial?

A client says, “The FBI placed a transmitter in my teeth, and they can hear everything I say.” Which nurse response is best?

A client says, “The FBI placed a transmitter in my teeth, and they can hear everything I say.” Which nurse response is best?