You are one of the nurses monitoring the dining room during dinner. A male patient who has schizophrenia asks a table mate to "please pass the pepper." When the table mate does so, the first patient throws the pepper shaker at you
He or she screams, "Now look what you've done! There are spiders all over my food! I can't eat this! Get the spiders out of there!" Your best response is:
A) "Those aren't spiders; that is the pepper you asked for!"
B) "I don't see any spiders. Let's go to the game room for a little while before you try eating again."
C) "Where are the spiders? I am also afraid of them!"
D) "It is inappropriate to throw things; you need to go to the locked unit now."
B
You might also like to view...
An elderly man who has come to a health promotion clinic offering education related to understanding and filling out advance directives tells the nurse
that he does not want to complete an advance directive because he does not want anyone controlling his finances. The nurse teaches the man that: A) Advance directives are not legal documents, so he has nothing to worry about. B) Advance directives are limited only to health care instructions and directives. C) His finances cannot be managed without an advance directive. D) Advance directives are implemented when you become incapacitated, then you use a living will to allow the state to manage your money.
The school nurse is talking to a child with attention-deficit/hyperactivity disorder (ADHD) who wants to play soccer. Which action is the most appropriate for the school nurse to take?
A) Recommend that the child become active in an individual sport, rather than a team sport. B) Encourage the child to play soccer. C) Discourage the child from playing a team sport like soccer. D) Ask the child's mother to get permission from the child's physician to play soccer.
A mental health nurse is developing a plan of care for a new client diagnosed with a dissociative disorder
A nursing intervention that is important to include in the plan of care for this client is to encourage and support the client in the achievement of control over anxiety and previous dissociative response to those situations that trigger the symptoms. Why is this intervention so important? A) Clients are afraid of their self-destructive behaviors. B) These clients need a safe environment to protect themselves from self-injury. C) Use stimuli that stimulate pleasant memories and pleasurable feelings for the client. D) Clients are overwhelmed with fear of not knowing or being out of control.
A nurse assesses a patient with an overactive bladder. Which findings would be expected? You may select more than one answer
1. Involuntary urine leaks when lifting 2. Voiding eight or more times in 24 hours 3. Nocturia 4. Sudden desires to urinate 5. Involuntary urine leaks when coughing