A female client is admitted with a diagnosis of delusions of GRANDEUR. This diagnosis reflects a belief that one is:
Delusion of grandeur is a false belief that one is highly famous and important.
Nurse Mary is caring for a female client who has suicidal tendency. When accompanying the client to the restroom, Nurse Monet should…
The Nurse has a responsibility to observe continuously the acutely suicidal client. The Nurse should watch for clues, such as communicating suicidal thoughts, and messages; hoarding medications and talking about death.
Nurse Melinda is developing a plan of care for a female client with anorexia nervosa. Which action should the nurse include in the plan?
Establishing a consistent eating plan and monitoring client’s weight are important to this disorder.
Nurse Tony was caring for a 41 year old female client. Which behavior by the client indicates adult cognitive development?
Mike approached Nurse Trisha asking for advice on how to deal with his alcohol addiction. Nurse Trisha should tell the client that the only effective treatment for alcoholism is:
Total abstinence is the only effective treatment for alcoholism.
Nurse Claire is caring for a client diagnosed with bulimia. The most appropriate initial goal for a client diagnosed with bulimia is?
Bulimia disorder generally is a maladaptive coping response to stress and underlying issues. The client should identify anxiety causing situation that stimulate the bulimic behavior and then learn new ways of coping with the anxiety.
A 20 year old client was diagnosed with dependent personality disorder. Which behavior is not most likely to be evidence of ineffective individual coping?
Individual with dependent personality disorder typically shows indecisiveness submissiveness and clinging behavior so that others will make decisions with them.
Nurse Harry is caring for a male client who experience false sensory perceptions with no basis in reality. This perception is known as:
Hallucinations are visual, auditory, gustatory, tactile or olfactory perceptions that have no basis in reality.
A client is experiencing anxiety attack. The most appropriate nursing intervention should include?
Appropriate nursing interventions for an anxiety attack include using short sentences, staying with the client, decreasing stimuli, remaining calm and medicating as needed.
A male client is diagnosed with schizotypal personality disorder. Which signs would this client exhibit during social situation?
Clients with schizotypal personality disorder experience excessive social anxiety that can lead to paranoid thoughts.
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