Nurse Speaking With Explained for Students (Easy Guide)

Students often encounter this when studying fundamental concepts.

What This Question Is About

This question relates to nurse speaking with and requires a structured academic response.

How to Approach This Question

Structure your response with introduction, analysis, and conclusion.

Key Explanation

This topic involves nurse speaking with. A strong answer should include explanation, application, and examples.

Original Question

A nurse is speaking with the partner of a client who is beginning treatment for obsessive-compulsive disorder. Which of the following statements by the partner indicates an understanding of the treatment plan? “To prevent stress, we should avoid trying to make a schedule for daily activities.” “I should expect my partner to begin exhibiting paranoid behaviors.” “I should ignore the stressors that cause my partner to perform the ritualistic behaviors.” “For now, we should schedule enough time for my partner to complete rituals.” A nurse is caring for a client who has a new diagnosis of cancer. The client states, “I can’t think about my health until after my son is married next week. The nurse should identify the client’s statement as an indication of which of the following maladaptive defensive mechanisms? Suppression Projection Reaction formation Splitting A nurse on an impatient mental health unit is caring for a client who has bipolar disorder. Which of the following actions should the nurse take? (Click on the exhibit tabs for additional information about the client. There are 3 tabs that contain separate categories of date.) Withhold the next dose of aripiprazole. Accompany the client to a private area. Initiate sodium restrictions. Engage the client in a group activity. A nurse is caring for a clint who has a new prescription for fluphenazine to treat schizophrenia. The nurse should identify that which of the following is an adverse effect of this medication? Increased salivation Bradycardia Increased libido Akathisia A nurse is preparing to discharge a client who has depression. Which of the following information should the nurse plan to reinforce with the client regarding relapse? “Try snapping a rubber band on your wrist when depressive thoughts occur.” “You should identify how you react to stressful events.” “Your antidepressant medication will you feel better in a few days.” “Use systematic desensitization to help prevent relapse.” A nurse is caring for a group of clients. The nurse should anticipate a prescription for electroconvulsive therapy for which of the following clients? A client who has a personality disorder. A client who has schizoaffective disorder. A client who has dementia A client who has major depressive disorder. A nurse is collecting data from a client who has conduct disorder. Which of the following findings is the nurse’s priority? History of shoplifting Threats of injury to others Lack of empathy for others Repeated school absences A nurse is caring for a client who is experiencing a situational crisis. Which of the following actions should the nurse take first? Identify if the client has thoughts of self-harm. Encourage the client to use personal support systems. Reinforce teaching on the client’s use of coping skills. Assist with a client referral for social services. A nurse is collecting data from a client who has a severe anxiety and has been using relaxation techniques. Which of the following findings indicates to the nurse that the techniques have been effective? The client’s pulse and blood pressure have decreased. The client asks the nurse to sit with him for a while. The client sits with his eyes closed for short periods throughout the day. The client states that he is using the techniques daily. A nurse is caring for a client who has become aggressive and requires the placement of wrist restraints to maintain the client’s safety. Which of the following actions should the nurse take? Obtain the client’s vital signs every 4 hr. Tie restraint to the rail of the clint’s bed. Use square knots to secure the client’s restraint. Observe the circulation of the client’s extremities. 11. A nurse is collecting data from a client who is experiencing alcohol withdraw. Which of the following findings should the nurse expect? Decreased temperature Slurred speech Increased blood pressure Hypersomnia 12. A nurse is assisting with the plan of care for a client who has generalized anxiety disorder. Which of the following actions should the nurse include in the plan? Avoid discussing triggers of anxiety. Facilitate verbalization of feelings. Encourage dependent behaviors. Give detailed directions. 13. A nurse is reinforcing teaching with a newly licensed nurse about client confidentiality. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? “A provider may speak to a client’s employer regarding substance use disorder.” “The provider must give consent to discuss health information with the client’s family.” “A client retains the legal right to privacy of health information even after they have they have died.” “I can discuss a client’s information with staff who have provided care in the past. 14. A nurse is caring for a client who states, “I’m overwhelmed, and no one understands. I can’t take it anymore. “Which of the following responses should the nurse make first? “Do you have anyone you can talk to about your feelings?” Are you thinking of harming yourself?” “Are you saying that no one understands your concerns?” “Tell me more about how you are feeling.” 15. A nurse is reinforcing teaching with a client who will be receiving electroconvulsive therapy. Which of the following information should the nurse include in the teaching? “You might experience memory loss for weeks following the procedure.” Diarrhea might occur following the procedure.” “Seizure activity can continue for several days following the procedure.” “You will no longer need antidepressant therapy following the procedure.” 16. A nurse is collecting data from a client who has been admitted with manifestation of paranoia. Which of the following findings should the nurse identify as a risk factor for schizophrenia? The client’s mother used tobacco products during pregnancy. The client’s twin sibling has schizophrenia. The client’s home has led on the walls. The client’s is opioid dependent. 17. A nurse is caring for a client who has an opioid use disorder. The nurse should anticipate that the provider will prescribe which of the following medications for treatment? Diazepam Buprenorphine Chlordiazepoxide Phenobarbital 18. A nurse is caring for client who has schizophrenia. The nurse hears the client say, “Black, track, snack, flack. “The nurse should document this alteration of speech as which of the following? Echolalia Neologism Clang association Associative looseness 19. A nurse is collecting data from a female client who has bulimia nervosa. Which of the following manifestation should the nurse expect? Increased bleeding with menstruation Increased potassium level Increased blood pressure Increased number of dental caries 20. A nurse is discussing positive manifestation of schizophrenia with a newly licensed nurse. Which of the following statement should the nurse intuit as an example of right of ideas? “Big dog length of duration hopefully leads German flashlights to the mailbox.” “We have the power to make the sun go down if we wear our nighttime clothes.” “Sing a song what went wrong? Let’s all beat feet to the track meet.” “I can’t find my shoes. Is it lunchtime? I hope it doesn’t rain tomorrow. 21. A nurse is caring for a group of clients in a pediatric clinic. Which of the following clients is at highest risk for physical abuse? A toddler who has cystic fibrosis. An adolescent who is preparing to leave home for college. A preschooler who is reluctant to share A school-age child who wants to go away to summer camp 22. A nurse is a caring for a client who is receiving acute care for the treatment of a substance use disorder. With which of the following actions is the nurse demonstrating the ethical principle of veracity? Reinforcing information on the is potential adverse effects of a medication with the client. Respecting the client’s right to refuse to attend a group therapy session. Maintaining the client’s confidentiality about a substance use disorder. Encouraging the client to attend a daily exercise program on the unit. 23. A nurse is preparing to administer fluphenazine 7.5 mg PO daily to a client who has schizophrenia. Available is fluphenazine elixir 2.5 mg/5 ml. how many ml should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero,) ______mL 24. A nurse is caring for a newly admitted client who has obsessive-compulsive disorder. Which of the following actions should the nurse take first? Explain the use of response prevention to the client Calculate the client’s score on the Hamilton rating scale for anxiety. Discuss the benefits of relaxation exercise with the client. Administer an antianxiety medication. 25. A nurse is contributing to the plan of care for a client who experiences panic attacks. Which of the following strategies should be included for implementation during an attack? Minimize environmental stimuli. Explore with the client what precipitates an attack. Assist the client evaluating their coping mechanisms. Encourage the client to set goals.

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