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psychosocial prepu.docx - Question 1 See full question...

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Question 1 See full question While pacing in the hall, a client with schizophrenia runs to a nurse and asks, "Why are you poisoning me? I know you work for Central Thought Control! You can keep my thoughts. Give me back my soul!" How should the nurse respond during the early stage of the therapeutic process? You Selected: "I'm a nurse, and you're a client in the hospital. I'm not going to harm you." Correct response: "I'm a nurse, and you're a client in the hospital. I'm not going to harm you." Explanation: The nurse should directly orient a delusional client to reality, especially to place and person. Denying poisoning and offering delusion-related information may encourage further delusions related to the delusion. Validating the client's feelings occurs during a later stage in the therapeutic process. Question 2 See full question The wife of a client with alcohol dependency tells the nurse, "I am tired of making excuses for him to his boss and coworkers when he cannot make it into work. I believe him every time he says he is going to quit." The nurse recognizes the wife's statement as indicating which behavior? You Selected: helpfulness Correct response: enabling Explanation: The wife of the man with alcohol dependency is exhibiting enabling behavior when she makes excuses for her husband’s absenteeism. Enabling behavior is not helpful to the client but rescues him from adverse consequences in relation to his employment. Self- defeating behavior would be evidenced by putting oneself in a position that will lead to failure. Masochistic behavior would be evidenced by the need to experience emotional or physical pain to become sexually aroused.
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Question 3 See full question The nurse is teaching an unlicensed assistive personnel (UAP) about the care of clients with self-mutilation. Which statement by the UAP would indicate teaching about self- mutilation has been effective? You Selected: "It is a way to express anger and rage." Correct response: "It is a way to express anger and rage." Explanation: Self-mutilation is a way to express anger and rage, commonly seen in clients with borderline personality disorder. It typically is a cry for help, an expression of intense anger, helplessness, or guilt. When a client is experiencing numbness or feelings of unreality, self-mutilation induces physical pain that validates the person’s being alive because of the ability to feel the physical pain. Self-mutilation is not a means of getting what the person wants. It is not used as a form of manipulation, although it is often misinterpreted as such. Self-mutilation is a serious behavior that is harmful to the self and cannot be ignored. Question 4 See full question A client is newly diagnosed with cancer and is beginning a treatment plan. Which action by the nurse will be most effective in helping the client cope?
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