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Created on02052018 page 38 detailed answer key mental

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Created on:02/05/2018Page 38
Detailed Answer KeyMental Health Progression Practiceand therefore are not the priority concern.C. Command hallucinationRationale:Gustatory hallucinations are an important finding; however, they do not pose the greatest riskand therefore are not the priority concern.D. Tactile hallucinationRationale:Tactile hallucinations are an important finding; however, they do not pose the greatest risk andtherefore are not the priority concern.82.A nurse in an acute mental health facility is creating a plan of care for a new client who has histrionic personalitydisorder. Which of the following is the priority intervention for the nurse to make?
C. Communicate with the client using concrete language.Rationale:This is an appropriate intervention; however, it is not the priority for the client who has histrionicpersonality disorder.D. Demonstrate assertive behavior.Rationale:This is an appropriate intervention; however, it is not the priority for the client who has histrionicpersonality disorder.83.A nurse is caring for a client who has delusional behavior and states, "I can't go to group therapy today. I amexpecting a high level official to visit me!" The nurse responds, "I understand, but it is time for group therapy andwe expect everyone to attend. Let's walk over together." For which of the following reasons is the nurse'sresponse considered therapeutic?

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Term
Fall
Professor
NoProfessor
Tags
Nursing, Major depressive disorder, Lithium pharmacology

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