1. A nurse is admitting a client who has schizophrenia. During the initial interview, the client takes

off his belt and screams, “A snake!” Which of the following responses is appropriate?

A. “You know that is you belt and not a snake, don’t you?”

B. “Your belt doesn’t look like a snake.”

C. “This is your belt. I understand how this is scary for you.”

D. “Why do you think your belt is a snake?”

2.A nurse working in the emergency department is assessing a client who has generalized anxiety

disorder. Which of the following actions should the nurse take first?

A. Move the client to a quiet area

B. Allow the client time to express his feelings

C. Instruct the client to use guided imagery

D. Assist the client to identify his coping skills

3.A nurse is caring for a client who has dementia. Which of the following is an appropriate nursing

intervention?

A. Encourage the client to make choices regarding care.

B. Advise family to visit frequently as a group

C. Maintain a low-stimulation environment

D. Assign several tasks at the same time.

4. A nurse is counselling an adult client whose parent just died. The client states, “My son is 4, and I

don’t know how he’ll react when he finds out that his grandpa died.” The nurse should inform the

client that the preschool-age child commonly has which of the following concepts of death? (Peds

ATI p. 98)

A. Death is contagious and can cause other people he loves to die

B. Death creates an interest in the physical aspects of dying

C. Death is not permanent and the loved one may come back to life.

D. Death is a part of life that eventually happens to everyone.