Tiêu đề RECALLS 4 - NP5 - SC ✅

them. Which of the following is the most helpful suggestion the nurse can offer? A. Ignore the client's rituals to avoid reinforcing the behavior. B. Try to reason with the client to stop performing the rituals. C. Learn about OCD and provide consistent, supportive understanding. D. Punish the client for engaging in ritualistic behaviors. 35. The client is prescribed sertraline (Zoloft) for their OCD. The nurse should educate the client about which potential side effect? A. Increased appetite B. Weight gain C. Sexual dysfunction D. Sedation Situation: A 28-year-old female client, Ms. Santos, is admitted to the psychiatric unit exhibiting symptoms consistent with schizophrenia. She displays disorganized speech, flat affect, and social withdrawal. She has difficulty completing tasks and expresses a lack of motivation. She also reports auditory hallucinations, hearing voices that criticize her. 36. Which of the following is a positive symptom of schizophrenia exhibited by Ms. Santos? A. Apathy B. Avolition C. Auditory Hallucinations D. Flat Affect 37. Ms. Santos's disorganized speech is best described as: A. Circumstantiality B. Associative Looseness C. Perseveration D. Flight of Ideas 38. The nurse observes Ms. Santos exhibiting flat affect. This means: A. Ms. Santos is experiencing intense emotional outbursts. B. Ms. Santos is exhibiting inappropriate emotional responses. C. Ms. Santos shows a restricted range of emotional expression. D. Ms. Santos is actively trying to conceal her emotions. 39. Which nursing intervention is appropriate to address Ms. Santos's avolition? A. Engage her in long, complex tasks to challenge her lack of motivation. B. Provide a structured daily schedule with simple, achievable tasks. C. Allow her to rest as much as she needs to conserve energy. D. Ignore her lack of motivation, as it is a symptom of her illness. 40. Ms. Santos reports hearing voices that criticize her. The nurse's best initial response is: A. "Those voices aren't real; you need to ignore them." B. "Tell me more about the voices you are hearing." C. "Let's focus on more positive things to distract you from the voices." D. "I understand you're hearing voices, but we need to focus on your medication." Situation: A 25-year-old male client, Mr. Dela Cruz, is admitted to the psychiatric unit following a suicide attempt. He is diagnosed with Borderline Personality Disorder (BPD). He exhibits impulsivity, unstable relationships, and intense fear of abandonment. He has a history of self-harm and has difficulty regulating his emotions. 41. Which of the following behaviors is commonly associated with Borderline Personality Disorder? A. Grandiose sense of self-importance B. Persistent suspiciousness and distrust of others C. Unstable interpersonal relationships and impulsivity D. Detachment from social relationships and restricted emotional expression 42. Mr. Dela Cruz expresses intense anger towards the nursing staff after a request is denied. What is the nurse's best initial response? A. Immediately confront Mr. Dela Cruz about his inappropriate behavior. B. Validate his feelings while setting clear limits on his behavior. C. Ignore his outburst to avoid escalating the situation. D. Administer a PRN medication to calm him down without further interaction. 43. Mr. Dela Cruz frequently engages in self-harming behaviors. What is the priority nursing intervention? A. Punish self-harming behaviors to deter future incidents. B. Establish a safety plan with Mr. Dela Cruz to identify coping mechanisms. C. Isolate Mr. Dela Cruz to prevent him from harming himself. D. Constantly monitor Mr. Dela Cruz to prevent any self-harm attempts. 44. Which therapeutic approach is most effective in treating BPD? A. Aversion therapy B. Dialectical Behavior Therapy (DBT) C. Systematic desensitization D. Classical conditioning 45. Mr. Dela Cruz expresses a fear of abandonment. How should the nurse respond? A. Reassure him that he won't be abandoned. B. Acknowledge his fear and explore the origins of this fear. C. Distract him from focusing on his fear. D. Tell him that his fear is irrational. Situation: Ms. Reyes, a 30-year-old female client, is admitted to the psychiatric unit exhibiting symptoms consistent with a personality disorder. She presents with intense fear of abandonment, unstable relationships marked by idealization and devaluation, impulsivity, and self-harming behaviors. She has a history of multiple suicide attempts. 46. Which personality disorder best fits Ms. Reyes' presentation? A. Antisocial Personality Disorder B. Borderline Personality Disorder C. Histrionic Personality Disorder D. Narcissistic Personality Disorder 47. Ms. Reyes tells the nurse, "You're the best nurse ever! You understand me completely." Later that day, she accuses the same nurse of being incompetent and cold. This behavior is an example of: A. Idealization and devaluation B. Splitting C. Projection D. Reaction formation 48. What is the priority nursing intervention for Ms. Reyes' self-harming behaviors? A. Punish self-harming behaviors to deter future incidents. B. Establish a safety plan with Ms. Reyes to identify coping mechanisms. C. Isolate Ms. Reyes to prevent her from harming herself. D. Constantly monitor Ms. Reyes to prevent any self-harm attempts. 49. Which therapeutic approach is most effective in treating Ms. Reyes' BPD? A. Aversion Therapy B. Dialectical Behavior Therapy (DBT) C. Psychodynamic Therapy D. Supportive Therapy 50. When caring for Ms. Reyes during a period of intense emotional distress, which intervention should the nurse prioritize? A. Administer a PRN sedative immediately. B. Encourage her to express her feelings and validate her emotions. 3 | Page