1. A nurse is admitting a client who has schizophrenia. During the initial interview, the client takes off his belt and screams, "Asnake!" 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