CM 1 Exam 1 Practice Questions
Which finding will the nurse expect when caring for a client who is in hypovolemic shock? - slow HR - cool skin temp. - bounding radial pulses - increased urine output
Correct: cool skin temp.
Which nursing assessment finding indicates dehydration in an infant? - flat anterior fontanel - decreased urine output - warm skin temp. - slow, labored respirations
Correct: decreased urine output
Which response would the nurse give to a client with a possible past history of MI who asks about the purpose of the ECG that has been prescribed? - "this test will look for heart valve problems" - "this test will show how well your heat is pumping" - "the ECG will tell us how much exercise your heart can tolerate" - "the ECG will show if there has been damage to the heart muscle"
Correct: "the ECG will show if there has been damage to the heart muscle"
Which diagnostic test is most important for the nurse to obtain rapidly when caring for a client who has just arrived in the ED with a possible acute coronary syndrome (ACS)? - chest radiograph - Troponin t (cTnT) - Creatine kinase MB (CK-MB) - 12-lead ECG
Correct: 12-lead ECG
Which role is most important for the nurse to assume when providing therapeutic crisis intervention? - passive listener - participant observer - active participant - friendly advisor
Correct: active participant
Which mental health client would be at the highest risk for assaultive behavior? - uses profane language - touches people excessively - exhibits a sudden withdrawal - experiences command hallucinations
Correct: experiences command hallucinations
Which nursing action has the highest priority when providing care for a client who has had an acute MI? - prevent nausea and vomiting - monitor for cardiac dysrhythmias - use prescribed medication to lower fever - teach about the phases of cardiac rehab
Correct: monitor for cardiac dysrhythmias
Which possible complication would a nurse monitor for when a client develops a venous thrombosis in the left calf? - embolic stroke - pulmonary embolism - MI - ischemia of the left foot
Correct: pulmonary embolism
Which phase, according to Peplau's model of the nurse-client relationship, will most of the client's problem solving occur? - working phase - preorientation phase - orientation phase - termination phase
Correct: working phase
A client with a dx. of malabsorption syndrome exhibits a symptom of spastic muscle spasms. Which electrolyte is responsible for this symptom? - sodium - calcium - potassium - phosphorus
Correct: calcium
Upon completing a post-op assessment, which finding would indicate to the nurse that the client may be experiencing a pulmonary embolus? (SATA) - flushed face - increased temp. - severe abdominal pain - decreased O2 saturation levels - sudden onset SOB
increased temp, decreased oxygen saturation, sudden onset SOB
Which nursing intervention promotes perfusion and healing of the surgical wound for an older adult? - minimize the use of tape on the skin - keep the client adequately hydrated - change the dressing as soon as it gets wet - provide rest for the client throughout the day
Correct: keep the client adequately hydrated
Which nurse statement defines boundaries in the orientation phase of the nurse-client relationship, when talking to a depressed client who has just been admitted to the psychiatric unit? - "tell me about the relationship that you have with your mother and father" - "hello! I am Nurse Andrea. I'll introduce you around and help you settle in." - "what is the main thing that you would like to work on during therapy?" - "I understand that you have been depressed. What can you tell me about that?"
Correct: "Hello! I'm Nurse Andrea. I'll introduce you around and help you settle in."
A client with recently diagnosed diabetes states, "I feel bad. My spouse and I do not get along. It seems as though my spouse doesn't care about my diabetes." Which response by the nurse is appropriate? - "You don't get alone with your spouse." - "I'm sorry. What can I do to make you feel better?" - "It may be temporary because your spouse also needs time to adjust." - "You sound unhappy. Have you tried to talk to your spouse?"
Correct: "You sound unhappy. Have you tried to talk to your spouse?"
Which client would the nurse see first among this group of clients? - a toddler with diarrhea - an adult who is nauseated - an adult who has been vomiting because of food poisoning - an older adult whose last BM was 3 days ago
Correct: a toddler with diarrhea
Which process would the nurse consider when formulating a response to a client with acute kidney injury who states "Why am I experiencing twitching and tingling of my fingers and toes?" - acidosis - calcium depletion - potassium retention - sodium chloride depletion
Correct: calcium depletion
When a client who experienced a MI suddenly develop a HR of 120 bpm, which action would the nurse first take? - offer reassurance - check BP - call for an ECG - activate the hospital rapid response team
Correct: check BP
Which statement about IV administration of potassium would a nurse make to a client with a diagnosis of hypokalemia? - oliguria is an indication for withholding IV potassium - rapid infusion of potassium prevents burning at the IV site - clients with severe deficits should be given IV push potassium - average IV dosage of potassium should not exceed 60 mEq in 1 hour
Correct: oliguria in an indication for withholding IV potassium
Which factor is a likely cause of hyponatremia? (SATA) - diabetes insipidus - profuse diaphoresis - excess sodium intake - removal of the parathyroid glands - rapid IV infusion of D5W
Correct: profuse diaphoresis, rapid IV infusion of D5W
Which priority action will the nurse implement when caring for a client diagnosed with schizophrenia who is exhibiting signs of impaired judgement, paranoia, and agitation? - protecting other clients - talking to the client in a calm manner - giving antipsychotic med - placing the client in seclusion
Correct: protecting other client
Which factor is most critical for a single mother of 2 children who recently lost her job and does not know what to do? - developmental history of children - available situational supports - underlying unconscious conflict - willingness to restructure lifestyle
Correct: available situational supports
Which sequela would the nurse expect in a client with a conversion disorder who is experiencing paralysis of a leg? - experience a spread of the paralysis to other body parts - require continuous psychiatric treatment to maintain independent function - recover use of the affect leg but, under stress, to again experience these symptoms - follow an unpredictable emotional course in the future, depending on exposure to stress
Correct: recover use of the affect leg but, under stress, to again experience these symptoms
Which action would the nurse take with the client experiencing rising blood osmolality and orthostatic hypotension? - restrict fluid intake - auscultate the abdomen - review the I/Os - order and ultrasound of the kidneys
Correct: review the I/Os
To prevent an adverse outcome while providing care for a client experiencing diarrhea, which client data would the nurse closely monitor? - skin condition - fluid and electrolyte balance - food intake - fluid intake and output
Correct: fluid and electrolyte balance
Which defense mechanism is a client with DM using when they discuss in detail the diabetic metabolic process while eating a piece of cake? - projection - dissociation - displacement - intellectualization
Correct: intellectualization
Which action would the nurse use when a newly admitted client with paranoid ideation talks about people coming through the doors to commit murder? - ignore the pt. when she mentions delusions - listen attentively to what the client is saying - explain that no one can get through the door - ask where the info was obtained
Correct: listen attentively to what the client is saying
Which clinical manifestation will the nurse assess for a client with a serum potassium level of 6.4 mEq/L? (SATA) - anorexia - constipation - muscle weakness - irregular heart rhythm - hyperactive bowel sounds
Correct: muscle weakness, irregular heart rhythm, hyperactive bowel sounds
Which clinical finding assessed in a client with the Dx. of paranoid schizophrenia increases the risk for harm to self or others? (SATA) - aloofness - prominent delusions - anxiety - stilted interactions - command hallucinations
Correct: prominent delusions, command hallucinations
Which clinical manifestation indicates a possible pulmonary embolism in a client after a total hip replacement? (SATA) - sudden chest pain - flushing of the face - elevation of temp. - abrupt onset of SOB - hip pain rating increased from 2 to 8
Correct: sudden chest pain, abrupt onset of SOB
On the third postop. day after a subtotal thyroidectomy for a tumor, a client complains of a "funny, jittery feeling." Which intervention is appropriate for the nurse to take? - explain this this reaction is expected and not a concern - take the VS and place the client in a high-Flower position - request that stat serum Ca and phosphorus levels and chart the results - test for Cvhostek and Troussea signs and notify the primary health care provider of the complaints
Correct: test for Chvostek and Troussea signs and notify the primary health care provider of the complaints
After the nurse has completed discharge teaching for a client who has had a MI, which client statement indicates that more teaching is needed? - "I will avoid PA" - "I will take 1 baby aspirin every day" - "I will continue my smoking cessation program" - "I will try to lose extra weight I am carrying"
Correct: "I will avoid PA"
Which response would the nurse make to a depressed pt. who says, "I want to tell you something, but you have to promise not to tell anyone?" - "you can tell me if you want to, but I can't promise you that" - "okay, I won't. It's good for you to talk about what's bothering you." - "I give you my word not to tell anyone. What's the secret you want to tell me?" - "Are you more depressed today? Would you like to tell me what you're thinking?"
Correct: "You can tell me if you want to, but I can't promise you that."
Which concern is most important after the initial crisis issues have been addressed? - nature of the precipitating factor - effect of the situation on significant others - client's ability to cope with successive crises - client's potential to perform ADLs
Correct: client's ability to perform ADLs
Which disease increases the risk of hyperkalemia? - crohn disease - cushing disease - end-stage renal disease - gastroesophageal reflux disease
Correct: end-stage renal disease
To prevent an adverse outcome while providing care for a client experiencing diarrhea, which client data would the nurse closely monitor? - skin condition - F/E balance - food intake - fluid intake and output
Correct: F/E balance
Which client-focused intervention would the nurse implement first when a client is clearly demonstrating crisis behavior? - encourage the client to deep breathe - assure the client that they are in a safe environment - determine the client's present state of mind - ask whether the client can identify coping mechanisms
Correct: determine the client's present state of mind
When exploring alternative coping strategies during the working phase of the nurse-client relationship, which question would the nurse ask the depressed client who has a history of suicide attempts? - "how have you managed your problems in the past?" - "what do you feel that you've learned from this suicide attempt?" - "how will you manage the next time your problems start piling up?" - "were there other things going on in your life that made you want to die?"
Correct: "how will you manage the next time your problems start piling up?"
Which behavior is anticipated for a client with a somatoform disorder? - writes down conversations to retain info - monopolizes conversations to describe anxiety - redirects conversations to physical symptoms - starts conversations to learn about palliative care
Correct: redirects conversations to physical symptoms
Which response would the nurse make to a client with schizophrenia who claims to be Joan of Arc about to be burned at the stake? - "tell me more about being Joan of Arc" - "we both know that you're not Joan of Arc" - "it seems like the world is a pretty scary place for you" - "you're safe here, because we won't let you be burned"
Correct: "it seems like the world is a pretty scary place for you"
Which intervention is the priority nursing care for a client in the coronary care unit who develops "viselike" chest pain radiating to the neck with a BP of 124/64, an irregular apical pulse of 64 BPM, and diaphoresis who is prescribed morphine sulfate IV push and cardiac monitoring? - relief of pain - client teaching - cardiac monitoring - maintenance of bed rest
Correct: relief of pain
Which defense mechanism is being used by a client who has amnesia after an automobile collision that caused fatalities and subsequent arrest for speeding? - projection - repression - suppression - rationalization
Correct: repression
A client with schizophrenia is apathetic and exhibits an inappropriate affect. Which behavior is the client likely to exhibit? - logical deductions - suicidal preoccupation - absence of self-criticism - response to internal stimulation
Correct: response to internal stimulation
Which nursing action best prepares a client for termination of the therapeutic relationship? - periodically summarizing the client's progress during the working phase - reassuring the client that the relationship may be extended for as long as needed - telling the client during the first meeting how long the therapeutic relationship will last - encouraging expression of feelings about the relationship during the termination phase
Correct: telling the client during the first meeting how long the therapeutic relationship will last
Which assessment finding would the nurse evaluate before continuing the administration of IV magnesium sulfate therapy? - temp. - urinary output - urinary glucose - LOC
Correct: urinary output
A 10 year old child has been working on earning all of the scouting badges. Which of Erikson's stages of psychosocial development is the child achieving? - identity - industry - intimacy - initiative
Correct: industry
Which explanation would the nurse give to a client with a diagnosis of MI who asks the nurse, "What is causing the pain I am having?" - compression of the heart muscle - release of myocardial isoenzymes - rapid vasodilation of the coronary arteries - inadequate oxygenation of the myocardium
Correct: inadequate oxygenation of the myocardium
Which response by the nurses uses the technique of paraphrasing when after receiving chemotherapy for lymphoma, a client states, "I get so sick to my stomach. The med is useless."? - "You get sick to your stomach." - "Tell me more about how you feel." - I'll get a Rx. for an antiemetic." - "You don't think the med is helping you."
Correct: "You don't think the med is helping you."
Which explanation would the nurse include about systematic desensitization for a client who has a phobia about dogs? - "You'll be immediately exposed to dogs until you no longer feel anxious." - "Rewards will be given when you don't become anxious around dogs." - "Your contact with dogs will be increased, and we'll teach you relaxation techniques." - "We'll be engaging in detailed discussion to help you identify what caused your phobia."
Correct: "Your contact with dogs will be increased, and we'll teach you relaxation techniques."
Which client in a psychiatric unit needs immediate therapeutic intervention? - 25 year old is mimicking the use of a machine gun in front of the nurse's station - 45 year old man is sitting quietly in the corner, watching the movements of other clients - 50 year old woman is pacing back and forth and picking fights with other clients - 33 year old woman is wandering aimlessly around the unit, saying, "I feel so lost"
Correct: 50 year old woman is pacing back and forth and picking fights with other clients
Which situation represents the id component of human personality as mentioned by Freud? (SATA) - a client experiencing pain takes pain med prescribed for a family member - a client feels nauseous so leaves work to go to a health care facility - a client wishes to go home and slips out of the health care facility quietly without anyone noticing - a client feeling hungry notices a food tray at the next bed but does not grab the food because a nurse is watching - a client feeling thirsty waits for the nurse to bring the water instead of taking it from the next client because of knowing this is wrong
Correct: a client experiencing pain takes pain medication prescribed for a family member, a client feels nauseous and so leaves work to go to a health care facility, a client wishes to go home and slips out of the health care facility quietly without anyone noticing
Which example represents the ego component of human personality, according to Freud? (SATA) - A client wants to eat junk food but does not order it because the dietitian is keeping track of client's weight - a client notes the nurse is late in bringing their food tray, so the client steals food from the cafeteria - a client feels the next client received a better pillow but refrains from taking it because that behavior is wrong - a client with insomnia wants to take an extra sleeping pill but refrains from doing so because the caregivers are present - a client is attracted to the nurse in charge but does not make any advances because there are other clients in the same ward
Correct: a client wants to eat junk food but does not order it because the dietitian is keeping track of the client's weight, a client with insomnia wants to take an extra sleeping pill but refrains from doing so because the caregivers are present, a client is attracted to the nurse in charge but does not make any advances because there are other clients in the same ward
Which clinical manifestation would the nurse associate with successful fluid replacement therapy? - a trended urinary output of at least 30 mL/h - central venous pressure reading of 1.5 mmHg - baseline pulse rate of 120 BPM decreasing to 110 BMP within a 15-minute period - baseline BP of 50/30 mmHg increased to 70/40 mmHg within a 30-minute period
Correct: a trended urinary output of at least 30 mL/h
Which approaches would the nurse use during a crisis intervention interview? (SATA) - active - passive - reflective - interpretive - goal directed
Correct: active, goal directed
Which finding would alert the nurse that a client diagnosed with schizophrenia is experiencing positive symptoms? (SATA) - poverty of speech - agitated behavior - lack of motivation - delusions of grandeur - auditory hallucinations
Correct: agitated behavior, delusions of grandeur, auditory hallucinations
Which information would support the nurse's decision to arrange for a staff member to remain with a depressed client continuously? (SATA) - refusal to eat any food - inability to concentrate - agitated pacing in the hall - history of suicide attempts - statements that life is not worth living
Correct: agitated pacing in the hall, history of suicide attempts, statements that life is not worth living
Which behavior by the client exhibits denial after a recent diagnosis? - attempts to minimize the illness - lacks an emotional response to the illness - refuses to discuss the condition with the client's spouse - expresses displeasure with the prescribed activity program
Correct: attempts to minimize the illness
Which action would the nurse take to establish a trusting relationship with a client who is using paranoid ideation? - being available on the unit but waiting for the client to approach - seeking the client out frequently to spend long blocks of time together - sitting on the unit and observing the client's behavior throughout the day - calling the client into the office to establish a contract for regular therapy sessions
Correct: being available on the unit but waiting for the client to approach
Which characteristics of affect are expected for a client with the Dx. of somatoform disorder, conversion type? (SATA) - calm - cheerful - depressed - frightened - matter-of-fact
Correct: calm, matter-of-fact
Which symptom would the nurse monitor for when caring for a client who has hyponatremia? - increased urine output - deep rapid respirations - change in LOC - distended neck veins
Correct: change in LOC
Which therapeutic communication technique is demonstrated when the nurse says, "I'm confused about exactly what is upsetting you. Would you go over that again, please?" - clarifying - structuring - confronting - paraphrasing
Correct: clarifying
The nurse is evaluating the effectiveness of a treatment for a client with FVE. Which clinical finding indicates that treatment was successful? - clear breath sounds - positive pedal pulses - normal potassium level - decreased urine specific gravity
Correct: clear breath sounds
During the termination phase of a therapeutic relationship, a client misses a series of appointments without any explanation. Which action would the nurse take? - terminate the relationship immediately - explore personal feelings with the supervisor - contact the client to encourage another session - plan to attend the remaining designated meetings
Correct: contact the client to encourage another sessions
The nurse is administering IV fluids to a dehydrated infant. Which intervention is most important at this time? - calculating total caloric intake - continuing prescribed flow rate - making hourly temp. assessments - maintaining the fluid at body temp.
Correct: continuing the prescribed flow rate
Which situation represents the superego in a client, per Freud? (SATA) - controlling the urge to eat candy because he knows it will affect blood sugar levels - having a craving for fruit but not stealing it from the next client because that client needs it more - urinating beside the bed instead of waiting for the nurse to assist him - experiencing a stomachache but refraining from stealing meds from a friend because it is illegal - feeling the urge to run away from the hospital but refraining from doing so because the security guard is watching
Correct: controlling the urge to eat candy because he knows it will affect blood sugar levels, having a craving for fruit but not stealing it from the next client because that client needs it more, experiencing a stomachache but refraining from stealing meds from a friend because it is illegal
Which intervention would the nurse include in the initial plan of care for a client with the long-standing obsessive-compulsive behavior of hand washing? - determine the purpose of the ritualistic behavior - limit the time allowed for the ritualistic behavior - suggest a symptom-substitution technique - develop a routine schedule of activities
Correct: develop a routine schedule of activities
Which clinical finding would the nurse anticipate when admitting a client with an extracellular FVE? - rapid, thready pulse - distended jugular veins - elevated hematocrit level - increased serum sodium level
Correct: distended jugular veins
Which nursing interventions are best for a client who states, "I get down on myself when I make a mistake." in a cognitive therapy approach? (SATA) - teaching the client relaxation exercises to diminish stress - exploring with the client past experiences that have caused distress - providing the client with mastery experiences designed to boost self-esteem - encouraging the client to replace these negative thoughts with positive thoughts - helping the client modify the belief that anything less than perfection is unacceptable
Correct: encouraging the client to replace these negative thoughts with positive thoughts, helping the client modify the belief that anything less than perfection is unacceptable
Which nursing actions best promote communication when obtaining a nursing history? (SATA) - establishing eye contact - paraphrasing the client's message - asking why and how questions - using broad, open-ended statements - reassuring the client that there is no cause for alarm - asking questions that can be answered with a yes or no
Correct: establishing eye contact, paraphrasing the client's message, using broad, open-ended statements
A client is admitted into the mental health unit involuntarily. Which course of action should the nurse take to prevent legal complications? - document that the client is a danger to self or others - keep the client under supervision to prevent suicide attempts - file with the court a commitment for evaluation within 96 hours of the client's initial detention - detain the client for psychiatric treatment for no longer than 21 days
Correct: file with the court a commitment for evaluation within 96 hours of the client's initial detention
Which therapeutic communication technique is used when the nurse and a client have a conversation and the client begins to repeat the conversation to self? - focusing - clarifying - paraphrasing - summarizing
Correct: focusing
During a routine prenatal visit, a client tells the nurse that they often gets muscle weakness and leg cramps. Which condition would the nurse suspect, and which suggestion is made to correct the problem? - hypercalcemia; avoid eating hard cheeses - hypocalcemia; increase milk intake - hyperkalemia; consult the health care provider - hypokalemia; increase intake of green leafy vegetables
Correct: hypocalcemia; increase milk intake
Which behaviors would the nurse expect the client to do during the working phase of a therapeutic relationship according to Peplau's model of the nurse-client relationship? (SATA) - initiate topics of discussion - focus the conversation on the nurse - repress emotionally charged material - accept limits on unacceptable behavior - express emotions related to transference
Correct: initiate topics of discussion, accept limits on unacceptable behavior, express emotions related to transference
Which symptoms are classified as negative symptoms for a client diagnosed with schizophrenia? (SATA) - lack of energy - anhedonia - illogical speech - ideas of reference - agitated behavior
Correct: lack of energy, anhedonia
Which action will the urgent care clinic nurse anticipate taking for a 24-year-old client who is dehydrated after a long run and has a pulse rate of 103 and BP 102/56 mmHg? - offer oral fluids at frequent intervals - give fluid boluses through NG tube - administer IV antiemetic meds - insert a peripheral IV line for fluid infusion
Correct: offer oral fluids at frequent intervals
At which point would the nurse start to discuss terminating the nurse-client relationship with a client? - working phase, when the client initiates it - orientation phase, when a contract is established - working phase, when the client shows some progress - termination phase, when discharge plans are being made
Correct: orientation phase, when a contract is established
Which clinical indicator would the nurse expect when an IV line has infiltrated? (SATA) - heat - pallor - edema - decreased flow rate - increased BP
Correct: pallor, edema, decreased flow rate
For which behavior incur liability in handling an inpatient psychiatric pt. who is laughing loudly and making inappropriate comments to other pt. and staff? - report the pt. behavior to the treatment team - checking the pt. Rx. for a PRN med to help calm the pt. - placing the pt. in seclusion only until the pt. stops verbally attacking pt. and staff - bringing the pt. to a quiet area and encouraging a discussion of thoughts and behavior
Correct: placing the pt. in seclusion only until the pt. stops verbally attacking pt. and staff
Which lab values indicates to the nurse a client with urinary problems may be at risk for developing weakness and cardiac arrhythmias? - calcium of 9.5 mg/dL - potassium of 7.02 mEq/L - bicarbonate of 22.8 mEq/L - phosphorus of 4.1 mg/dL
Correct: potassium of 7.02 mEq/L
Which reason would an IV infusion of 5% dextrose with 0.45% sodium chloride and 20 mEq potassium be prescribed for a client with a NG tube set to low intermittent suction? - prevent constipation - prevent dehydration - prevent vomiting - prevent electrolyte imbalance
Correct: prevent electrolyte imbalance
In the orientation phase, the nurse and the client meet and get to know each other. Which actions would the nurse follow in this phase? (SATA) - prioritizing the client's problems - clarifying the client's and nurse's roles - evaluating goal achievement with the client - taking action to meet goals set with the client - encouraging and helping the client with self-exploration
Correct: prioritizing the client's problems, clarifying the client's and nurse's roles
The nurse provides immediate postop. care to a client. The client reports sudden SOB and chest pain. Which action would the nurse take? - provide supplemental O2 - administer IV morphine - prepare for endotracheal intubation - administer sublingual nitroglycerin
Correct: provide supplemental O2
Which rights do clients have when they are admitted to an inpatient psychiatric facility? (SATA) - receiving personal mail - refusing treatment - viewing written treatment plans - selecting health team members - being in the least restrictive environment - having freedom from excessive or unnecessary meds
Correct: receiving personal mail, refusing treatment, viewing written treatment plans, being in the least restrictive environment, having freedom from excessive or unnecessary meds
Which outcome is the priority for a client in crisis? - learns new skills in OT - benefits from long-term follow-up counseling - regains psychological equilibrium - gains insight into the problem
Correct: regains psychological equilibrium
Which defense mechanism is most commonly used by clients who are diagnosed with schizophrenia, undifferentiated type? - projection - repression - regression - conversion
Correct: regression
Which action would the nurse take to assist a client diagnosed with schizophrenia who moves to the counter to choose food but is unable to decide what to do next? - provide nonverbal communication - speak in simple declarative statements - ask basic questions requiring simple choices - reward the client for each of the food items chosen
Correct: speak in simple declarative statements
Which rationale describes the nurse's behavior for sitting with a severely depressed client and making no demands on the client? - nurses are required to spend time with assigned clients - environmental stimulation helps depressed clients feel more worthwhile - nurses are expected to initiate one-on-one interactions on an acute care unit - spending time with a depressed client demonstrates that they are worthy of attention
Correct: spending time with a depressed client demonstrates that they are worthy of attention
A client has paralysis of the legs r/t somatoform disorder, conversion type. Which explanation must be considered when formulating the plan of care? - the illness is very real to the client and requires appropriate nursing care - although the client believes that there is an illness, there is no cause for concern - there is no physiological basis for the illness; only emotional care is needed - nursing intervention is needed even though the nurse understand that the client is not ill
Correct: the illness is very real to the client and requires appropriate nursing care
