According to Piaget, a 5-year-old is at what stage of development: A. Sensorimotor stage B. Concrete operations C. Pre-operational D. Formal operation Correct Answer: C. Pre-operational Preoperational stage (2-7 years) is the stage when the use of language, the use of symbols and the concept of time… Read More »
Situation: The nurse assigned to the detoxification unit attends to various patients with substance-related disorders. A 45 years old male revealed that he experienced a marked increase in his intake of alcohol to achieve the desired effect. This indicates: A. Withdrawal B. Tolerance C. Intoxication D. Psychological dependence … Read More »
The client admitted for alcohol detoxification develops increased tremors, irritability, hypertension, and fever. The nurse should be alert for impending: A. Delirium tremens B. Korsakoff’s syndrome C. Esophageal varices D. Wernicke’s syndrome Correct Answer: A. Delirium tremens Delirium tremens is the most extreme central nervous system irritability… Read More »
The care for the client places priority on which of the following: A. Monitoring his vital signs every hour. B. Providing a quiet, dim room. C. Encouraging adequate fluids and nutritious foods. D. Administering Librium as ordered. Correct Answer: A. Monitoring his vital signs every hour Pulse… Read More »
Another client is brought to the emergency room by friends who state that he took something an hour ago. He is actively hallucinating, agitated, with an irritated nasal septum. A. Heroin B. Cocaine C. LSD D. Marijuana Correct Answer: B. Cocaine The manifestations indicate intoxication with cocaine,… Read More »
A client is admitted with needle tracks on his arm, stuporous and with pinpoint pupil will likely be managed with: A. naltrexone (Revia) B. naloxone hydrochloride (Narcan) C. disulfiram (Antabuse) D. methadone (Dolophine) Correct Answer: B. naloxone hydrochloride (Narcan) Narcan is a narcotic antagonist used to manage… Read More »
Situation: An old woman was brought for evaluation due to the hospital for evaluation due to increasing forgetfulness and limitations in daily function. The daughter revealed that the client used her toothbrush to comb her hair. She is manifesting: A. Apraxia B. Aphasia C. Agnosia D. Amnesia … Read More »
She tearfully tells the nurse “I can’t take it when she accuses me of stealing her things.” Which response by the nurse will be most therapeutic? A. ”Don’t take it personally. Your mother does not mean it.” B. “Have you tried discussing this with your mother?” C. “This must be difficult for you and… Read More »
The primary nursing intervention in working with a client with moderate stage dementia is ensuring that the client: A. Receives adequate nutrition and hydration. B. Will reminisce to decrease isolation. C. Remains in a safe and secure environment. D. Independently performs self-care. Correct Answer: C. Remains in… Read More »
She says to the nurse who offers her breakfast, “Oh no, I will wait for my husband. We will eat together” The therapeutic response by the nurse is: A. “Your husband is dead. Let me serve you your breakfast.” B. “I’ve told you several times that he is dead. It’s time to eat.”… Read More »