Junnel, who is manic, but not yet on medication, comes to the drug treatment center. The nurse would not let this client join the group session because: A. The client is disruptive. B. The client is harmful to self. C. The client is harmful to others. D. The client needs to… Read More »
Dervid, an adolescent boy, was admitted for substance abuse and hallucinations. The client’s mother asks Nurse Armando to talk with his husband when he arrives at the hospital. The mother says that she is afraid of what the father might say to the boy. The most appropriate nursing intervention would be to: A. Inform the mother… Read More »
When developing a plan of care for a female client with acute stress disorder who lost her sister in a car accident. Which of the following would the nurse expect to initiate? A. Facilitating progressive review of the accident and its consequences. B. Postponing discussion of the accident until the client brings it… Read More »
What is Nurse John likely to note in a male client being admitted for alcohol withdrawal? A. Perceptual disorders B. Impending coma C. Recent alcohol intake D. Depression with mutism Correct Answer: A. Perceptual disorders Frightening visual hallucinations are especially common in clients experiencing alcohol withdrawal. This… Read More »
Aira has taken amitriptyline HCL (Elavil) for 3 days, but now complains that it “doesn’t help” and refuses to take it. What should the nurse say or do? A. Withhold the drug. B. Record the client’s response. C. Encourage the client to tell the doctor. D. Suggest that it takes a… Read More »
Dervid, an adolescent has a history of truancy from school, running away from home and “borrowing” other people’s things without their permission. The adolescent denies stealing, rationalizing instead that as long as no one was using the items, it was all right to borrow them. It is important for the nurse to understand the psychodynamically,… Read More »
In preparing a female client for electroconvulsive therapy (ECT), Nurse Michelle knows that succinylcholine (Anectine) will be administered for which therapeutic effect? A. Short-acting anesthesia B. Decreased oral and respiratory secretions C. Skeletal muscle paralysis D. Analgesia Correct Answer: C. Skeletal muscle paralysis Anectine is a depolarizing… Read More »
Nurse Gina is aware that the dietary implications for a client in manic phase of bipolar disorder is: A. Serve the client a bowl of soup, buttered French bread, and apple slices. B. Increase calories, decrease fat and decrease protein. C. Give the client pieces of cut-up steak, carrots, and an apple.… Read More »
What parental behavior toward a child during an admission procedure should cause Nurse Ron to suspect child abuse? A. Flat affect B. Expressing guilt C. Acting overly solicitous toward the child. D. Ignoring the child. Correct Answer: C. Acting overly solicitous toward the child. This behavior is… Read More »
Nurse Lynnette notices that a female client with obsessive-compulsive disorder washes her hands for long periods each day. How should the nurse respond to this compulsive behavior? A. By designating times during which the client can focus on the behavior. B. By urging the client to reduce the frequency of the behavior as… Read More »