Rudolf is admitted for an overdose of amphetamines. When assessing the client, the nurse should expect to see: A. Tension and irritability B. Slow pulse C. Hypotension D. Constipation Correct Answer: A. Tension and irritability An amphetamine is a nervous system stimulant that is subject to abuse… Read More »
Nicolas is experiencing hallucinations and tells the nurse, “The voices are telling me I’m no good.” The client asks if the nurse hears the voices. The most appropriate response by the nurse would be: A. “It is the voice of your conscience, which only you can control.” B. “No, I do not hear your voices,… Read More »
The nurse is aware that the side effect of electroconvulsive therapy that a client may experience: A. Loss of appetite B. Postural hypotension C. Confusion for a time after treatment D. Complete loss of memory for a time Correct Answer: C. Confusion for a time after treatment… Read More »
A dying male client gradually moves toward resolution of feelings regarding impending death. Basing care on the theory of Kubler-Ross, Nurse Trish plans to use nonverbal interventions when assessment reveals that the client is in the: A. Anger stage B. Denial stage C. Bargaining stage D. Acceptance stage … Read More »
The outcome that is unrelated to a crisis state is: A. Learning more constructive coping skills. B. Decompensation to a lower level of functioning. C. Adaptation and a return to a prior level of functioning. D. A higher level of anxiety continuing for more than 3 months. … Read More »
Joy’s stream of consciousness is occupied exclusively with thoughts of her father’s death. Nurse Ronald should plan to help Joy through this stage of grieving, which is known as: A. Shock and disbelief B. Developing awareness C. Resolving the loss D. Restitution Correct Answer: C. Resolving the… Read More »
Miranda, a psychiatric client is to be discharged with orders for haloperidol (Haldol) therapy. When developing a teaching plan for discharge, the nurse should include cautioning the client against: A. Driving at night. B. Staying in the sun. C. Ingesting wines and cheeses. D. Taking medications containing aspirin. … Read More »
Jen, a nursing student is anxious about the upcoming board examination but is able to study intently and does not become distracted by a roommate’s talking and loud music. The student’s ability to ignore distractions and to focus on studying demonstrates: A. Mild-level anxiety B. Panic-level anxiety C. Severe-level anxiety D.… Read More »
When assessing a premorbid personality characteristics of a client with a major depression, it would be unusual for the nurse to find that this client demonstrated: A. Rigidity B. Stubbornness C. Diverse interest D. Over meticulousness Correct Answer: C. Diverse interest Before the onset of depression, these… Read More »
Nurse Krina recognizes that the suicidal risk for depressed client is greatest: A. As their depression begins to improve. B. When their depression is most severe. C. Before any type of treatment is started. D. As they lose interest in the environment. Correct Answer: A. As their… Read More »