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 »
Marty is pacing and complains of racing thoughts. Nurse Lally asks the client if something upsetting happened, and Marty’s response is vague and not focused on the question. Nurse Lally assess Marty’s level of anxiety as: A. Mild B. Moderate C. Severe D. Panic Correct Answer: C.… Read More »
Dementia, unlike delirium, is characterized by: A. Slurred speech B. Insidious onset C. Clouding of consciousness D. Sensory perceptual change Correct Answer: B. Insidious onset Dementia has a gradual onset and progressive deterioration. It causes pronounced memory and cognitive disturbances. Dementia is a disorder that is characterized… Read More »
Situation: A 17-year-old gymnast is admitted to the hospital due to weight loss and dehydration secondary to starvation. Which of the following nursing diagnoses will be given priority for the client? A. Altered self-image B. Fluid volume deficit C. Altered nutrition less than body requirements D. Altered family process … Read More »
What is the best intervention to teach the client when she feels the need to starve? A. Allow her to starve to relieve her anxiety. B. Do a short-term exercise until the urge passes. C. Approach the nurse and talk out her feelings. D. Call her mother on the phone and tell her… Read More »
The client with anorexia nervosa is improving if: A. She eats meals in the dining room. B. Weight gain C. She attends ward activities. D. She has a more realistic self-concept. Correct Answer: B. Weight gain Weight gain is the best indication of the client’s improvement. The… Read More »