Flumazenil (Romazicon) has been ordered for a male client who has overdosed on oxazepam (Serax). Before administering the medication, nurse Gina should be prepared for which common adverse effect? A. Seizures B. Shivering C. Anxiety D. Chest pain Correct Answer: A. Seizures Seizures are the most common… Read More »
Which nursing intervention is best for facilitating communication with a psychiatric client who speaks a foreign language? A. Rely on nonverbal communication B. Select symbolic pictures as aids C. Speak in universal phrases D. Use the services of an interpreter Correct Answer: D. Use the services of an interpreter… Read More »
A psychotic client reports to the evening nurse that the day nurse put something suspicious in his water with his medication. The nurse replies, “You’re worried about your medication?” The nurse’s communication is: A. An example of presenting reality B. Reinforcing the client’s delusions C. Focusing on emotional content D. A… Read More »
For a female client with anorexia nervosa, nurse Rose plans to include the parents in therapy sessions along with the client. What fact should the nurse remember to be typical of parents of clients with anorexia nervosa? A. They tend to overprotect their children. B. They usually have a history of substance abuse.… Read More »
A client with a bipolar disorder exhibits manic behavior. The nursing diagnosis is Disturbed thought processes related to difficulty concentrating, secondary to flight of ideas. Which of the following outcome criteria would indicate improvement in the client? A. The client verbalizes feelings directly during treatment. B. The client verbalizes a positive “self” statement.… Read More »
The nurse is planning care for a client admitted to the psychiatric unit with a diagnosis of paranoid schizophrenia. Which nursing diagnosis should receive the highest priority? A. Risk for violence toward self or others B. Imbalanced nutrition: Less than body requirements C. Ineffective family coping D. Impaired verbal communication … Read More »
In the emergency department, a client with facial lacerations states that her husband beat her with a shoe. After the health care team repairs her lacerations, she waits to be seen by the crisis intake nurse, who will evaluate the continued threat of violence. Suddenly the client’s husband arrives, shouting that he wants to “finish… Read More »
A client tells a nurse. “Everyone would be better off if I wasn’t alive.” Which nursing diagnosis would be made based on this statement? A. Disturbed thought processes B. Ineffective coping C. Risk for self-directed violence D. Impaired social interaction Correct Answer: C. Risk for self-directed violence… Read More »
The nurse is preparing for the discharge of a client who has been hospitalized for paranoid schizophrenia. The client’s husband expresses concern over whether his wife will continue to take her daily prescribed medication. The nurse should inform him that: A. His concern is valid but his wife is an adult and has the… Read More »
Nurse Mary is caring for a client with bulimia. Strict management of dietary intake is necessary. Which intervention is also important? A. Fill out the client’s menu and make sure she eats at least half of what is on her tray. B. Let the client eat her meals in private. Then engage her… Read More »