Which is the best indicator of success in the long-term management of the client with a somatic disorder? A. His symptoms are replaced by indifference to his feelings. B. He participates in diversionary activities. C. He learns to verbalize his feelings and concerns. D. He states that his behavior is irrational. … Read More »
Situation: A young woman is brought to the emergency room appearing depressed. The nurse learned that her child died a year ago due to an accident. The initial nursing diagnosis is dysfunctional grieving. The statement of the woman that supports this diagnosis is: A. “I feel envious of mothers who have toddlers” B.… Read More »
The client said “I can’t even take care of my baby. I’m good for nothing.” Which is the appropriate nursing diagnosis? A. Ineffective individual coping related to loss. B. Impaired verbal communication related to inadequate social skills. C. Low esteem related to failure in role performance. D. Impaired social interaction related… Read More »
The following medications will likely be prescribed for the client except: A. Prozac B. Tofranil C. Parnate D. Zyprexa Correct Answer: D. Zyprexa This is an antipsychotic. Olanzapine is a second-generation (atypical) antipsychotic medication. Olanzapine also has approval for use with fluoxetine, a selective serotonin reuptake inhibitor (SSRI),… Read More »
A hospitalized client, diagnosed with a borderline personality disorder, consistently breaks the unit’s rules. This behavior should be confronted because it will help the client: A. Control anger B. Reduce anxiety C. Set realistic goals D. Become more self-aware Correct Answer: D. Become more self-aware. Client’s must… Read More »
Which is the highest priority in the post-ECT care? A. Observe for confusion. B. Monitor respiratory status. C. Reorient to time, place and person. D. Document the client’s response to the treatment. Correct Answer: B. Monitor respiratory status. A side effect of ECT which is life-threatening is a respiratory… Read More »
Situation: A 27-year-old writer is admitted for the second time accompanied by his wife. He is demanding, arrogant, talks fast, and hyperactive. Initially, the nurse should plan this for a manic client: A. Set realistic limits to the client’s behavior. B. Repeat verbal instructions as often as needed. C. Allow the client… Read More »
An activity appropriate for the client with mania is: A. Table tennis B. Painting C. Chess D. Cleaning Correct Answer: D. Cleaning The client’s excess energy can be rechanneled through physical activities that are not competitive like cleaning. This is also a way to dissipate tension. Maintain… Read More »
The client is arrogant and manipulative. In ensuring a therapeutic milieu, the nurse does one of the following: A. Agree on a consistent approach among the staff assigned to the client. B. Suggest that the client take a leading role in the social activities. C. Provide the client with extra time for… Read More »
A client on Lithium has diarrhea and vomiting. What should the nurse do first: A. Recognize this as a drug interaction. B. Give the client Cogentin. C. Reassure the client that these are common side effects of lithium therapy. D. Hold the next dose and obtain an order for a stat serum… Read More »