The client with confusion says to the nurse, “I haven’t had anything to eat all day long. When are they going to bring breakfast?” The nurse saw the client in the day room eating breakfast with other clients 30 minutes before this conversation. Which response would be best for the nurse to make? A. “You know… Read More »
The client is admitted to the chemical dependence unit with an order for continuous observation. The nurse is aware that the doctor has ordered continuous observation because: A. Hallucinogenic drugs create both stimulant and depressant effects. B. Hallucinogenic drugs induce a state of altered perception. C. Hallucinogenic drugs produce severe respiratory depression.… Read More »
What is the most appropriate nursing response to a myocardial infarction client who is fearful of dying? A. “Tell me about your feelings right now.” B. “When the doctor arrives, everything will be fine.” C. “This is a bad situation, but you’ll feel better soon.” D. “Please be assured we’re doing everything we… Read More »
A clinic nurse interviews a parent who is suspected of abusing her child. Which of the following characteristics is the nurse least likely to find in an abusing parent? A. Low self-esteem B. Unemployment C. Self-blame for the injury to the child D. Single status Correct Answer: C. Self-blame… Read More »
A priority goal of involuntary hospitalization of the severely mentally ill client is A. Re-orientation to reality B. Elimination of symptoms C. Protection from harm to self or others D. Return to independent functioning Correct Answer: C. Protection from self-harm and harm to others. Involuntary hospitalization may… Read More »
A 19-year-old client is paralyzed in a car accident. Which statement used by the client would indicate to the nurse that the client was using the mechanism of “suppression”? A. “I don’t remember anything about what happened to me.” B. “I’d rather not talk about it right now.” C. “It’s the other… Read More »
A clinic nurse interviews a parent who is suspected of abusing her child. Which of the following characteristics is the nurse least likely to find in an abusing parent? A. Low self-esteem B. Unemployment C. Self-blame for the injury to the child D. Single status Correct Answer: C. Self-blame… Read More »
Which behavioral characteristic describes the domestic abuser? A. Alcoholic B. Overconfident C. High tolerance for frustrations D. Low self-esteem Correct Answer: D. Low self-esteem Batterers are usually physically or psychologically abused as children or have had experiences of parental violence. Batterers are also manipulative, have low self-esteem,… Read More »
A client with a history of abusing barbiturates abruptly stops taking the medication. The nurse should give priority to assessing the client for: A. Depression and suicidal ideation B. Tachycardia and diarrhea C. Muscle cramping and abdominal pain D. Tachycardia and euphoric mood Correct Answer: B. Tachycardia… Read More »
A 5-year-old child and has been recently admitted to the hospital. According to Erik Erikson’s psychosocial development stages, the child is in which stage? A. Trust vs. mistrust B. Initiative vs. guilt C. Autonomy vs. shame and doubt D. Intimacy vs. isolation Correct Answer: B. Initiative vs.… Read More »