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Which initial reaction would the nurse expect if the client is typical of others who just received news of this diagnosis?
- A. Anger
- B. Shock
- C. Resentment
- D. Depression
Correct Answer: B
Rationale: Shock is the most common initial reaction to an HIV diagnosis, as it reflects the overwhelming and unexpected nature of the news.
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Which assessment finding by the nurse is most suggestive to the obese client is taking dextroamphetamine (Dexedrine) at this time?
- A. The client stares blankly into space.
- B. The client monopolizes the discussions.
- C. The client wears sunglasses indoors.
- D. The client slurs words when speaking.
Correct Answer: B
Rationale: Monopolizing discussions reflects the hyperactivity and talkativeness associated with stimulant use like dextroamphetamine.
The nurse is planning care for the client receiving treatment for benzodiazepine abuse. Rank the interventions in the order that they should be implemented during the client’s course of treatment.
- A. Review lifestyle changes that will need to be made.
- B. Take vital signs.
- C. Administer lorazepam as prescribed.
- D. Emphasize personal responsibility for abstaining from substance abuse.
- E. Provide information about the symptoms of withdrawal.
- F. Encourage oral fluids.
Correct Answer: B ,C ,F, E, D, A
Rationale: VS (B) assess withdrawal lorazepam (C) reduces risks fluids (F) maintain hydration withdrawal info (E) educates responsibility (D) follows stability lifestyle changes (A) are last.
What suggestion can the nurse make if the client complains of feeling dizzy when taking doxepin (Sinequan) at bedtime as prescribed?
- A. Place a cool compress on your forehead.
- B. Get up slowly from a seated position.
- C. Remain in bed with your feet elevated above your heart.
- D. Take some deep breaths before getting out of bed.
Correct Answer: B
Rationale: Rising slowly minimizes orthostatic hypotension, a common side effect of doxepin, reducing dizziness.
The client often avoids talking about cocaine use by refocusing on other problems such as losing a job and family discord. Which is the most helpful response by the nurse when the client avoids discussing using cocaine?
- A. “Has your cocaine use helped you to cope with these problems in the past?”
- B. “You need to consider that all these problems are related to your cocaine use.”
- C. “How do you think these problems will change once you no longer use cocaine?”
- D. “You can’t do anything about these while here. Just focus on getting off of cocaine.”
Correct Answer: C
Rationale: Linking drug use to problems (C) builds insight. Coping (A) is inaccurate opinions (B) cause defensiveness and avoiding issues (D) is unhelpful.
The nurse reviews various treatment options with the group members. Which of the following are considered most therapeutic in treating obsessive-compulsive disorder (OCD)? Select all that apply.
- A. Selective serotonin reuptake inhibitors (SSRIs) such as fluvoxamine (Luvox)
- B. Electroconvulsive therapy (ECT)
- C. Cognitive-behavioral therapy
- D. Surgical prefrontal lobotomy
- E. Tranquilizers such as diazepam (Valium)
- F. A self-help class on the Internet
Correct Answer: A,C
Rationale: SSRIs and cognitive-behavioral therapy, particularly exposure and response prevention, are evidence-based treatments for OCD, targeting symptoms effectively.