Nokea
Which action by the client is most suggestive of denial about the illness?
- A. The client conceals the information from family members.
- B. The client avoids contact with homosexual friends.
- C. The client responds to the former group of the nurse.
- D. The client has intercourse without using condoms.
Correct Answer: D
Rationale: Engaging in unprotected intercourse indicates denial of the HIV diagnosis, as it disregards the risk of transmission and personal health implications.
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The nurse manager concerned about the potential for staff harm on a behavioral health unit is assessing the unit’s milieu. Which milieu situation should the nurse manager address because it is a predictive factor for violence?
- A. Two clients have a history of spousal abuse.
- B. Several clients have lost smoking privileges.
- C. The unit is currently at less than full client capacity.
- D. The nurse from a medical unit is assigned to work on the unit.
Correct Answer: D
Rationale: Staff inexperience (D) predicts violence. Client history (A) and privileges (B) are client-focused and low capacity (C) reduces not increases risk.
The nurse is preparing to administer chlordiazepoxide 75 mg orally for the client experiencing severe withdrawal symptoms due to alprazolam dependency. The medication is supplied in 25-mg capsules. How many capsules should the nurse prepare to administer?_ capsule(s) (Record your answer as a whole number.)
Correct Answer: 3
Rationale: Proportion: 25 mg/1 capsule = 75 mg/X capsules; 25X = 75; X = 3 capsules.
When providing care for an Asian client diagnosed with mental illness, which barriers should be considered before the treatment? Select all that apply.
- A. Language
- B. Literacy
- C. Somatization of mental health symptoms
- D. Food preferences
- E. Client's tendency to give limited information
- F. Financial status
Correct Answer: A,C,E
Rationale: Language barriers, somatization, and limited disclosure are common cultural factors in Asian clients, impacting mental health treatment access.
The nurse is aware that such attitudes and statements can have damaging consequences for a mentally ill client. What is the most significant consequence of the remark in this situation?
- A. It violates the client's right to treatment.
- B. It disregards the client's individuality.
- C. It interferes with continuity of client care.
- D. It disrupts good staff relationships.
Correct Answer: B
Rationale: Labeling the client as a hypochondriac dismisses their unique experiences, undermining person-centered care and trust.
The nurse is educating the client on the methadone prescribed for replacement therapy while in an outpatient treatment program for heroin addicts. The client asks how taking a pill is going to help the client stay substance-free. Which statement is the nurse’s best reply?
- A. “The methadone will give you the same high so you won’t want heroin anymore.”
- B. “The methadone will cause you to become very sick if you take heroin at the same time”
- C. “The methadone ‘replaces’ heroin in your body so you will have fewer cravings for heroin.”
- D. “The methadone causes sedation; you’ll sleep better so you can participate in your treatment.”
Correct Answer: C
Rationale: Methadone displaces heroin reducing cravings (C). It doesn’t produce a high (A) cause sickness (B) or sedate (D).