Nokea
If the client has all of the following strengths, which one is most important for coping with this diagnosis?
- A. Acceptance by religious leaders
- B. A close circle of support
- C. Acquisition of many social acquaintances
- D. Sexual tolerance within the community
Correct Answer: B
Rationale: A close support network provides emotional and practical assistance, critical for coping with the challenges of an HIV diagnosis.
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Which of the following historical data is the greatest risk factor for hypochondriasis?
- A. The client experienced parental neglect as a child.
- B. The client has a sibling with schizophrenia.
- C. The client experienced parental overprotection as a child.
- D. The client has a history of substance abuse.
Correct Answer: C
Rationale: Parental overprotection can foster excessive health concerns, contributing to hypochondriasis by reinforcing anxiety about physical symptoms.
If the nurse notes the following symptoms after the client begins taking sertraline (Zoloft), which one is most likely drug-related?
- A. Polyuria
- B. Diplopia
- C. Drooling
- D. Insomnia
Correct Answer: D
Rationale: Insomnia is a common side effect of sertraline, an SSRI, due to its activating effects on the central nervous system.
When interacting with a client experiencing a panic attack, which technique by the nurse is most likely to help reduce the client's anxiety level?
- A. Stand less than an arm's length away.
- B. State that everything is going to be okay.
- C. Instruct the client to take shallow breaths.
- D. Explain all actions and procedures.
Correct Answer: D
Rationale: Explaining actions provides predictability, reducing anxiety by enhancing the client's sense of control during a panic attack.
The client with a history of poly substance abuse is being medically detoxified in an acute care hospital. The client reported recently using alcohol oxycodone crack cocaine and marijuana. In planning for detoxification which substance for detoxification should be the nurse’s priority?
- A. Alcohol
- B. Marijuana
- C. Oxycodone
- D. Crack cocaine
Correct Answer: A
Rationale: Alcohol (A) has the most severe potentially fatal withdrawal. Marijuana (B) oxycodone (C) and cocaine (D) are less life-threatening.
If the client is typical of others of similar age, the nurse can anticipate the client as having which age-related problems? Select all that apply.
- A. Becoming cynical
- B. Losing patience
- C. Developing hostility
- D. Having periods of regret
- E. Experiencing episodes of depression
Correct Answer: D,E
Rationale: Regret and depression are common in late adulthood as individuals reflect on life, per Erikson's integrity vs. despair stage.