Nokea
While reviewing the client's psychiatric history, the nurse would expect to note which major characteristic of bipolar disorder?
- A. Ritualistic behavior
- B. Symbolic aggressiveness
- C. Cyclic mood swings
- D. Periodic amnesia
Correct Answer: C
Rationale: Cyclic mood swings, alternating between mania and depression, are the hallmark of bipolar disorder, defining its clinical presentation.
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When the older client with Alzheimer's disease is confused about how to use a fork, which nursing action is best for prolonging an ability to maintain self-care?
- A. Ask the physician to order a liquid diet.
- B. Position the client to promote mimicking other clients.
- C. See the client first so there is sufficient time to eat.
- D. Seat the client alone so no one will see any mess that occurs.
Correct Answer: B
Rationale: Mimicking others leverages social cues, encouraging independent eating and prolonging self-care abilities.
The client is being discharged from treatment for addiction to alprazolam and will be attending an addiction self-help group. Which statement indicates that the client has an accurate understanding of maintaining sobriety according to 12-step self-help principles?
- A. “I cannot take any mood-altering drugs or I run the risk of relapsing.”
- B. “I will have to stay away from situations that I find anxiety-producing.”
- C. “I’ve learned how to safely use my nerve pills to avoid overusing them.”
- D. “Instead of these pills I should drink a small glass of wine when I feel anxious.”
Correct Answer: A
Rationale: Total abstinence (A) is 12-step principle. Avoiding situations (B) is unrealistic using pills (C) or alcohol (D) risks relapse.
When the rape victim arrives at the emergency department, which nursing action is best for relieving the client's anxiety?
- A. Determine the victim's last date of menstruation.
- B. Collect evidence for criminal prosecution.
- C. Assess the extent of the client's injuries.
- D. Stay with the client at all times.
Correct Answer: D
Rationale: Remaining with the victim provides emotional support and a sense of safety, directly addressing anxiety during a traumatic experience.
The nurse is to administer haloperidol 2 mg IV now to the hospitalized client. A vial of haloperidol 5 mg/mL is available. How many milliliters of medication should the nurse administer?____________ mL (Record your answer rounded to the nearest tenth.)
Correct Answer: 0.4
Rationale: Using proportion: 5 mg/1 mL = 2 mg/X mL; 5X = 2; X = 0.4 mL.
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.