Nokea
A client who delivered a healthy newborn 4 weeks ago calls her provider's office and tells the nurse
- A. This baby constantly cries. My partner works all the time
- B. and I can't take any more.' Which of the following responses is the nurse’s priority?
- C. Have you discussed this with your partner.
- D. Do you have a friend who could help you.
- E. Tell me about your baby.
- F. Have you tried any soothing techniques for your baby.
Correct Answer: C
Rationale: Asking about the baby’s current condition immediately assesses safety and well-being, which is the nurse’s priority. This ensures potential risks, like postpartum depression or infant harm, are addressed first.
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A nurse in a mental health facility is caring for an adolescent who is newly admitted for an overdose of prescription pain medication. The client has prescriptions for an anxiolytic and an SSRI antidepressant. Which of the following precautions should the nurse take?
- A. Implement 24-hr one-to-one nursing observation.
- B. Document the client's behavior every 2 hr.
- C. Restrict interactions with other clients.
- D. Administer prescribed medication via the IM route.
Correct Answer: A
Rationale: Implementing 24-hr one-to-one nursing observation is crucial for ensuring the safety of a client who has overdosed and is at risk of self-harm. This provides constant monitoring given the high-risk situation.
A nurse is caring for a client who is receiving acute care for the treatment of a substance use disorder. With which of the following actions is the nurse demonstrating the ethical principle of veracity?
- A. Reinforcing information on the potential adverse effects of a medication with the client.
- B. Encouraging the client to attend a daily exercise program on the unit.
- C. Respecting the client's right to refuse to attend a group therapy session.
- D. Maintaining the client's confidentiality about a substance use disorder.
Correct Answer: A
Rationale: Reinforcing information on the potential adverse effects of a medication demonstrates veracity, the principle of truthfulness. It ensures the client is fully informed, supporting ethical care and decision-making.
A nurse is collecting data from a client who has antisocial personality disorder. Which of the following findings should the nurse expect?
- A. Preoccupation with details.
- B. Manipulative behaviors.
- C. Impulsiveness.
- D. Splitting.
Correct Answer: B
Rationale: Manipulative behaviors are a common finding in individuals with antisocial personality disorder. These individuals often use manipulation to gain control or achieve their own goals without regard for others, aligning with the disorder’s characteristics.
A nurse is providing information to a client about smoking cessation. Which of the following medications should the nurse include?
- A. Bupropion.
- B. Risperidone.
- C. Aripiprazole.
- D. Quetiapine.
Correct Answer: A
Rationale: Bupropion is an antidepressant also used to aid smoking cessation by reducing cravings and withdrawal symptoms. It’s specifically indicated for this purpose.
A nurse is caring for a client who has an opioid use disorder. The nurse should anticipate that the provider will prescribe which of the following medications for treatment?
- A. Phenobarbital.
- B. Diazepam.
- C. Chlordiazepoxide.
- D. Buprenorphine.
Correct Answer: D
Rationale: Buprenorphine is a partial opioid agonist used in medication-assisted treatment for opioid use disorder, helping to reduce cravings and withdrawal symptoms. It’s specifically indicated for this condition.