Nokea
A client with opioid dependence makes a statement to the nurse about desiring to lead a healthier lifestyle by making changes in the next 2 weeks. How should the nurse respond?
- A. Support the client to list small behavioral changes needed.
- B. Explain the specific skills needed to prevent a relapse.
- C. Provide teaching on the symptoms of substance use dependence.
- D. Advise the client to reschedule until committing to recovery.
Correct Answer: A
Rationale: Supporting the client to list small behavioral changes is a person-centered approach that promotes achievable progress toward a healthier lifestyle.
You may also like to solve these questions
An adult client presents to the community mental health center accompanied by the client's spouse who reports that the client has been acting impulsively. The client has spent a large amount of money lately, made several last-minute decisions to take trips, sleeps only 2 to 4 hours a night, and has lost 33 pounds (15 kg) in the last 2 months. Which nursing problem has the greatest nursing priority?
- A. Sleep deprivation related to state of hyperactivity.
- B. Ineffective coping related to biochemical changes.
- C. Risk for self-directed violence related to impulsive behavior.
- D. Imbalanced nutrition related to caloric expenditure.
Correct Answer: C
Rationale: The client's impulsive behavior increases the risk of self-directed violence, making it the most urgent nursing priority due to potential immediate harm.
An adolescent who is exhibiting a depressed affect receives a prescription for an antidepressant drug. While the client is taking the antidepressant, which comparison of the client's behavior before and after taking the drug is most important for the nurse to obtain?
- A. Level of activity.
- B. The interactions with others.
- C. The emotional quality of attitude.
- D. Appetite.
Correct Answer: C
Rationale: The emotional quality of attitude reflects the client's internal state and is a key indicator of the antidepressant's impact on their depressive symptoms, making it the most critical aspect to assess.
The nurse is preparing medications for a client with bipolar disorder and notices that the antipsychotic medication was discontinued several days ago. Which medication should also be discontinued?
- A. Alprazolam.
- B. Lithium.
- C. Benztropine.
- D. Magnesium.
Correct Answer: C
Rationale: Benztropine is used to manage extrapyramidal symptoms associated with antipsychotics, so it should be discontinued if the antipsychotic is stopped.
During a high school substance abuse class, a student tells the group, “I know that marijuana is not addicting, so why shouldn't I use it? Which response is best for the nurse to provide?
- A. Marijuana is a highly addictive substance.
- B. Altering one's ability to think clearly places self and others at risk.
- C. Healthcare providers sometimes prescribe marijuana to control nausea.
- D. Drug use has moral implications that should be discussed with parents.
Correct Answer: B
Rationale: This response highlights the immediate risk of impaired thinking, emphasizing potential harm to self and others from marijuana use.
When assessing a client who takes psychotropic medications, the nurse notes that the client has uncontrollable hand movements and is excessively protruding the tongue. Which assessment in the client's record should the nurse review?
- A. The healthcare provider's history and physical.
- B. Recent urine drug testing (UDT) results.
- C. Baseline nursing admission assessment.
- D. Abnormal Involuntary Movement Scale (AIMS).
Correct Answer: D
Rationale: The Abnormal Involuntary Movement Scale (AIMS) is specifically designed to assess and document involuntary movements associated with psychotropic medications, making it the most relevant assessment tool for these symptoms.