Nokea
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.
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Nurses' Notes
Admission: Client restless during the night, attempting to get out of bed and placing bedcovers on the floor. Has been incontinent of urine twice. Client instructed on use of urinal and told to call for assistance by using the call light. Confuses the call light with the television remote control. Disoriented to time, place, person, and situation. Unable to recall home address. Was unable to assist with bath this morning; when handed the washcloth to clean their face, client asked, "Do you want me to put this in the dryer?"
Medical History
A 76-year-old client fell at home, resulting in fractured humerus and multiple abrasions to arms. Client is unable to recall what precipitated the fall, and physical examination reveals no injury to the client's head. Client has a history of hypertension controlled with atenolol. Client lives with partner and adult children visit client every few months.
A nurse is caring for a 76-year-old female client who experienced a fall.Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to collect data about the client's progress.
- A. Expected aging process,Alzheimer's disease,Major depressive disorder,Delirium
- B. Determine the date of the client's last eye examination,Use symbols rather than written signs for directions, Anticipate a prescription for donepezil,Anticipate a prescription for duloxetine.
- C. Night vision,Presence of agnosia,Ability to complete familiar tasks,Oxygen saturation
Correct Answer: B
Rationale: Alzheimer’s explains chronic confusion and task difficulty. Using symbols aids navigation, donepezil manages symptoms, and monitoring agnosia and familiar tasks tracks progression.
A nurse is beginning a therapeutic relationship with a client who has paranoid personality disorder. Which of the following strategies should the nurse plan to use?
- A. Demonstrate a neutral demeanor.
- B. Use an overly friendly approach.
- C. Ask the client why he is suspicious of others.
Correct Answer: A
Rationale: Demonstrating a neutral demeanor helps build trust with a client who has paranoid personality disorder. This non-threatening approach avoids triggering suspicion, fostering a therapeutic relationship.
A nurse is reinforcing behavior management techniques with the parent of a school-age child who has conduct disorder. Which of the following statements by the parent indicates an understanding of the redirection technique?
- A. I should use role-playing to enhance new behavioral skills.
- B. I should move closer to my child when they are agitated.
- C. I should ignore attention-seeking behaviors.
- D. I should re-engage my child in an appropriate activity.
Correct Answer: D
Rationale: Re-engaging the child in an appropriate activity is a key part of the redirection technique. It helps divert the child's attention away from the undesired behavior and encourages positive behavior, showing the parent understands this approach.
A nurse is reinforcing teaching with a newly licensed nurse about the Patient Self-Determination Act (PSDA). Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
- A. The PSDA becomes applicable when a client reaches 65 years of age.
- B. A client can verbally designate a durable power of attorney.
- C. Advance directives do not apply to clients receiving mental health care.
- D. A witness is legally required to sign a client's living will.
Correct Answer: D
Rationale: A witness is legally required to sign a client’s living will to validate the document, ensuring it’s the client’s voluntary decision. This reflects an accurate understanding of PSDA requirements.
A nurse is caring for a newly admitted client who has obsessive-compulsive disorder. Which of the following actions should the nurse take first?
- A. Discuss the benefits of relaxation exercises with the client.
- B. Explain the use of response prevention to the client.
- C. Administer an antianxiety medication.
- D. Calculate the client's score on the Hamilton Rating Scale for Anxiety.
Correct Answer: D
Rationale: Calculating the Hamilton Rating Scale for Anxiety provides an initial assessment of the client's anxiety severity, guiding further interventions. This baseline data collection is the priority upon admission to tailor subsequent care.