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A nurse is taking care of an adult client who is experiencing increased anxiety and an inability to concentrate. Which of the following responses should the nurse make?
- A. How long has this been going on?
- B. It sounds like you're having a difficult time.
- C. Why do you think you are so anxious?
- D. Have you talked to your parents about this yet?
Correct Answer: B
Rationale: The correct answer is B. By acknowledging the client's feelings and expressing empathy, the nurse validates the client's experience and shows support. This can help build rapport and trust, leading to better communication and a therapeutic relationship. Option A focuses on the duration of symptoms, which may be important but does not address the immediate emotional needs of the client. Option C may come across as confrontational and put the client on the defensive. Option D assumes the client has not discussed the issue with their parents and may not be appropriate for all clients.
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When providing community healthcare teaching regarding the early warning signs of Alzheimer's disease,which signs should the nurse advise family members to report? (Select all that apply.)
- A. Becoming lost in a usually familiar environment.
- B. Difficulty performing familiar tasks.
- C. Losing sense of time.
- D. Misplacing car keys.
- E. Problems with performing basic calculations.
Correct Answer: A,B,C,E
Rationale: The correct answers are A, B, C, and E. A: Becoming lost in a familiar environment can indicate spatial disorientation. B: Difficulty performing familiar tasks may signal cognitive decline. C: Losing sense of time is a common early sign of Alzheimer's. E: Problems with basic calculations indicate cognitive impairment. Incorrect answers: D: Misplacing car keys is more indicative of normal forgetfulness. F and G: Not applicable. In summary, the correct choices focus on cognitive and spatial changes, while the incorrect choices are more related to normal memory lapses.
A nurse is providing teaching to a client who has hypothyroidism and has been prescribed levothyroxine. Which of the following medication instructions would the nurse include in the teaching?
- A. Take this medication before a meal or several hours after a meal.
- B. Take this medication during your morning meal.
- C. Take this medication with a full glass of water or fruit juice.
- D. Take this medication with high-protein foods.
Correct Answer: A
Rationale: The correct answer is A. Levothyroxine is best absorbed on an empty stomach, so taking it before a meal or several hours after a meal ensures optimal absorption. Taking it with food or certain beverages can interfere with absorption. Choice B is incorrect as taking it during a meal may reduce absorption. Choice C is incorrect as water or fruit juice is recommended, not required in full glass quantity. Choice D is incorrect as high-protein foods can also interfere with absorption.
A nurse is assessing a client who is withdrawing from alcohol. Which of the following findings should the nurse expect? (Select all that apply.)
- A. Tremors
- B. Hyperglycemia
- C. Insomnia
- D. Visual hallucinations
- E. Severe hypotension
Correct Answer: A,C,D
Rationale: Tremors insomnia and hallucinations are typical alcohol withdrawal symptoms.
What treatment is commonly used for aggressive behavior disorder?
- A. Hypnosis
- B. Cognitive-behavioral therapy (CBT)
- C. Medication
- D. Physical restraint
Correct Answer: B
Rationale: The correct answer is B: Cognitive-behavioral therapy (CBT). CBT is effective for aggressive behavior disorder as it helps individuals identify and change negative thought patterns and behaviors that contribute to aggression. It teaches coping skills and problem-solving techniques to manage anger and impulses. Hypnosis (A) is not typically used for aggressive behavior. Medication (C) may be prescribed in some cases, but it is often used in conjunction with therapy. Physical restraint (D) is a last resort and not a primary treatment for aggressive behavior.
A nurse is discussing stress management techniques with a group of clients. Which of the following techniques mentioned by a client should the nurse recognize as the least effective?
- A. I exercise when my neck is tense.
- B. I fix myself a pot of coffee when I get anxious.
- C. I pray when I begin to breathe fast.
- D. I journal when I find it difficult to talk.
Correct Answer: B
Rationale: The correct answer is B. Fixing oneself a pot of coffee when feeling anxious is the least effective stress management technique mentioned. Caffeine in coffee can exacerbate anxiety symptoms due to its stimulant properties, leading to increased heart rate and jitteriness. Exercise (A) helps release tension, prayer (C) promotes relaxation, and journaling (D) aids in expressing emotions. Choosing coffee over these more beneficial techniques can be counterproductive in managing stress.