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If the client has all of the following strengths, which one is most important for coping with this diagnosis?
- A. Acceptance by religious leaders
- B. A close circle of support
- C. Acquisition of many social acquaintances
- D. Sexual tolerance within the community
Correct Answer: B
Rationale: A close support network provides emotional and practical assistance, critical for coping with the challenges of an HIV diagnosis.
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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.
Which of the following historical data is the greatest risk factor for hypochondriasis?
- A. The client experienced parental neglect as a child.
- B. The client has a sibling with schizophrenia.
- C. The client experienced parental overprotection as a child.
- D. The client has a history of substance abuse.
Correct Answer: C
Rationale: Parental overprotection can foster excessive health concerns, contributing to hypochondriasis by reinforcing anxiety about physical symptoms.
When asked to identify the characteristics of post-traumatic stress disorder (PTSD), the nurse correctly responds that most people with this disorder report which findings? Select all that apply.
- A. Recurring nightmares
- B. Auditory hallucinations
- C. Rapidly changing emotions
- D. Flashbacks
- E. Ease in being startled
- F. Trouble concentrating
Correct Answer: A,D,E,F
Rationale: PTSD symptoms include nightmares, flashbacks, hyperarousal (easily startled), and concentration difficulties, reflecting trauma-related distress.
Which action is best to use initially when trying to help the angry client maintain self-control?
- A. Administer a sedative.
- B. Apply four-point restraints.
- C. Use a calm voice and approach.
- D. Place the client in seclusion.
Correct Answer: C
Rationale: A calm voice and approach de-escalates anger by creating a non-threatening environment, encouraging the client to regain control.
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.