The nurse is aware that if the client's panic attacks occur successfully, the client is likely to develop which common reaction?
- A. The client will seek out referrals for psychiatric treatment.
- B. The client will fear venturing from home and will become reclusive.
- C. The client will take more than the prescribed amount of medication.
- D. The client will become psychotic and will require psychiatric admission.
Correct Answer: B
Rationale: Frequent panic attacks can lead to agoraphobia, where fear of attacks causes avoidance of public places and reclusiveness.
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Which of the following verbal communication methods is best to use with a client with dementia?
- A. Speak loudly to get the client's attention.
- B. Use short sentences when speaking to the client.
- C. Use written forms of communication.
- D. Allow the client to listen to news programs.
Correct Answer: B
Rationale: Short sentences are easier for dementia clients to process, enhancing comprehension and reducing frustration.
The nurse is developing the answer key to a post test that will be given to participants following a workshop about caffeine abuse among older adult clients. Which statement about caffeine abuse should be excluded from the answer key?
- A. Caffeine withdrawal symptoms include headache fatigue and depression.
- B. Caffeine withdrawal is a medical diagnosis and treatment can be provided.
- C. Caffeine abuse causes hypoglycemia tachycardia and decreased lipid levels.
- D. Caffeine withdrawal symptoms begin 12-24 hours after discontinuing its use.
Correct Answer: C
Rationale: Caffeine causes hyperglycemia tachycardia and increased lipids (C is false). Withdrawal symptoms (A D) and diagnosis (B) are correct.
Which question during the client interview is likely to generate the most information?
- A. Tell me about your family.
- B. Are you currently married?
- C. Who is your nearest relative?
- D. Give me a list of your family members.
Correct Answer: A
Rationale: An open-ended question about family prompts detailed responses, providing comprehensive insight into social support and history.
Which nursing action is especially important when administering medications to a depressed client?
- A. Encouraging the client to drink a full glass of water
- B. Checking that the client has swallowed all oral medications
- C. Giving the medications on an empty stomach before meals
- D. Having the client take each medication separately
Correct Answer: B
Rationale: Ensuring medications are swallowed prevents hoarding, a risk in depressed clients with suicidal ideation.
The client with Alzheimer’s disease becomes increasingly agitated and states “I must go and clean out the barn!” Which nursing response is most therapeutic?
- A. “What makes you think that the barn needs to be cleaned?”
- B. “So you’ve cleaned a barn. Tell me did you live on a farm?”
- C. “It’s awfully hot today; maybe you should wait until tomorrow.”
- D. “There are no barns around here. Would you like something to eat?”
Correct Answer: B
Rationale: Redirecting to memories (B) calms agitation without confrontation. Asking why (A) or stating facts (D) may escalate and delaying (C) blocks communication.