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When the counselor asks the members of the post-traumatic stress disorder (PTSD) support group to draw pictures of their traumatic experiences, the nurse understands that the primary purpose for drawing is to achieve what outcome?
- A. Deal consciously with painful memories
- B. Bond with other group members
- C. Receive approval from group members
- D. Justify participation in the group
Correct Answer: A
Rationale: Drawing traumatic experiences externalizes memories, helping clients confront and process painful events in a controlled, therapeutic way.
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The client experiencing severe withdrawal symptoms due to alcohol dependence is prescribed chlordiazepoxide 100 mg oral x 1 then 50 mg every 2 hours until symptoms are controlled. The medication is supplied in 50-mg tablets. The nurse administered the initial dose 2 hours ago and the client is still agitated and tremulous. How many tablets should the nurse prepare to administer at this time?_ tablet(s) (Record your answer as a whole number.)
Correct Answer: 1
Rationale: Proportion: 50 mg/1 tablet = 50 mg/X tablets; X = 1 tablet.
The nurse is caring for an unresponsive toddler in a PICU. The child’s parent was arrested for alleged child abuse but released on bail. The parent is pounding at the door belligerent and demanding to visit the child. Which is the most appropriate nursing plan of action?
- A. Allow the parent to enter the room and see the child.
- B. Tell the parent that the HCP wants to speak with the parent first.
- C. Contact Social Services to report the parent’s abusive behavior.
- D. Initiate the emergency response system for behavioral situations.
Correct Answer: D
Rationale: Initiating the emergency response (D) ensures safety. Allowing entry (A) deferring to HCP (B) or reporting to Social Services (C likely already done) are inappropriate.
Which findings strongly suggest that the client is experiencing an exacerbation of the bipolar disorder? Select all that apply.
- A. The client has been spending money extravagantly.
- B. The client has been avoiding social activities.
- C. The client has been methodically cleaning the house.
- D. The client has been staying up late to read.
- E. The client demonstrates increased sexual promiscuity.
- F. The client has increased anxiety when going outside the house.
Correct Answer: A,E
Rationale: Extravagant spending and sexual promiscuity are indicative of mania, a key feature of bipolar disorder exacerbation.
The client who sustained a brain injury from an MVA is now experiencing aggression impulsivity and poor judgment. In teaching the family which area of the brain illustrated should the nurse identify as being affected?
- A. Line A
- B. Line B
- C. Line C
- D. Line D
Correct Answer: B
Rationale: The prefrontal cortex (Line B) modulates judgment aggression and impulsivity. Cortex (A) controls motor functions hypothalamus (C) regulates temperature/fluids and cerebellum (D) manages balance. image4.png
If the client snorts cocaine on a regular basis, which physical assessment findings will the nurse most likely find? Select all that apply.
- A. Dry, stuffy nose
- B. Perforated nasal septum
- C. Hoarseness and cough
- D. Sinus pain under the eyes
- E. Elevated blood pressure
- F. Inability to sleep
Correct Answer: A,B,D,E,F
Rationale: Regular cocaine snorting causes nasal irritation, septal damage, sinus pain, hypertension, and insomnia due to its stimulant effects.