Nokea
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.
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The client states “I don’t see any problem with smoking a little weed. It isn’t addictive.” Which response by the nurse is most accurate?
- A. “Marijuana is a natural chemical that has many therapeutic uses but it is still illegal to use.”
- B. “Marijuana is not addictive. The danger is that it often leads to abuse of more illicit drugs.”
- C. “Marijuana has effects similar to alcohol hallucinogens and sedatives that are addictive.”
- D. “There are no withdrawal symptoms so it is controversial whether marijuana is addictive.”
Correct Answer: C
Rationale: Marijuana’s addictive effects mimic CNS depressants and hallucinogens (C). It’s addictive with withdrawal (D) not just a gateway (B) and legality (A) is irrelevant.
The emergency department nurse describes procedures and their purposes to the rape victim before they are implemented. What is the rationale for the nurse's action?
- A. It diminishes feelings of powerlessness.
- B. It tends to reduce the client's anxiety.
- C. It is a policy of the emergency department.
- D. It meets the client's need for teaching.
Correct Answer: A
Rationale: Explaining procedures empowers the victim by restoring some control, counteracting the powerlessness experienced during the assault.
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.
Which technique is most therapeutic for helping clients with dementia remain oriented?
- A. Address all clients using their first name.
- B. Ask clients to identify their goals for the day.
- C. Assign clients to greet visitors each day.
- D. Post large calendars with the current date.
Correct Answer: D
Rationale: Large calendars provide a constant visual cue, aiding orientation to time in clients with dementia.
The nurse is counseling the client with a substance abuse disorder. Which defense mechanism is the nurse most likely to observe the client using in response to a stressful event?
- A. Repression
- B. Regression
- C. Sublimation
- D. Reaction formation
Correct Answer: B
Rationale: Regression (B) is common in substance abuse showing childlike behaviors. Repression (A) sublimation (C) and reaction formation (D) are less typical.