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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.
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When a new member to the group tells the nursing leader about sensing the presence of the dead spouse in the home, which nursing intervention is most appropriate?
- A. Recommending more professional counseling
- B. Assuring the client that it is wishful thinking
- C. Listening quietly and acknowledging the client's feelings
- D. Encouraging the client to stay with relatives
Correct Answer: C
Rationale: Listening and acknowledging feelings validates the client's experience, supporting grief processing in a therapeutic manner.
Which is the most desired outcome of a self-help group of rape victims?
- A. Obtaining mutual assistance with similar problems
- B. Receiving authoritative information about rape trauma
- C. Establishing new friendships with other victims
- D. Developing additional social skills for the future
Correct Answer: A
Rationale: Self-help groups provide mutual support, allowing victims to share experiences and coping strategies, fostering recovery through shared understanding.
The nurse explains to the client's family the alcoholic's recovery process. What is the first step in recovering from alcohol?
- A. Admitting an inability to control drinking
- B. Forming a close support network
- C. Relying on some form of religious belief
- D. Checking into an inpatient rehabilitation unit
Correct Answer: A
Rationale: Admitting powerlessness over alcohol is the foundational step in recovery models like Alcoholics Anonymous, as it acknowledges the problem and initiates the commitment to change.
The nurse is caring for the client who has methamphetamine toxicity. Which interventions should the nurse include in the client’s plan of care? Select all that apply.
- A. Give olanzapine 10 mg IM q2h prn to treat agitation.
- B. Allow the client to sleep and eat as much as desired.
- C. Administer labetalol 20 mg IV to control hallucinations.
- D. Monitor 1:1 to protect client from harm to self and others.
- E. Encourage involvement in the therapeutic treatment milieu.
Correct Answer: A ,B ,D
Rationale: Olanzapine (A) reduces agitation sleep/eating (B) aids recovery 1:1 monitoring (D) ensures safety. Labetalol (C) is for BP not hallucinations; milieu (E) is premature.
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.