Nokea
Which of the following is the best indication that haloperidol (Haldol) is achieving a therapeutic effect?
- A. The client no longer hears voices.
- B. The client sleeps more than before.
- C. The client thinks of himself or herself as a good person.
- D. The client feels more energetic and rested.
Correct Answer: A
Rationale: Reduction in hallucinations indicates therapeutic efficacy.
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Which nursing strategy is best to help the child overcome the fear of being in the unfamiliar hospital environment?
- A. Bringing a favorite blanket from home
- B. Providing age-specific toys such as a stuffed animal
- C. Having one or both parents nearby at all times
- D. Placing the child in a room with a same-aged child
Correct Answer: C
Rationale: Parental presence provides the most comfort and security for a young child.
When caring for a newborn experiencing opioid withdrawal, the nurse frequently puts the baby in the crib when crying.
- A. Reduce environmental stimuli.
- B. Touch the newborn frequently.
- C. Stroke the newborn's skin gently.
- D. Leave the newborn unwrapped.
Correct Answer: A
Rationale: Reducing stimuli helps calm the newborn and manage withdrawal symptoms.
As the infant's growth continues, which physical characteristic of Down syndrome is the nurse correct in describing to the parents?
- A. Large head and curved index fingers
- B. Long fingers and protruding tongue
- C. Small head and upward-slanting eyes
- D. Simian creases on the soles of the feet
Correct Answer: C
Rationale: Down syndrome is characterized by a small head and upward-slanting eyes, among other features.
The nurse is most correct to support the parents as they move through the grieving process. Place the following stages of the grieving process in the chronologic order in which they will most likely occur.
- A. Depression
- B. Anger
- C. Denial
- D. Bargaining
- E. Acceptance
Correct Answer: C,B,D,A,E
Rationale: The Kubler-Ross model typically follows the order: Denial, Anger, Bargaining, Depression, Acceptance.
The nurse correctly explains that the behavior the preschooler is demonstrating is based on a need to feel what?
- A. Powerful
- B. Secure
- C. Confident
- D. Dependent
Correct Answer: B
Rationale: Preschoolers seek security in stressful situations.