Nokea
Which response by the nurse is best in this situation?
- A. That is something to discuss with your physician.
- B. It sounds like you're feeling discouraged.
- C. But you're about your lack of progress.
- D. You need to practice a little more patience.
Correct Answer: B
Rationale: Acknowledging discouragement validates the client's feelings, fostering therapeutic communication and emotional support.
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The client expresses ambivalence about quitting smoking and also the fear of “getting fat” and “looking like a cow.” The client wonders if that is worse than smoking. Which response by the nurse is most helpful?
- A. “We could set up a diet for you to start at the same time to prevent you from gaining any weight.”
- B. “Don’t you think it would be much better to breathe more easily even if you gain a little weight?”
- C. “You don’t want to quit smoking because you think you might gain weight. Do you see yourself as overweight?”
- D. “It sounds like you are afraid of weight gain. Tell me about the good and bad things that might happen if you give up smoking.”
Correct Answer: D
Rationale: Acknowledging weight gain fear and exploring pros/cons (D) aids decision-making. Dieting (A) risks relapse health focus (B) dismisses fear closed question (C) limits discussion.
Which initial reaction would the nurse expect if the client is typical of others who just received news of this diagnosis?
- A. Anger
- B. Shock
- C. Resentment
- D. Depression
Correct Answer: B
Rationale: Shock is the most common initial reaction to an HIV diagnosis, as it reflects the overwhelming and unexpected nature of the news.
The nurse is caring for the client who is 2 days postadmission to a medical unit and has a long history of heavy alcohol abuse. The nurse should monitor for which acute complications related to alcohol abuse? Select all that apply.
- A. Seizures
- B. Pancreatitis
- C. GI bleeding
- D. Exophthalmos
- E. Delirium tremens
Correct Answer: A ,B ,C, E
Rationale: Seizures (A) pancreatitis (B) GI bleeding (C) and delirium tremens (E) are acute risks. Exophthalmos (D) is unrelated.
The nurse correctly informs the caller that most people have which physical signs after recent marijuana use? Select all that apply.
- A. Shivering
- B. Inflamed eyes
- C. Rapid pulse
- D. Restlessness
- E. Pinpoint pupils
- F. Increased sex drive
Correct Answer: B,C,D
Rationale: Recent marijuana use commonly causes inflamed (red) eyes due to vasodilation, rapid pulse from cardiovascular stimulation, and restlessness from its psychoactive effects.
What suggestion can the nurse make if the client complains of feeling dizzy when taking doxepin (Sinequan) at bedtime as prescribed?
- A. Place a cool compress on your forehead.
- B. Get up slowly from a seated position.
- C. Remain in bed with your feet elevated above your heart.
- D. Take some deep breaths before getting out of bed.
Correct Answer: B
Rationale: Rising slowly minimizes orthostatic hypotension, a common side effect of doxepin, reducing dizziness.