Nokea
Which statement regarding the effects of chronic marijuana smoking is most accurate? Select all that apply.
- A. It suppresses motivation.
- B. It is physically addicting.
- C. It can cause lung cancer.
- D. It can suppress respirations.
- E. It can suppress reproductive hormones.
Correct Answer: A,C,E
Rationale: Chronic marijuana use is associated with amotivational syndrome, increased lung cancer risk due to carcinogens, and suppression of reproductive hormones like testosterone.
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When interacting with a client experiencing a panic attack, which technique by the nurse is most likely to help reduce the client's anxiety level?
- A. Stand less than an arm's length away.
- B. State that everything is going to be okay.
- C. Instruct the client to take shallow breaths.
- D. Explain all actions and procedures.
Correct Answer: D
Rationale: Explaining actions provides predictability, reducing anxiety by enhancing the client's sense of control during a panic attack.
The client is admitted to an ED with facial bruises a broken arm and rib fractures. The client states “I fell down the stairs.” During assessment the nurse notes bruises and lacerations in various stages of healing. Which nursing questions are appropriate? Select all that apply.
- A. “Has anyone hurt you?”
- B. “Are you afraid of anyone at home?”
- C. “Have you been falling down a lot lately?”
- D. “Have you had any fainting spells or times that you have been weak?”
- E. “I noticed you have more bruises. Can you tell me how they happened?”
- F. “You look abused. Why haven’t you reported that you have been abused?”
Correct Answer: A ,B ,C ,D, E
Rationale: Appropriate questions explore abuse falls and health issue. Accusing or presuming (F) is insensitive.
When the rape victim arrives at the emergency department, which nursing action is best for relieving the client's anxiety?
- A. Determine the victim's last date of menstruation.
- B. Collect evidence for criminal prosecution.
- C. Assess the extent of the client's injuries.
- D. Stay with the client at all times.
Correct Answer: D
Rationale: Remaining with the victim provides emotional support and a sense of safety, directly addressing anxiety during a traumatic experience.
If the nurse notes the following symptoms after the client begins taking sertraline (Zoloft), which one is most likely drug-related?
- A. Polyuria
- B. Diplopia
- C. Drooling
- D. Insomnia
Correct Answer: D
Rationale: Insomnia is a common side effect of sertraline, an SSRI, due to its activating effects on the central nervous system.
Staff members have expressed fear of the client who has a history of violent behavior. Which response made by the lead nurse would be most beneficial in addressing the staff’s expressed concerns?
- A. “Let’s not prejudge him. His medication should help him control his behavior.”
- B. “I will be very attentive to his behavior monitoring it for any signs of escalation.”
- C. “It may be hard but we need to appear calm and nonthreatening but alert to his behavior.”
- D. “As staff we are all trained to manage violent clients and we can handle any crisis behavior.”
Correct Answer: C
Rationale: Appearing calm and nonthreatening (C) addresses staff concerns and guides management. Prejudging (A) personal monitoring (B) or overconfidence (D) dismiss staff fears.