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While in group therapy,a nurse is caring for a client who has cancer and is scheduled for immediate chemotherapy. The client tells the nurse that she wants to try nontraditional treatments first. Which of the following responses should the nurse make?
- A. Your provider is very knowledgeable. If he prescribes chemotherapy, it's the best treatment for you.
- B. Using nontraditional treatments is not a good idea. I'd rather you avoid that route.
- C. Tell me more about your concerns about taking chemotherapy.
- D. A lot of people think nontraditional treatments will work, and they find out too late that they made the wrong choice.
Correct Answer: C
Rationale: Rationale: Option C is the correct response as it demonstrates active listening and empathy towards the client's concerns. By asking the client to elaborate on her reservations about chemotherapy, the nurse can better understand her perspective and provide tailored support and information. This approach promotes client autonomy and collaboration in decision-making.
Incorrect Choices:
A: This response dismisses the client's preferences and fails to address her concerns.
B: This response is judgmental and does not encourage open communication.
D: This response uses fear tactics and may cause distress to the client.
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A nurse is caring for a client who is experiencing a manic episode. Other clients begin to complain about her disruptive behavior on the unit. Which of the following actions should the nurse take?
- A. Warn the client that further disruptions will result in seclusion.
- B. Ask the client to recommend consequences for her disruptive behavior.
- C. Set limits on the client's behavior and be consistent in approach.
- D. Ignore the client's behavior,realizing it is consistent with her illness.
Correct Answer: C
Rationale: The correct answer is C: Set limits on the client's behavior and be consistent in approach. This is the best course of action because it maintains a therapeutic environment while ensuring the safety and well-being of all clients. By setting limits, the nurse establishes boundaries for acceptable behavior during the manic episode, helping to prevent harm and maintain order on the unit. Consistency in approach is crucial to provide the client with structure and predictability, which can help manage the manic symptoms and reduce potential disruptions.
Choice A is not the best option as it may escalate the situation and does not address the underlying issue. Choice B is not appropriate as it puts the responsibility on the client to determine consequences, which may not be effective in managing the behavior. Choice D is incorrect as ignoring the behavior can compromise the safety of other clients and is not a therapeutic approach to managing manic episodes.
A nurse is reviewing the history and physical of an adolescent client diagnosed with conduct disorder. The nurse recognizes that which of the following is an expected assessment finding of conduct disorder?
- A. Death of client's father two months ago
- B. Experiences frequent facial tics
- C. Adheres strictly to routines
- D. Suspended from school several times in the past year
Correct Answer: D
Rationale: The correct answer is D: Suspended from school several times in the past year. Conduct disorder is characterized by persistent patterns of behavior that violate the rights of others and societal norms. Being suspended from school multiple times indicates a disregard for rules and authority, which is a common feature of conduct disorder. Choices A, B, and C do not directly align with the typical behaviors associated with conduct disorder. A recent death in the family (A) may lead to emotional distress but is not a defining characteristic of conduct disorder. Frequent facial tics (B) are more indicative of a neurological or psychological condition, not conduct disorder. Adhering strictly to routines (C) is more characteristic of obsessive-compulsive disorder, not conduct disorder.
A nurse is performing an admission assessment on a client who has been diagnosed with schizophrenia. Which of the following findings should the nurse identify as a negative symptom?
- A. Bizarre behavior
- B. Waxy flexibility
- C. Somatic delusions
- D. Illogicality
Correct Answer: B
Rationale: Waxy flexibility reflects a lack of normal movement a negative symptom of schizophrenia.
A home health nurse is speaking to a group of acute care nurses about domestic violence. Which of the following statements by one of the acute care nurses indicates a need for clarification by the home health nurse?
- A. I have heard that abusers try to keep their partner isolated from others.
- B. I know that men who are abusers gain power through intimidation.
- C. I have heard that abusers think of themselves as important and have high self-esteem.
- D. I know that abusers lack social supports and social skills.
Correct Answer: C
Rationale: Correct Answer: C
Rationale:
Statement C is incorrect because abusers typically have low self-esteem and use violence as a way to exert control and compensate for their feelings of inadequacy. This statement suggests a misunderstanding of the psychological profile of abusers.
Statements A, B, and D are correct:
A: Abusers often isolate their partners to maintain control.
B: Abusers use intimidation to gain power and control in the relationship.
D: Abusers may lack social supports and skills, which can contribute to their controlling behavior.
Therefore, statement C stands out as needing clarification due to its inaccurate portrayal of abusers' self-esteem and sense of importance.
A nurse is reviewing medication records for several clients who have bipolar disorder. The nurse should recognize that which of the following medications are used to treat clients with bipolar disorder? (Select all that apply.)
- A. Valproate (Depakote)
- B. Carbamazepine (Tegretol)
- C. Lithium (Eskalith)
- D. Donepezil (Aricept)
- E. Paroxetine (Paxil)
Correct Answer: A,B,C
Rationale: The correct answer is A, B, and C. Valproate, Carbamazepine, and Lithium are commonly used to treat clients with bipolar disorder. Valproate helps stabilize mood swings, Carbamazepine is effective for manic episodes, and Lithium is a mood stabilizer that reduces the frequency and intensity of manic episodes. Donepezil is used to treat Alzheimer's disease, not bipolar disorder. Paroxetine is an antidepressant used for treating depression and anxiety disorders, not specifically for bipolar disorder. In summary, Valproate, Carbamazepine, and Lithium are the appropriate medications for managing bipolar disorder, while Donepezil and Paroxetine are not typically used for this purpose.