Nokea
Your client has a doctor's order for the antihistamine medication diphenhydramine for sleep. What should you do?
- A. Question the order because Benadryl is an antihistamine and not a sleeping medication.
- B. Refuse to give the Benadryl because this medication is a stimulant.
- C. Question the order because Benadryl is contraindicated when the client has a sleep inducement disorder.
- D. Give the Benadryl because sleep inducement is an accepted off label use of this medication.
Correct Answer: D
Rationale: Diphenhydramine (D) is commonly used off-label for sleep.
You may also like to solve these questions
In order to best evaluate the achievement of goals of individual stress management group members, the nurse leading the group:
- A. Has each member at the last meeting write a short description of how the sessions helped him or her manage stress more effectively.
- B. Asks each member at each session to demonstrate a stress management technique he or she has learned while attending the sessions.
- C. Periodically asks the members to rate their ability to manage stress using the techniques learned in the group sessions on a Likert scale.
- D. Has each member's ability to manage stress evaluated by the group at the final session.
Correct Answer: C
Rationale: The correct answer is C because using a Likert scale to periodically ask group members to rate their ability to manage stress with the techniques learned provides quantitative data for evaluating progress. This method allows for tracking changes over time and identifying trends in stress management improvement.
A is incorrect because it relies on subjective self-reporting at the last meeting only, which may not capture ongoing progress. B is incorrect as it focuses on individual demonstrations at each session, which may not reflect overall stress management improvement. D is incorrect as it relies on group evaluation at the final session, which may not provide consistent and individualized feedback throughout the program.
The most common framework for examining the 'how' of group formation was developed by Bruce Tuckman in the
- A. 1960s
- B. 1970s
- C. 1980s
- D. 1990s
Correct Answer: A
Rationale: Tuckman introduced his group development model in 1965, refined in the 1970s.
Which statement made by a mental health nurse demonstrates the need for further education regarding active listening as a therapeutic communication technique?
- A. When I use therapeutic silence, I'm giving the client time to think and reflect.'
- B. Sharing perceptions doesn't mean I tell the client how my experiences are similar to his.'
- C. I generally find it helpful to ask the client why he blames others for the mistakes he's made.'
- D. It's not therapeutic to give the client suggestions as to what he needs to do to fix his problems.'
Correct Answer: C
Rationale: The correct answer is C because asking the client why he blames others is not a recommended approach in active listening. This statement shows a lack of understanding of active listening principles. Active listening focuses on listening without judgment or assumptions, understanding the client's perspective, and reflecting back their feelings. Asking why a client blames others can come across as confrontational and may hinder the therapeutic relationship. Choices A, B, and D demonstrate an understanding of active listening principles by emphasizing the importance of silence, avoiding sharing personal experiences, and refraining from giving direct advice, respectively.
The theorist associated with social learning theory is
- A. Sigmund Freud
- B. B.F. Skinner
- C. Albert Bandura
- D. Ivan Pavlov
Correct Answer: C
Rationale: Bandura's social learning theory emphasizes observation.
he Montessori approach believes that teachers should
- A. Control
- B. Observe
- C. Direct
- D. Instruct
Correct Answer: B
Rationale: Montessori teachers observe to guide learning, rather than control or direct it.