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A nurse is providing teaching to the partner of a client who has Alzheimer's
disease and a new prescription for donepezil. Which of the following pieces of
information should the nurse include?
A. "You should administer the medication immediately before bedtime."
B. "The provider will gradually decrease the dose as the disease improves."
C. "This medication stops the progression of earl Alzheimer's disease."
D. "You partner is at a decreased risk for falls while taking donepezil." -ANSWER-
A. "You should administer the medication immediately before bedtime."
A nurse is caring for client who is receiving end-of-life care. The client states, "The
nurses here don't do a good job caring for me." Which of the following responses
should the nurse make?
A. "Have you talked to your family about your diagnosis?"
B. "These feelings are an expected part of anticipatory grieving."
C. "I'm sure the nurses are trying to take good care of you."
D. "Can you tell me more about what is upsetting you?" -ANSWER-D. "Can you tell
me more about what is upsetting you?"
,A nurse is caring for a client who has schizophrenia and is experiencing auditory
hallucinations. Which of the following actions should the nurse take first?
A. Ask the client what they are hearing.
B. Focus the client on reality-based topics.
C. Take the client for a walk outside.
D. Encourage the client to listen to music. -ANSWER-A. Ask the client what they
are hearing.
A nurse is assessing a client who has a recent diagnosis of dissociative identity
disorder. The client tells the nurse, "I think my blackouts are actually caused by
low blood sugar." The nurse should recognize the client is using which of the
following defense mechanisms?
A. Suppression
B. Sublimation
C. Projection
D. Rationalization -ANSWER-D. Rationalization
A nurse is caring for a client who is taking lithium and reports experiencing
lethargy, muscle weakness, and blurred vision. Which of the following responses
should the nurse make?
A. "These symptoms will improve over time."
B. "You will need to have your blood drawn."
C. "You should decrease your intake of sodium."
, D. "Continue the medication as prescribed." -ANSWER-B. "You will need to have
your blood drawn."
A nurse is caring for a client who has a substance use disorder. The client states,
"The state took my child away after my overdose. I don't want to go on living
without them." Which of the following therapeutic responses should the nurse
make?
A. " If you attend counseling, you will get your child back."
B. "We can ask the physician to prescribe a sedative."
C. "Have you thought about harming yourself."
D. "Can a family member try to obtain temporary custody of your child." -
ANSWER-C. "Have you thought about harming yourself."
A nurse in a mental health facility is caring for a client who is being aggressive
toward other clients. Which of the following actions is the priority for the nurse to
take?
A. Assist the client to explore techniques to reduce stress.
B. Role model healthy ways to express anger.
C. Ask the client if he intends to harm others.
D. Suggest the client make a list of things that make him angry. -ANSWER-C. Ask
the client if he intends to harm others.
A nurse is planning overall strategies to address problems for a client who has
borderline personality disorder. Which of the following strategies is the priority
for the nurse to incorporate in the plan of care?