NSG 2400 Exam 1 EAQ Questions with Answers

The nurse notices that one of her clients, who has depression, is sitting by the window crying. What is the most appropriate response by the nurse? 1 "It's okay. No need to cry or worry while you're here. We all feel down now and then." 2 "Please don't consider suicide. It really isn't an appropriate way out of your troubles." 3 "You seem to be experiencing a sad moment. I'll sit here with you for a while and talk if you would like." 4 "Why don't you go into the dayroom and join the card game going on? That'll take your mind off of your problems for a while." 3 "You seem to be experiencing a sad moment. I'll sit here with you for a while and talk if you would like." The nurse is acknowledging that the client is feeling especially down and offering to be available for discussion or just to provide a presence. Telling the client not to cry and suggesting a card game do not acknowledge the client's feelings and appear to trivialize the situation. The response regarding suicide is judgmental and may discourage any effort by the client to initiate a discussion. A 20-year-old carpenter falls from a roof and sustains fractures of the right femur and left tibia. The client reveals a history of substance abuse. What is the primary consideration for the nurse who is caring for this client? 1 Confronting the client about substance abuse 2 Avoiding calling attention to the client's drug abuse 3 Determining the amount and time of last use of the substance 4 Realizing that this client will need more pain medication than a nonabuser 3 Determining the amount and time of last use of the substance Determining the amount and last use of the substance is the priority. Nurses should base their treatment of withdrawal symptoms on the time and amount of last use. Confronting the client is not the nurse's responsibility at this time. The client must be helped to recognize that a problem with drugs exists, but this is not the priority. Because of cross-tolerance the client may need larger doses of analgesia for pain relief than a nonabuser would, but this is not the priority. A nurse is planning care for a client admitted to the unit with a diagnosis of bipolar disorder, manic phase. In which type of room should the nurse tell the admissions clerk to place this client? 1 Private 2 Isolation 3 Semi-private 4 Negative-airflow 1 Private