the cnurse cis con can cAlzheimer's cunit. ca cclient cis cagitated cand cpulling cat cthings. cWhich cof cthe c
cdo?
A) cprovide cthe cclient cwith ctherapeutic csensory cdevices
B) ccohort cthe cclient cwith canother cclient cwho cis cagitated, cbecause cthey cwill ccalm ceach cother
C) cplace cthe cclient cin ca croom cwith cseveral cother cclients
D) cleave cthe cclient calone cfor ca cperiod cof ctime cto creduce cstimulation c- cCORRECT cANS✔✔A) c
ctherapeutic csensory cdevices
rationale:
A) ccorrect. calzheimer's cpatients coften cpick cat citems, csuch cas cbuttons con cclothing cor cmedical cd
cdanger cto cthem. cProviding cthem cwith csafely cdesigned csensory cdevices cserves cthe cneed cof cs
cas ctheir curge cto cpick.
B) cCohorting cthe cclient cwith canother cagitated cclient ccan cworsen cthe cproblem cdue cto cincreased
C) cPlacing cthe cclient cin ca croom cwith cseveral cother cclients ccan cworsen cthe cproblem cdue cto cin
D) cLeaving cthe cclient calone ccould clead cto cinjuries crelated cto cthe cagitation, cpicking.
The cnurse cis ccaring cfor ca cmale cclient. cThe cclient chas cexhibited csome csigns cof canxiety cand ch
cthe cclient cis ca crecently creturned ccombat cveteran. cThe cnurse cshould cassess cthe cclient cfor cwh
cconditions?
A) cpost-traumatic cstress cdisorder c(PTSD)
B) cbipolar cdisorder
C) cschizophrenia
D) cborderline cpersonality cdisorder c(BPD) c- cCORRECT cANS✔✔A) cpost-traumatic cstress cdisord
rationale:
A)Correct cPTSD cis ca cknown cdisorder cfrom cwhich cveterans cof cwar ccan csuffer. cAny cthorough ce
cinclude cone cfor cPTSD.
B) cAlthough cveterans ccan cpotentially csuffer cfrom cbipolar cdisorder, cPTSD cis cthe cbest canswer cc
ccommon clink. cAnxiety cand chostility cdoesn't cfit cbipolar cdisorder.
C) calthough cveterans ccan cpotentially csuffer cfrom cschizophrenia, cPTSD cis cthe cbest canswer ccho
cEliminate cschizophrenia cbecause cit cdoesnt csay che's chaving cany challucinations
D) calthough cveterans ccan cpotentially csuffer cfrom cborderline cpersonality cdisorder, cPTSD cis cthe
the cnurse cis ccaring cfor ca cterminally cill cclient cwho chas cagreed cto center chospice ccare. cWhich co
cindicates ca cneed cfor cfurther cclient cteaching cby cthe cnurse?
A) c"you cwill chelp cto cmake cmy cwife cas ccomfortable cas cpossible cwhile cin chospice ccare"
B) c"you cwill chelp cmy cwife cget cbetter cso cwe ccan cget cback cto cour cold clife"
C) c"the cgoal cis cto cmake cthe cend cof cmy cwife's clife cas ccomfortable cas cpossible"
D) c"you cwill cprovide cme cwith csupport cduring cthis cdifficult ctime" c- cCORRECT cANS✔✔B) c"you c
cso cwe ccan cget cback cto cour cold clife"
rationale:
A)This cis can caccurate cstatement. cThe cgoal cof chospice cis cto cmake cclients cas ccomfortable cas c
cof ctheir clife.
,A) cYou cmight ccall cthe cphysician cto creport cunmanageable csymptoms, cDilaudid cis cfor cpain cand
calcohol cwithdrawal.
B) cThe cnurse cmight cassess cthe cclient cevery chour cbut cit cis cnot cthe cfirst cthing cthe cnurse cwould
cintervene cto cprevent cacute cwithdrawal
C) cThe cnurse cwould cnot ccall cthe cfamily cunless cthe cnurse chad cpermission cof cthe cclient. cAnd cw
cwithdrawal, cit cis cfor cpain
D) cCorrect canswer. cBenzodiazepines csuch cas cAtivan care coften cgiven cas cpart cof can calcohol cw
cto cdo cthis cfirst cto chelp ctheir cwithdrawal csymptoms, cand cthen cyou cmay cassess cthe cclient cever
a cclient cwith cbipolar cdisorder cmakes ca csexually cinappropriate ccomment cto cthe cnurse. cThe cnur
cfollowing cactions?
A) cignore cthe ccomment cbecause cthe cclient chas ca cmental chealth cdisorder cand ccannot chelp cit
B) creport cthe ccomment cto cthe cnurse cmanager
C) cignore cthe ccomment, cbut ctell cthe cincoming cnurse cto cbe caware cof cthe cclient's cpropensity cto
ccomments
D) ctell cthe cclient cthat cit cis cinappropriate cfor cclients cto cspeak cto cany cnurse cthat cway. c- cCORR
cthat cit cis cinappropriate cfor cclients cto cspeak cto cany cnurse cthat cway
rationale:
A) cClients chave cto cbe caccountable cfor ctheir cown cbehavior ceven cif cthey cdo chave cbipolar cdisor
cinappropriate cbehavior, cand cto cencourage cclients cto cinteract csocially cin can cacceptable cway
B) cThe cnurses cpriority cis cto cfirst ccommunicate cwith cthe cclient, cthe cnurse cmight cwant cto creport
cmanager clater
C) cthe cnurse cshould cnot cignore cthe ccomment
D) cCorrect canswer. cThe cnurse cshould cnotify cthe cclient cthat cthis cis cinappropriate cbehavior cand
cboundaries
An celderly cclient casks cthe cnurse cto ckill cthe cbugs cthat care ccrawling con cthe cfloor cof cher croom.
cbugs cand csuspects cthe cclient cis challucinating. cWhich cof cthe cfollowing cstatements cby cthe cnurs
A) c"it cmay cseem cto cyou cthat cthere care cbugs ccrawling con cthe cfloor, cbut cI cdo cnot csee cany cbug
B) c"I csee cthem ctoo. cHow cshould cI ckill cthem?"
C) c"can cyou ctell cme cmore cabout cthese cbugs?"
D) c"what cdo cthe cbugs clook clike?" c- cCORRECT cANS✔✔A) c"it cmay cseem cto cyou cthat cthere car
cbut cI cdo cnot csee cany cbugs"
rationale:
A) cCorrect canswer. cthis cresponse cvalidates cwhat cthe cclient cis cseeing. cTo cthe cclient, ca challucin
cnurse cmust creorient cthe cclient cto cthe cappropriate creality cand ctur cto crestore cthe cclients cfeeling
cgo cwith cthe challucination cand cyou cshould ctry cto cre-orient cthe cpatient cto creality
B) cThe cnurse cshould cnot creinforce cthe challucination
C) cThe cnurse cshould cnot cencourage cverbalize cfeeling cduring can cactive challucination
D) cit cis cnot chelpful cto cquestion cor cimply cthat cthe cclient cis cnot cseeing creal cbugs
A cclient crequires ca clifesaving cblood ctransfusion cper chospital cguidelines. cThe cclient crefuses cbas
cwould cbe cmost cappropriate cfor cthe cnurse cto ctake cwhich cof cthe cfollowing cactions?
A) cConfirm cwith cthe cclient cthat cthe cclient cunderstands cthe cpotential crisks cfor cnot chaving cthe cb
B) cTell cthe cclient cthat, cregardless cof cpersonal cbeliefs, cthe cclient chas cto chave cthe clifesaving ctr
C) cCall cthe cLegal cDepartment cof cthe chospital cimmediately
D) cTry cto cgently cencourage cthe cclient cto cchange chis cor cher cmind c- cCORRECT cANS✔✔A) cCo
cclient cunderstands cthe cpotential crisks cof cnot chaving cthe cblood ctransfusion
rationale:
A) cCorrect canswer. cThe cnurse cmust cbe csure cthe cclient cunderstands cthe cpotential crisks cof cnot
cDocument cthat cyou cwent cthrough cthe cinformation cand cthat cthe cpatient cwas cstill crefusing ctreat
cinformation cwas cgiven
B) cClients cdo chave cthe cright cto crefuse ccare con creligious cgrounds
, The cnurse cdiscovers ca chospice cclient chas cexpired. cThe cfamily cmembers care cregrouping cin cth
cWhich cof cthe cfollowing cactions cby cthe cnurse cwould cbe cmost cappropriate?
A) ctell cthe cfamily cit cwould cnot cbe cin ctheir cbest cinterests cto csee ctheir cloved cone
B) cEncourage cthe cfamily cto cview cthe cbody cto chelp caccept cthe csituation
C) cProvide ccondolences cto cthe cfamily cand coffer cthem cviewing ctime
D) cTell cthe cfamily, c"I cwill cgive cyou csome ctime cto cspend cwith cyour cloved cone. cLet cme cknow ci
cCORRECT cANS✔✔C) cprovide ccondolences cto cthe cfamily cand coffer cthem cviewing ctime
rationale
A) cIt cis cnot cthe cnurses cdecision cwhether ca cfamily cmember cwants cto cview ca cbody cor cnot. cThi
cbe cavoided cin cthis csetting
B) cThe cnurse cshould creact cto cthat cparticular cfamily's cneeds cor cwishes, cand cnot cencourage cor
C) cCorrect: cthe cnurse cacknowledges cthe closs, cexpresses csympathy, cand coffers cthe cviewing co
D) cThis cstatement cassumes cthe cfamily cwants cto cview cthe cbody cwith cout cthe cnurse cinquiring cf
The cnurse cmonitors cclients cmedications cin ca cday cprogram cfor ca cclients cwith cdisabilities. cThe c
cwho cis cfrequently calone cand coften cquiet. cIt cwould cbe cmost cappropriate cfor cthe cnurse cto ctake
cactions?
A) cAllow cthe cclient calone ctime csince cthe cclient cseems cto cprefer cthis. cThe cclient chas cthe cright
B) cMake can ceffort cto cinteract cwith cthe cclient cperiodically
C) cEncourage cthe cclient cto cjoin ca cyouth cgroup
D) cEncourage cother cclients cin cthe cprogram cto cinteract cmore cfrequently cwith cthe cclient c- cCORR
cthe cclient cto cjoin ca cyouth cgroup
rationale:
A) cIt cappears cthat cthe cclient chas cenough ctime calone, cwhich ccould cstunt cthe cclient's csocial cgro
cpurpose cof ca cday cprogram, cwhich cis cto cpromote cinteraction camong cclients. cA cgoal cof ccoming
cinteraction
B) cMaking can ceffort cto cinteract cwith cthe cclient cperiodically cdoes cnot clead cthe cclient's cpersonal
cbest coption
C) cCorrect. cParticipating cin ca cyouth cgroup ccan chelp cteenage cclient cwith ca cdisability cdevelop cs
csystems, cand cfeel cmore clike ca ctypical cteenager
D) cIt cwould cnot cbe cappropriate cto ctalk cabout cone cclient cwith canother cclients cfor creasons cof cc
A cclient cis cexperiencing ca cmanic cepisode. cIt cwould cbe cmost cappropriate cfor cthe cnurse cto cperf
cinterventions?
A) cGive cthe cclient cmaterials cto cmake ca ccollage
B) cEncourage cthe cclient cto cuse can cexercise cbike
C) cEncourage cthe cclient cto cattend ca cgroup cabout cmanaging cfeelings
D) cAsk cthe cclient cto cplay ca cboard cgame cwith cother cclients c- cCORRECT cANS✔✔B) cEncourag
cexercise cbike
rationale:
A) cMania ccan cnot csit cand cmake ca ccollage
B) cCorrect canswer. cRiding cthe cexercise cbike cis cappropriate
C) cGroup ctherapy cis calso cout cof cthe cquestion
D) cCannot csit cto cdo ca cboard cgame
The cnurse cis ctaking ca chistory cfrom ca cclient cin can coutpatient cclinic. cThe cclient chas cbeen ctakin
cmonths. cWhich cof cthe cfollowing cis cthe cmost clikely cside ceffect cthat cthe cnurse cwould cexpect cto
cusing cAtivan cfor cthis ctime cperiod?
A) cExcessive cappetite
B) cphysical cdependence
C) csuicidal cideation