EXAM LATEST UPDATE 2024(VARCAROLIS)
QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES|ALREADY GRADED A+
PROFESSOR VERIFIED
A nurse in an acute care facility is assisting with the
admission of an older adult client who has late
stage Alzheimer's disease. The nurse notes that the
client's partner appears exhausted. He states that
he is finding it more and more difficult to care for
his partner. Which of the following actions should
the nurse take first? -CORRECT ANSWER Ask the partner
to talk about his difficulties in caring for the client.
,The first action the nurse should take, using the
nursing process priority framework, is to collect
data regarding the partner's ability to take care of
the client.
A nurse is collecting data from a client who is taking
bupropion. Which of the following findings indicates
the medications is effective? -CORRECT ANSWER
Decrease in urge to smoke
Bupropion is an antidepressant that is also used for
smoking cessation.
A nurse is evaluating the outcome for a client who
has depression following the death of his wife 3
months ago. Which of the following client
statements indicates a need for further
,intervention? -CORRECT ANSWER "I just don't feel like
eating because I never like to eat alone."
At risk for malnutrition and injury.
A nurse in a long-term care setting is caring for a
client who has Alzheimer's disease. The client
states, "I just came back from a hard day's work in
my office." The nurse should identify this statement
is an example of which of the following coping
mechanisms? -CORRECT ANSWER Confabulation
Confabulation is the creation of information which
is untrue to fill in gaps in memory and to protect
self-esteem in clients who have dementia.
A nurse is planning care for a new client. Which of
the following actions should the nurse plan to take
, in order to use the technique of presence to
establish the nurse- client relationship? -CORRECT
ANSWER Use active listening when with the client.
The nurse should use active listening to establish
presence with the client. presence involves eye
contact, body language, voice tone, listening, and
reflection to convay openness and understanding.
A nurse is assessing a client in the emergency
department who drank alcohol while taking
disulfiram. The client states, "The nurse told me not
to drink when taking the medication. I am just a
social drinker. I didn't realize that having just one
drink with my friends would cause such a problem."
Which of the following defense mechanisms is the
client demonstrating? -CORRECT ANSWER Rationalization