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1090. A client approaches the nurse' station, becomes very loud and
offensive, and demands to be seen by the health care provider
immediately. Which nursing intervention is appropriate for this
situation?
1. Inform the client that the behavior is unacceptable.
2. Offer to assist the client to an examination room until the health
care provider is notified.
3. Tell the client to go to her room and stay there because being
demanding is not tolerated.
4. Tell the client that the health care provider will be called as soon as
the other client's needs are met. --- correct answer ---2. Offer to
assist the client to an examination room until the health care provider
is notified.
1091. A client with schizophrenia is experiencing distressful thoughts
secondary to paranoia. Which intervention(s) should the nurse include
in the plan of care? Select all that apply.
1. Avoid laughing when near the client.
,2. Whisper when communicating near the client.
3. Increase socialization of the client among his peers.
4. Have the client sign a written release of information form.
5. Provide food items that are in containers that need to be opened.
6. Begin to educate the client about social supports in the community.
--- correct answer ---1. Avoid laughing when near the client.
5. Provide food items that are in containers that need to be opened.
1092. An emergency department nurse is caring for an adult client
who is a victim of family violence. Which priority instruction should
be included in the discharge instructions?
1. Information about shelters.
2. Instructions about fighting back.
3. Instructions about calling the police.
4. Instructions about self-defense classes. --- correct answer ---1.
Information about shelters.
1093. A client is preparing to attend a Gamblers Anonymous meeting
for the first time. The prototype used by this group is the 12-step
program developed by Alcoholics Anonymous. Number is order of
priority how the steps would be addressed. (Number 1 is the first step,
and number 5 is the last step)
,-Admitting to oneself and to another human being the exact nature of
one's wrongs.
-Acknowledging that one is entirely ready to have his or her defects of
character removed.
-Admitting that oneself is powerless over gambling and that one's life
had become unmanageable.
-Making an effort to practice the 12-step principles in all affairs, and
to carry this message to other compulsive gamblers.
-Making direct amends wherever possible to all people that have been
hurt, except when to do so would further harm them or others. ---
correct answer ----Acknowledging that one is entirely ready to have
his or her defects of character removed.
-Admitting that oneself is powerless over gambling and that one's life
had become unmanageable.
-Admitting to oneself and to another human being the exact nature of
one's wrongs.
-Making direct amends wherever possible to all people that have been
hurt, except when to do so would further harm them or others.
-Making an effort to practice the 12-step principles in all affairs, and
to carry this message to other compulsive gamblers.
, 1094. The nurse is caring for a Jewish client who was in a serious car
accident and is currently on life support. With regard to the client's
religious beliefs, the nurse understands which information?
1. The client most likely will not undergo any further life-saving
measures.
2. The client will most likely be cremated after death, and an autopsy
will be performed.
3. The client should not be left alone at any time, and the presence of
a rabbi is desirable.
4. The client's life most likely will not be prolonged and the client will
be removed from life support as soon as possible. --- correct answer --
-3. The client should not be left alone at any time, and the presence of
a rabbi is desirable.
1095. Two weeks after beginning antidepressant medication, a client
says to the nurse, "Now that I am taking an antidepressant, no one
will need to worry about me trying to commit suicide. Everyone can
sleep easy at night." Which response indicates that the nurse
understands the effect of antidepressant therapy?
1. "The fact of the matter is that you can easily relapse into
depression."
2. "Yes, that is correct because you are responding so positively to the
medication."