Study guides, Class notes & Summaries

A client with depression remains in bed most of the day, declines activities and refuses meals. Which nursing problem has the greatest priority for this client? a. Loss of interest in diversional activity. b. Social isolation c. Refusal to address nutritional needs d. Low self-esteem. - Answer c. Refusal to address nutritional needs The nurse is preparing medications for a client with bipolar disorder and notices that the antipsychotic medication was discontinued several days ago. Whi...

Lab finding which supports liver disease - Answer Increased SGOT/AST Alcoholism priority at 72 hours - Answer Altered Nutrition. Vitamin B Deficiency = Wernicke's disease Accounts for symptoms of alcohol withdrawal delirium. - Answer Increased dopamine Administer which medication if the alcoholic patient has decreased liver function? - Answer Ativan What does Antabuse do? - Answer Raises acetaldehyde. Inhibits the absorption of alcohol What must occur before Antabuse th...

The home care nurse is visiting an older client whose spouse died 6 months ago. Which behavior by the client indicates ineffective coping? 1. Neglecting personal grooming 2. Looking at old snapshots of family 3. Participating in a senior citizens' program 4. Visiting their spouse's grave once a month - Answer 1. Neglecting personal grooming Rational: Coping mechanisms are behaviors used to decrease stress and anxiety. In response to a death, ineffective coping is manifested by an e...

A male client in the mental health unit is guarded and vaguely answers the nurse's questions. He isolates in his room and sometimes opens the door to peek into the hall. Which problem can the RN anticipate? A. Visual hallucinations. B. Auditory hallucinations. C. Excessive motor activity. D. Delusions of persecution. - Answer D. Delusions of persecution. A female client with obsessive compulsive personality disorder is admitted to the hospital for a cardiac catheterization. The afterno...

A client on the mental health unit is becoming more agitated, shouting at the staff, and pacing in the hallway. When the PRN medication is offered, the client refuses the medication and defiantly sits on the floor in the middle of the unit hallway. What nursing intervention should the RN implement first? - Answer Take other clients in the area to the client lounge A client is admitted to the mental health unit and reports taking extra anxiety medications because, "I'm so stressed out. I j...

A married male client with three children has lost his job and states that he feels useless. He is tearful, upset, and embarrassed. What is an appropriate objective of care for this client? 1. Limiting tearfulness 2. Increasing self-esteem 3. Controlling feelings of sadness 4. Promoting acceptance by others - Answer 2. Increasing self-esteem The loss of a job can precipitate negative feelings about the self and decrease self-esteem. Feelings should be expressed, not limited; attemptin...

A client says to a nurse, "I'm going to die, and I wish my family would stop hoping for a cure! I get so angry when they carry on like this. After all, I'm the one who's dying." The therapeutic response by the nurse is: 1) "Have you shared your feelings with your family?" 2) "I think we should talk more about your anger with your family." 3) "You're feeling angry that your family continues to hope for you to be cured." 4) "Well, it sounds like you're being pretty pessimisti...

A male client with bipolar disorder who began taking lithium carbonate five days ago is complaining of excessive thirst, and the RN finds him attempting to drink water from the bathroom sink faucet. Which intervention should the RN implement? A. Report the client's serum lithium level to the HCP. B. Encourage the client to suck on hard candy to relieve the symptoms. C. No action is needed since polydipsia is a common side effect. D. Tell the client that drinking from the faucet is not allow...

During admission to the psychiatric unit, a female client is extremely anxious and states that she is worried about the sun coming up the next day. What intervention is most important for the RN to implement during the admission process? A. Assist the client in developing alternative coping skills. B. Remain calm and use a matter-of-fact approach. C. Ask the client why she is so anxious D. Administer a PRN sedative to help relieve her anxiety. - Answer A. A female client is brought to t...

a 30 year old sales manager tells the nurse "i am thinking about a job change. i don't feel like i am living up to my potential." which of maslows developmental stages is the sales manager attempting to achieve A. Self-Actualization B. Loving and Belonging C. Basic Needs D. Safety and Security - Answer self actualization: self actualization is the highest level of maslows developmental stages, which is an attempt to fulfill ones full potential.. loving and belonging is identifying sup...