Ms mcnutt from concorde

Which drug is commonly prescribed for a client with attention-deficit hyperactivity disorder (ADHD)

Methylphenidate (Ritalin

A male client who has lost his job calls the clinic and tells the practical nurse (PN), "I feel so overwhelmed that I've decided to take a handful of sleeping medicine I bought over the counter at the drugstore. I wish I didn't have to do it, but there's no other way." The PN asks several questions and learns that his wife is in the next room. How should the PN respond?

Persuade him to call his wife to the phone

Based on Maslow's hierarchy of needs, which nursing strategies should the practical nurse (PN) implement to promote a client's self-esteem

Promoting physical appearance.

A female client admits that she has been battered frequently by her live-in boyfriend over the last year. She tells the practical nurse (PN) they plan to be married and she thinks things will be better since he is always sorry after the battering. What is the best action for the PN to take?

Provide information to develop an emergency plan

A male client is admitted to an inpatient psychiatric facility after taking hallucinogenic drugs. The client screams threats and begins hitting the unlicensed assistive personnel who is assisting with his admission. Which action should the practical nurse (PN) implement?

Report the client is a danger to self or others

A client with a long history of alcoholism is admitted with pneumonia and begins to manifest fine tremors, tachycardia, hypertension, and confusion. Which additional finding is most important for the practical nurse (PN) to report immediately

Tactile hallucinations

A client was admitted with major depressive disorder 3 weeks ago and received a prescription for sertraline (Zoloft) on admission. Today the client self-reports feeling great. It is most important for the practical nurse (PN) to consider which information when implementing care for this client

The client may be at increased risk for suicide as the depression lifts

A male client who believes he has a brain tumor after numerous diagnostic tests that indicate no evidence of organic disease tells the practical nurse (PN), "No one believes me! I have the symptoms: terrible headaches and episodes of blurred vision. Last week I felt weak and even vomited. I'm going to die." Which response by the PN fosters cognitive restructuring

There are other possible explanations for your symptoms

Which behavior should the practical nurse identify as aggressive in a client who is admitted to the mental health unit?

Verbally attacks and demeans peers in group settings.

What finding should the practical nurse (PN) report to the nurse concerning possible abuse of a child

A toddler who cries when the father enters the room.

T he practical nurse (PN) is answering questions for a family member whose parent has early Alzheimer's disease (AD). Which information should the PN provide

AD is a primary, irreversible, and fatal dementia that is caused by deposits of beta-amyloid protein causing senile plaques in the brain.

A confused male client who unexpectedly becomes agitated and combative, raises his fist and threatens a female practical nurse (PN) stating that he is going to bash in her face. What action should the PN take?

Activate the de-escalation response team

A debilitated, older female client with Alzheimer's disease who is admitted to the hospital is bewildered and begins to kick and push away an unlicensed assistive personnel (UAP). What action should the practical nurse take?

Ask a person who is familiar to the client to sit at the bedside

Which nursing intervention should the practical nurse (PN) implement for a male client who is actively hallucinating?

Ask for permission before touching the client

A client becomes confused, grabs a pair of scissors, and cuts his IV tubing and indwelling catheter. An emergency security code is called, and two security officers arrive in the client's room. What action should the practical nurse (PN) take next

Assign officers for a coordinated take-down maneuver

A client arrives at the urgent care clinic with complaints of a pounding heart and feeling out of breath. The client takes lorazepam (Ativan) 1 mg PO twice daily as needed for panic attacks. What action is most important for the practical nurse (PN) to implement

Attach electrocardiographic electrodes to the client's chest

The practical nurse (PN) is collecting admission data for a young man with a history of chronic mental illness who is admitted to the mental health unit. What client information is most important in guiding the PN in data collection?

Displays aggressive and assaultive behavior

A woman arrives at the clinic with multiple bruises. The practical nurse (PN) who has cared for her on previous similar visits is concerned about her safety. Which question should the PN ask the client to determine if she is a victim of domestic violence?

How are things in your home life?

A male client who is diagnosed with schizophrenia, catatonic type, is admitted to the mental health unit and does not verbally communicate to any of the staff. His wife states that he became increasingly anxious, withdrawn, and stayed in bed staring at the wall since his recent job promotion. Which nursing diagnosis should the PN implement for this client

Impaired verbal communication related to severe anxiety

The practical nurse is talking with a male client about his recent job loss. What is the most important factor to explore with the client?

Importance of the job to the client.

A male client is admitted to a drug rehabilitation program for chronic cocaine abuse. Which nursing problem should the practical nurse consider is the client's highest priority

Risk for self-violence related to suicidal depression

A male client who learns his results for HIV is seropositive tells the practical nurse that he is experiencing constant heart palpitations, cannot concentrate, and walks around trembling. What reaction to the diagnosis is the client demonstrating?

acure anxiety

A male client who is in a minor motor vehicle collision (MVC) while on the job is brought to the urgent care clinic. The healthcare provider prescribes a urine drug screen, but the client repeatedly refuses to provide a specimen. Which action should the practical nurse (PN) implement

document

A 35-year-old male client is admitted after a suicide attempt. Which action should the practical nurse (PN) implement when interacting with the client?

encourage

What is the most likely reason that a male adult with chronic mental illness tells the practical nurse that he drinks several alcoholic drinks every day?

for symtoms

A client is ruminating over memories and thoughts of recent life losses and expresses feelings of hopelessness and worthlessness. Which area of the brain is related to cognitive restructuring techniques?

frontal lobe

What is the most prevalent type of elder abuse

neglect

The practical nurse (PN) is planning care for an adult client who is admitted with depression. According to Maslow, which needs should the PN prioritize in the client's plan of care?

physiological issues

What is the primary purpose for the practical nurse (PN) to use therapeutic communication

promote

The mother of a young child involved in the motor vehicle collision is in the family room when she is told that her child has died as a result of the injuries. She screams, "You killed my child!" and starts to pace. What is the best action for the practical nurse to implement at this time

remain

The mother of a child who is brought to the clinic unconscious is hysterical, yelling, becoming increasingly agitated, and throws her bottle of water on the floor. Which response should the practical nurse make?

step aside

A male client arrives at the mental health clinic and tells the practical nurse (PN) that he is overwhelmed and does not know who to talk to about his life. Based on the client's comments, what aspect of the client's life should the practical nurse explore first with the client

support system

Which response should the practical nurse (PN) offer to express empathy to a female client who is depressed and continues to talk about her grief over recent losses?

tell me more

A female client is anxious about a scheduled diagnostic procedure and keeps asking the same question of every staff person. How should the practical nurse respond?

affirm

The practical nurse (PN) is caring for a female client with borderline personality disorder and a history of self-mutilation. The client tells the PN that another staff member makes her feel angry and unimportant. What priority intervention should the PN implement?

ask her if

A female client who is admitted to the outpatient surgical center for a bilateral tubal ligation starts to cry while waiting to go to surgery. Which therapeutic statement should the practical nurse (PN) offer the client?

can you tell me

A male client who is hospitalized for an acute episode of schizophrenia is sitting in the dayroom of the mental health unit without any clothes on. He is telling everyone who looks at him that he is "the body beautiful." Which intervention should the practical nurse implement

cover

the practical nurse (PN) is assessing a client who has been noncompliant with a prescribed diabetic diet and exercise regimen. This client is using which defense mechanism?

denial

An adolescent female who is admitted with bulimia tells the practical nurse (PN) that she does not have an eating disorder. Which finding should the PN report that is most indicative of long-standing purging behaviors?

dental enamel