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The nurse is teaching a client prescribed the antianxiety agent chlordiazepoxide. The nurse should incorporate which instruction into the teaching plan? a. Avoid taking antianxiety drugs with alcohol. b. Avoid consuming items with tyramine when taking antianxiety agents. c. Take the medication at the same time each day, avoiding taking at bedtime. d. Take antianxiety drugs in the morning with breakfast or a snack.

a. Avoid taking antianxiety drugs with alcohol.

Which factors are major components of a client's general background history? a. urine output and allergies b. bowel habits and allergies c. allergies and socioeconomic status d. gastric reflex and the client's age

c. allergies and socioeconomic status

A nurse plans to include the parents of a client with anorexia nervosa in the client's therapy sessions. The nurse should anticipate that the parents will: a. tend to overprotect their child. b. have a history of substance abuse. c. alternate between expressing love for and rejection of their child. d. maintain emotional distance from their child.

a. tend to overprotect their child.

Which change in the integumentary system is associated with normal aging? a. Collagen becomes elastic and strong. b. Subcutaneous fat and extracellular water decrease. c. The dermis becomes highly vascular and assists in the regulation of body temperature. d. The outer layer of skin is replaced with new cells every 3 days.

b. Subcutaneous fat and extracellular water decrease.

When discussing spirituality with a parent of an 8-year-old child, the nurse instructs the parent that children of this age a. are influenced by their peer groups. b. may question religious authority. c. enjoy lore and legends of religious groups. d. are moved deeply by spirituality. of this age

c. enjoy lore and legends of religious groups.

Thirty people are injured in a train derailment. Which client should be transported to the hospital first? a. a 20-year-old who is unresponsive and has a high injury to his spinal cord b. a 25-year-old with a sucking chest wound c. an 80-year-old who has a compound fracture of the arm d. a 10-year-old with a laceration on his leg

b. a 25-year-old with a sucking chest wound During a disaster, the nurse must make difficult decisions about which persons to treat first. The guidelines for triage offer general priorities for immediate, delayed, minimal, and expectant care. The client with a sucking chest wound needs immediate attention and will likely survive.

A 68-year-old client is admitted to the addiction unit after treatment in the emergency department for an overdose of oxycodone. The client's adult child calls the unit and expresses intense anger that the client is being treated as a "common street addict." The caller says their parent has severe back pain and was given that prescription by the client's healthcare provider. "My parent just accidentally took a few too many pills last night." Which reply by the nurse is most therapeutic? a. "It may be appropriate for your parent to be referred to a pain management program." b. "Unfortunately, it's fairly common for clients with pain to increase their use of pain pills over time." c. "I can hear how upset you are. You sound very concerned about your parent." d. "I understand that your parent may not have intentionally taken too many pills. This medication can cause one to forget how many have been taken."

c. "I can hear how upset you are. You sound very concerned about your parent."

A nurse notices that a client with obsessive-compulsive disorder dresses and undresses several times each day. Which comment by the nurse would be most therapeutic? a. "It might be helpful if you dress only once per day so you will not be so tired." b. "It must really bother you to change your clothes so often. How can I help?" c. "I saw you change clothes several times today. Do you find this tiring?" d. "I see that you are a perfectionist about the clothes you wear."

c. "I saw you change clothes several times today. Do you find this tiring?"

Which response demonstrates that the parents of a child with newly diagnosed schizophrenia understand their child's diagnosis? a. "The illness is a result of drug abuse during early adolescence." b. "Our child's grandparent is an alcoholic. Being around the grandparent caused our child to have this problem." c. "We'll watch our child take the pills and call the physician if the child doesn't swallow them." d. "As long as we're understanding and supportive, our child will eventually be fine."

c. "We'll watch our child take the pills and call the physician if the child doesn't swallow them."

The parent of an 18-year-old with chronic renal disease states, "My son has so many problems. I'm really worried that he won't get the right care if he gets sick at college." What is the nurse's best response? a. "Your son is going to need to learn to manage his own disease." b. "Make sure your son always carries his nephrologist's phone number." c. "Your son can make an electronic history to facilitate his care if he gets sick away from home." d. "I can have his records sent to the school's health center."?

c. "Your son can make an electronic history to facilitate his care if he gets sick away from home."

The nurse is preparing to administer furosemide to a 3-year-old with a heart defect. After verifying the arm band, which is the most appropriate second identifier for the nurse to use? a. Check the room number. b. Ask the child to state her name. c. Ask the parent the child's name. d. Ask the child to tell her birth date.

c. Ask the parent the child's name.

A psychiatric treatment team is planning care for a client who was involuntarily admitted for treatment of depression and suicide ideation. When planning the client's care, what legal parameters of care should the nurse be aware of? a. The client is able to obtain release against medical advice. b. The client is considered to be incompetent. c. The client is able to refuse medications. d. The client is in need of a public guardian.

c. The client is able to refuse medications.

A client is admitted to the acute psychiatric care unit after 2 weeks of increasingly erratic behavior. The client is unkempt, has lost approximately 9 lb (4 kg), has been sleeping poorly, and exhibits hyperactivity. The client loudly denies the need for hospitalization. What priority intervention will the nurse apply? a. providing adequate hygiene b. asking the client to go eat a meal in the day room c. decreasing environmental stimulation d. orientating the client to the unit activities

c. decreasing environmental stimulation

A client diagnosed with major depression and substance dependence is being admitted to the concurrent disorder treatment unit. In explaining the focus of this program, the nurse should tell what information to the client? a. There will be simultaneous treatment of the addiction and depression. b. As the addiction is treated, the depression will clear up on its own. c. The addiction will be treated first, then the depression. d. The depression with be treated first, then the addiction.

a. There will be simultaneous treatment of the addiction and depression.

An adolescent with cystic fibrosis has been placed on ciprofloxacin for a lung infection. Which statement from the client indicates the need for more teaching? a. "I won't take this drug with any dairy products." b. "I'll need to have drug levels drawn while I'm on this medication." c. "I should immediately report any muscle or joint pain." d. "If I miss a dose, I should take it as soon as I remember."

b. "I'll need to have drug levels drawn while I'm on this medication."

When preparing to present a community program about women who are victims of physical abuse, the nurse should stress what information about the incidence of battering? a. Death from battering is rare. b. Battering is a major cause of injury to women. c. Lower socioeconomic groups are primarily affected. d. Physical abuse typically begins early in a relationship well before a women gets pregnant.

b. Battering is a major cause of injury to women.

The wife of a client admitted for treatment of newly diagnosed paranoid schizophrenia visits 2 days after her husband's admission and states to the nurse, "Why isn't he eating? He's still talking about his food being poisoned." Which appraisal by the nurse is most accurate? a. Her expectations of her husband are realistic. b. Education about her husband's medications is needed. c. An increase in the client's medication is indicated. d. The wife's inquiry is reasonable.

b. Education about her husband's medications is needed.

The nurse notes that a client is too busy investigating the unit and overseeing the activities of other clients to eat dinner. To help the client obtain sufficient nourishment, which plan would be best? a. Allow the client to enter the unit kitchen for extra food as necessary. b. Serve foods that the client can carry with her. c. Allow the client to send out for favorite foods. d. Serve the client food in small, attractively arranged portions.

b. Serve foods that the client can carry with her.

A nurse is caring for a client with multiple sclerosis. The client informs the nurse that a lawyer is coming to prepare a living will and requests the nurse to sign as witness. Which action should the nurse take? a. Arrange for another colleague to sign as a witness. b. State that the physician will be a witness. c. Inform the physician about the living will. d. Note that the nurse caring for the client cannot be a witness.

d. Note that the nurse caring for the client cannot be a witness. Employees of the healthcare facility should not sign as witnesses; therefore, the nurse cannot sign as witness.

An overweight adolescent has been diagnosed with type 2 diabetes. What should the nurse do to increase the client's self-efficacy to manage the disease? a. Discuss eliminating junk food in the home with the parents. b. Provide the client with a written daily food and exercise plan. c. Arrange for the school nurse to weigh the child weekly. d. Utilize a peer with type 2 diabetes to role model lifestyle changes.

d. Utilize a peer with type 2 diabetes to role model lifestyle changes.