NCLEX Psychsocial

The nurse cares for clients in a drug rehabilitation facility. Which complication of IV drug abuse is the nurse most likely to observe? 1. Jaundice. 2. Rash. 3. Bruising. 4. Cellulitis.

4. cellulitis

What is the most common reason for using alcohol as self-medication? 1.body image 2.boredom 3.pain 4.self-esteem

4. self esteem -most use do to poor self-esteem and then causes phsycial/psych issues

A client comes to the outpatient psychiatric clinic for treatment of a fear of heights. The nurse knows that phobias involve which behaviors? 1. Projection and displacement. 2. Sublimation and internalization. 3. Rationalization and intellectualization. 4. Reaction formation and symbolization.

1.Projection and displacement -as well as symbolization

The nurse recognizes which symptoms are early signs of lithium toxicity? Select all that apply. 1. Fine motor tremors. 2. Involuntary muscle movements. 3. Seizures. 4. Nausea and vomiting. 5. Orthostatic hypotension. 6. Diarrhea 7. slurred speech 8.muscle weakness

1.fine motor tremors 4.NV 6.diarrhea 7.slurred speech 8. muscle weakness

Which symptoms might alert the nurse to consider an alcohol problem in a client hospitalized for a physical illness? Select all that apply. 1. Tremors. 2. Elevated temperature. 3. Depression. 4. Nocturnal leg cramps. 5. Night sweats. 6. Decreased concentration.

1.tremors 2.elevated temperature 4.nocturnal leg cramps

the nurse suspects the client is abusing pain medication when 1. the pt threatens to call provider if medication is delayed 2.the pt brings pain medication from home 3.the pt asks for pain meds when they are due 4.the pt is irritable and has tremors of hand and tongue

2.pt bring pain meds from home -pt is hoarding pain meds

Which statement is documented by the nurse to reflect a client's emotional adjustment to being hospitalized in the intensive care unit? 1. "The client is unable to complete activities of daily living without assistance." 2. "The client appears to be depressed and anxious regarding impending surgery." 3. "The client constantly calls for nurses and cries uncontrollably." 4. "The family is unable to visit more often than once a week because they live far away."

3. the client constanstly calls for nurse and cries uncontrollably -stay objective=never use the words appear. -only state what you see and it reflect the client

What validates that the pt has delirium tremens? 1.pt needs increased dose of pain medications 2.pt reports alcohol cravings 3.the client has agitation, visual hallicinations, and elevated BP 4.the client has weakness, irritability, and nausea

3.agitation, visual hallicuations, and elevated BP -

dissociation

see w/ dissociation disorder