Nurs 104 (due feb 28th)

A woman who gave birth to a second child 3 weeks ago is depressed and having difficulty caring for her children. At the end of the day both of the children are dirty, wet, and crying. The woman tells her husband that she "just can't take this anymore." The husband calls the women's health clinic and asks what he should do. What is the best response by the nurse? 1. Telling him that his wife may be suffering from depression and needs emergency care 2. Telling him that fatigue is expected and that his wife needs to take rest periods during the day 3. Reassuring him that his wife is experiencing 4. Advising him to make an appointment for his wife to see her practitioner if the problem continues

1. Telling him that his wife may be suffering from depression and needs emergency care

A young child in whom sexual abuse is suspected says to the nurse, "Did I do something bad?" What is the most therapeutic reply by the nurse? 1."Who said you did something bad?" 2."What do you mean, 'something bad'?" 3."Do you think that you did something bad?" 4."Do you think that I think you did something bad?"

2."What do you mean, 'something bad'?"

A teenager with anorexia nervosa is admitted to the adolescent unit of a mental health facility and signs a contract calling for her to gain weight or lose privileges. There is no weight gain after a week. What should the nurse explain to the client? 1. The prearranged consequences will go into effect. 2. Death from starvation could occur if the client does not eat. 3. Stricter goals will be instituted if the initial goals are not met. 4. It may be necessary to become involved with meal preparation

1. The prearranged consequences will go into effect.

As a client addicted to cocaine withdraws from the drug, the nurse should expect to observe behavior related to: 1. Insomnia 2. Depression 3. Disinhibition 4. Hyperactivity

2. Depression

An extremely depressed client signed the consent for electroconvulsive therapy (ECT) but continues to express anxiety about the procedure. What is most important for a nurse to emphasize when discussing ECT with the client? 1. "The procedure may cause a headache." 2. "The procedure will make you feel better." 3. "You won't be left alone during the procedure." 4. "You will have periods of amnesia after the procedure."

3. "You won't be left alone during the procedure."

A 32-year-old woman is hospitalized with a diagnosis of a bipolar disorder, manic episode. She becomes loud and vulgar and disturbs the other clients. What is the best reaction by the nurse to this situation? 1. Telling her that she is bothering the other clients 2. Ignoring the vulgar talk because it is part of the illness 3. Segregating the client until this phase of her illness passes 4. Commenting that this kind of talk is not appreciated on the unit

3. Segregating the client until this phase of her illness passes

When planning care for an older client, the nurse remembers that aging has little effect on a client's: 1.Sense of taste or smell 2.Muscle or motor strength 3.Capacity to handle life's stresses 4.Ability to remember recent events

3.Capacity to handle life's stresses

A client with an obsessive-compulsive disorder continually walks up and down the hall, touching every other chair. When he is unable to do this, the client becomes upset. What should the nurse do? 1.Distract the client, which will help the client forget about touching the chairs 2.Encourage the client to continue touching the chairs as long as he wants until fatigue sets in 3.Remove chairs from the hall, thereby relieving the client of the necessity of touching every other one 4.Allow the behavior to continue for a specified time, letting the client help set the time limits to be imposed

4.Allow the behavior to continue for a specified time, letting the client help set the time limits to be imposed

Thirty minutes after administering fluphenazine (Prolixin) to a client, the nurse notes that the client's jaw is rigid, the client is drooling, and her speech is slurred. There are a number of as-needed prescriptions in the client's chart. What should the nurse administer? 1.Diazepam (Valium), 10 mg by mouth 2.Trihexyphenidyl (Artane), 1 mg by mouth 3.Haloperidol (Haldol), 2 mg intramuscularly 4.Benztropine (Cogentin), 2 mg intramuscularly

4.Benztropine (Cogentin), 2 mg intramuscularly