A client engages in repeated checks of door and window locks and behavior that prevents the client from arriving on time and interfering with the ability to function effectively. Which action should the nurse take?

Determine the type and size of the locks.

Plan a list of activities to be carried out daily.

Discuss checking the time frequently.

Ask the client why the locks are checked so frequently.

Answer and Explanation

The Correct Answer is B

- Choice A Rationale: Determining the type and size of the locks does not address the client's anxiety or the behavior that is impacting their daily functioning. This action might inadvertently reinforce the client's focus on the locks rather than addressing the underlying issue.
- Choice B Rationale: Planning a list of activities to be carried out daily can help the client establish a routine, which may reduce anxiety and the need for repetitive checking. This approach encourages the client to focus on the day's tasks and can provide a sense of control and accomplishment.
- Choice C Rationale: Discussing checking the time frequently does not directly address the client's repetitive behavior or the associated anxiety. While time management may be part of a broader treatment plan, it is not the most immediate action the nurse should take.
- Choice D Rationale: Ask the client why the locks are checked so frequently is not therapeutic and may put the client on the defensive. Clients with obsessive-compulsive behaviors often cannot explain why they perform rituals, as the behavior is driven by anxiety rather than logic. Asking "why" may increase frustration without helping to address the behavior.

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Correct Answer is C

Explanation

A. While excessive alcohol consumption can contribute to cardiovascular issues, including heart attacks, methamphetamine abuse is associated with a higher risk of myocardial infarction due to its potent sympathomimetic effects on the cardiovascular system.
B. Benzodiazepines primarily affect the central nervous system and are not typically associated with an increased risk of myocardial infarction.
C. Methamphetamine use is known to cause significant cardiovascular effects, including increased heart rate, blood pressure, and vasoconstriction, which can lead to myocardial infarction.
D. While marijuana use can have cardiovascular effects, it is generally less potent in its cardiovascular effects compared to methamphetamine.

A. Share personal values to put the client at ease. B. Ask questions in a vague, non-specific format. C. Begin with questions that are less sensitive in nature. D. Get the most difficult questions over with first.

Correct Answer is C

Explanation

A. Sharing personal values may blur professional boundaries and could potentially influence the client's responses, which is not appropriate in a therapeutic setting.
B. Asking questions in a vague, non-specific format may not yield accurate or detailed information about the client's suicidal ideations.
C. Beginning with less sensitive questions allows the client to gradually build trust and rapport with the nurse before addressing more sensitive topics like suicidal ideation.
D. Getting the most difficult questions over with first may overwhelm the client and hinder the development of trust and rapport, which are crucial for effective communication in addressing sensitive topics like suicidal ideation.

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A client engages in repeated checks of door and window locks and behavior that prevents the client from arriving on time and interfering with the ability to function effectively. Which action should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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