A client has been admited to a psychiatric-mental health facility in a manic state. The client's spouse accompanies the client to the facility and informs the nurse that the client has been displaying manic symptoms for the past 2 weeks. The spouse reports that the client has not slept for the past 2 days and that the client has not eaten anything for at least 3 days. Which would be the priority for this client?

Imbalanced nutrition.

Risk for violence.

Ineﬀective health maintenance.

Risk for suicide.

Answer and Explanation

The Correct Answer is A

Choice A reason: This is the correct choice. Given the client has not eaten for several days, addressing nutritional needs is a priority to prevent further physical health complications.

Choice B reason: While there may be a risk for violence, the immediate physical health needs related to nutrition are more pressing.

Choice C reason: Ineﬀective health maintenance may be a concern, but it is not as immediate as the risk posed by imbalanced nutrition.

Choice D reason: There is no indication in the text that the client is at risk for suicide; therefore, this would not be the priority without further assessment.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

Choice A reason: Multiple motor and vocal tics are more indicative of Tourete syndrome, not autism spectrum disorder.
Choice B reason: Overly atached behavior is not typically associated with autism spectrum disorder; individuals with ASD may struggle with social atachments.
Choice C reason: This is the correct choice. Individuals with autism spectrum disorder often display a preference for solitary activities and may have difficulty forming friendships.
Choice D reason: An irresistible urge to pull out one's hair is characteristic of trichotillomania, not autism spectrum
disorder.

A. A client with a blood glucose level of 110 mg/dL (6.1 mmol/L). B. A client who sustained a fractured femur in a motor vehicle crash. C. An adult client being prepared for a laparoscopic cholecystectomy. D. An older adult client with sepsis from a urinary tract infection.

Correct Answer is D

Explanation

Choice A reason: This choice is incorrect. A blood glucose level of 110 mg/dL is within normal range and does not significantly increase the risk of delirium.

Choice B reason: While a fractured femur can be painful and stressful, it does not pose the highest risk for delirium compared to sepsis.

Choice C reason: Preparation for surgery can be a risk factor for delirium, but it is not as high a risk as sepsis in an older adult.

Choice D reason: This is the correct choice. Older adults with sepsis are at a high risk for delirium due to the systemic infection and its impact on overall health.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 9-year-old client who has been diagnosed with autism spectrum disorder would be expected to display which behavior?

Correct Answer is C

Explanation

The nurse is caring for an assigned group of clients. Which client does the nurse identify as being at the highest risk for the development of delirium and will be closely monitored?

Correct Answer is D

Explanation

When conducting a risk assessment for suicide, the nurse most likely identifies which client as having the greatest risk for completing suicide?

A child with atention deficit hyperactivity disorder (ADHD) is prescribed medication. The parent reports that the child is having trouble sleeping. Which question would be most appropriate for the nurse to ask?

A client is experiencing a panic atack while in the recreation room. Which intervention(s) would be a priority to promote the client's safety?

Schizophrenia is most often characterized by which assessment finding?

The client is being admited with suicidal thoughts. Which questions should the nurse ask the client? Select all that apply.

The geriatrician has prescribed medication for an 80-year-old client to treat the client's dementia. Which teaching points should the nurse provide to the client's spouse about the new medication?

The client has been diagnosed with a depressive disorder. Which statement by the client indicates an understanding of this disorder?