A client on an acute mental health unit states to a nurse. "Tie a bow. Row the boat. Now I know. Whoa! I see you, yo." The nurse should document that the client is exhibiting which of the following speech alterations?

Echolalia

Word salad

Clang association

Neologisms

Answer and Explanation

The Correct Answer is C

A. Echolalia refers to the repetition of words spoken by another person.

B. Word salad is a mix of random, unrelated words with no logical connection.

C. This is the correct answer. Clang association involves rhyming words that are spoken together without meaningful connections, as seen in the client's statement.

D. Neologisms are made-up words that have meaning only to the individual.

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Correct Answer is B

Explanation

A. Administer the medication subcutaneously – Diazepam should be given orally or intravenously in severe cases, not subcutaneously.

B. Initiate seizure precautions – This is the correct answer. Alcohol withdrawal can lead to seizures due to central nervous system hyperactivity. Diazepam, a benzodiazepine, is used to prevent seizures and manage withdrawal symptoms.

C. Administer the medication with an antacid – There is no need to administer diazepam with an antacid; doing so can interfere with absorption.

D. Initiate contact precautions – Alcohol withdrawal is not an infectious condition, so contact precautions are unnecessary.

A. "I will take this medication on an empty stomach." B. "I will use aspirin as needed for pain." C. "I will reduce my dosage during times of stress." D. "I will take a walk every day."

Correct Answer is D

Explanation

A. Prednisone should be taken with food to reduce gastrointestinal irritation.

B. Aspirin increases the risk of GI bleeding when taken with prednisone.

C. Prednisone doses should be increased, not reduced, during stress to prevent adrenal insufficiency.

D. This is the correct answer. Weight-bearing exercises like walking help reduce the risk of osteoporosis, a side effect of long-term prednisone use.

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A client on an acute mental health unit states to a nurse. "Tie a bow. Row the boat. Now I know. Whoa! I see you, yo." The nurse should document that the client is exhibiting which of the following speech alterations?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who is undergoing alcohol withdrawal and is receiving diazepam. Which of the following interventions should the nurse include in the plan?

Correct Answer is B

Explanation

A nurse is teaching a client who has a new prescription for oral prednisone about minimizing the adverse effects of the medication. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is D

Explanation

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