A client returns to the mental health clinic for assistance with an anxiety reaction that is manifested by a rapid heartbeat, sweating, shaking, and nausea while driving over the bay bridge. Which action in the treatment plan should the nurse implement?
Recommend that the client avoid driving over the bridge.
Teach the client to listen to music or audio books while driving.
Tell the client to drive over the bridge until fear is manageable.
Encourage the client to have the spouse drive in stressful places.
The Correct Answer is B
A. Recommend that the client avoid driving over the bridge: Avoidance reinforces the anxiety and prevents the client from developing effective coping mechanisms. Over time, this may worsen the phobia and reduce the client’s functional independence and quality of life.
B. Teach the client to listen to music or audio books while driving: Calming distractions can help reduce anxiety symptoms and promote gradual exposure to the feared situation. This approach supports desensitization while helping the client stay in control and manage symptoms.
C. Tell the client to drive over the bridge until fear is manageable: Flooding, or forced prolonged exposure, may overwhelm the client and worsen anxiety. A more gradual, supportive approach is generally safer and more effective in treating specific and anxiety.
D. Encourage the client to have the spouse drive in stressful places: Delegating driving to someone else may provide short-term relief, but it limits the client’s independence and does not promote long-term coping or resolution of the anxiety trigger.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Emollient: Emollient (stool softener) laxatives like docusate sodium help moisten stool but do not significantly increase stool volume or stimulate bowel movement. They are gentle but typically insufficient for long-term, low-frequency constipation.
B. Osmotic: Osmotic laxatives draw water into the bowel to promote peristalsis. They are effective but may cause electrolyte imbalances if used chronically. These are often reserved for when bulk-forming agents are ineffective.
C. Bulk-forming: Bulk-forming laxatives such as psyllium are typically the first-line recommendation for chronic constipation. They mimic dietary fiber by absorbing water, increasing stool bulk, and promoting regular bowel movements with minimal side effects.
D. Stimulant: Stimulant laxatives like senna or bisacodyl are stronger agents that promote bowel motility but can cause dependency if used long-term. They are not recommended as first-line therapy for chronic constipation related to diet.
Correct Answer is ["1.3"]
Explanation
Rationale:
- Convert the infant's weight from pounds (lb) to kilograms (kg).
Weight in kg = 22 lb / 2.2 lb/kg
= 10 kg.
- Calculate the total daily desired dose in milligrams (mg).
Total daily desired dose (mg) = Desired dose (mg/kg/day) × Weight (kg)
= 20 mg/kg/day × 10 kg
= 200 mg/day.
- Determine the number of doses per day.
Doses are given every 8 hours, so Number of doses per day = 24 hours / 8 hours/dose
= 3 doses/day.
- Calculate the dose per administration in milligrams (mg).
Dose per administration (mg) = Total daily desired dose (mg) / Number of doses per day
= 200 mg / 3 doses
= 66.666 mg.
Available concentration of the medication = 250 mg / 5 mL.
- Calculate the volume in milliliters (mL) to administer per dose.
Volume (mL) = Desired dose per administration (mg) / (Available concentration (mg) / Available volume (mL))
= 66.666 mg / (250 mg / 5 mL)
= 66.666 mg / 50 mg/mL
= 1.333 mL.
- Round the answer to the nearest tenth.
= 1.3
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
