A client was admitted to the intensive care unit after a single car accident in which he struck a cement wall. He is now responsive and wants to be discharged within the next couple of days. Which of the following are priorities for screening? (Select all that apply)
Traumatic brain injury
Chronic pain
Sexual Dysfunction
Depression
Effective coping strategies
Risk for suicide
Correct Answer : A,D,F
A) Correct. Given the nature of the accident, there is a high risk for traumatic brain injury. This should be a priority for screening and assessment.
B) Incorrect. While chronic pain may be a concern, it is not directly related to the recent accident and is not a priority for screening at this time.
C) Incorrect. Sexual dysfunction is not directly related to the recent accident and is not a priority for screening at this time.
D) Correct. The client's request for early discharge and the recent traumatic event raise concerns about potential depression. Screening for depression is important.
E) Incorrect. Effective coping strategies are important, but they are not a priority for screening in this scenario.
F) Correct. Given the recent accident and the client's expressed desire for early discharge, there may be an increased risk for suicide. This should be a priority for screening and assessment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Incorrect. Naltrexone does not primarily target withdrawal symptoms. It works by blocking the pleasurable effects of alcohol, reducing the reinforcement that leads to craving.
B) Correct. Naltrexone is an opioid antagonist that reduces the craving for alcohol. It does this by blocking the opioid receptors in the brain, which are involved in the pleasurable effects of
alcohol consumption.
C) Incorrect. Naltrexone is not primarily used to manage anxiety. Its main purpose is to help individuals reduce or stop their alcohol intake.
D) Incorrect. Naltrexone is not primarily used to treat depressive symptoms. Its focus is on reducing alcohol cravings.
Correct Answer is B
Explanation
A) Incorrect. While maintaining proper nutrition is important, this statement is not directly related to the use of risperidone.
B) Correct. Risperidone, an atypical antipsychotic, can be associated with metabolic side effects, including hypertension. Therefore, monitoring blood pressure is important.
C) Incorrect. While regular monitoring of blood parameters may be necessary for some medications, it is not a specific requirement for risperidone.
D) Incorrect. While weight changes can occur with risperidone, there is no specific indication to increase caloric intake in this context.
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