A coherent older client has been financially and emotionally abused by their adult children for the past several years but has not reported the abuse to anyone. Which is the most likely reason that the client has not reported the abuse?

The client cannot claim abuse if there is no evidence of physical harm.

Laws do not provide protection against abuse when the suspect(s) is/are family members.

The client has no financial resources to hire legal representation against the client's children.

The client is emotionally close to the children and does not want to bring them harm.

Answer and Explanation

The Correct Answer is D

D. Victims of abuse, especially perpetrated by family members, may feel conflicted about reporting the abuse due to feelings of guilt, shame, or fear of repercussions.

A. This implies that the client may believe they cannot report the abuse because they perceive abuse as only valid if there is physical evidence of harm. However, it's important to recognize that abuse can take various forms, including emotional, psychological, financial, and neglectful abuse, which may not always leave physical evidence.

B. While it's true that cases of abuse perpetrated by family members can be complex and challenging to address legally, there are laws and resources available to protect victims of family abuse. Many jurisdictions have laws specifically addressing domestic violence and elder abuse.

C. Reporting abuse to appropriate authorities, such as adult protective services or law enforcement, does not necessarily require hiring legal representation.

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Correct Answer is B

Explanation

B. Understanding the precipitating factors is essential for developing effective treatment strategies tailored to the individual's specific needs. By identifying triggers, the nurse can work with the client to develop coping mechanisms and interventions to manage these triggers and reduce the frequency or intensity of obsessive-compulsive symptoms.

A. Providing a structured activity schedule can be helpful for individuals with OCD as it can promote a sense of routine and predictability. However, while structuring activities is beneficial, it may not address the immediate needs of the client upon admission.

C. Teaching relaxation techniques, such as deep breathing exercises, progressive muscle relaxation, or guided imagery, can be beneficial for managing anxiety and stress associated with OCD symptoms. However, like option A, while relaxation techniques are important, they may not address the immediate needs of the client upon admission.

D. Exploring alternative coping strategies with the client involves brainstorming and discussing various techniques or approaches to managing obsessive-compulsive symptoms. However, identification of triggers is a priority.

A. People taking methadone run the same risks associated with IV drug use as those taking heroin. B. Methadone will meet the physical need for opiates without producing the cravings for more. C. Unlike heroin, methadone is non-addicting. D. Methadone will produce a high similar to heroin.

Correct Answer is B

Explanation

B. Methadone is a long-acting opioid agonist that helps stabilize individuals with opioid dependence by alleviating withdrawal symptoms and reducing drug cravings.

A. Methadone maintenance treatment (MMT) is a recognized and evidence-based approach for managing opioid dependence. When used as prescribed under the supervision of healthcare professionals, methadone is administered orally in controlled doses

C. Methadone is an opioid medication with the potential for dependence and addiction, especially when used improperly or in higher doses than prescribed.

D. Methadone is a long-acting opioid agonist that acts on the same receptors in the brain as heroin and other opioids. However, when used as prescribed for opioid dependence treatment, methadone is administered in controlled doses that are carefully titrated to stabilize individuals without producing euphoria or intoxication.

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A coherent older client has been financially and emotionally abused by their adult children for the past several years but has not reported the abuse to anyone. Which is the most likely reason that the client has not reported the abuse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a newly admitted client who has obsessive-compulsive disorder (OCD). Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

A nurse is exploring treatment options with a client addicted to heroin. Which information regarding the use of methadone is important for the nurse to include?

Correct Answer is B

Explanation

A nurse is creating a plan of care for a client who is experiencing mania. Which of the following interventions should the nurse include in the plan? (Select all that apply.)

A client is admitted for a drug overdose with a barbiturate. Which is the priority nursing action when planning care for this client?

A nurse is caring for a client with delirium who is experiencing illusions. What environmental conditions should the nurse arrange for this client?

A client experiences panic attacks when confronted with riding in elevators. The therapist is teaching the client ways to relax while incrementally exposing the client to getting on an elevator. This technique is called which of the following?

A nurse is caring for a client who has been hospitalized for treatment of bipolar disorder and will be discharged with a prescription for lithium. The nurse's discharge teaching should include information cautioning against which of the following factors that may cause lithium toxicity?

Which are common reasons why abused persons remain with an abusive partner? Select all that apply.

A nurse in an acute mental health facility is creating a plan of care for a new client who has histrionic personality disorder. Which of the following is the priority intervention for the nurse to make?

A nurse is assessing a client who has schizophrenia and has been on long-term treatment with chlorpromazine. He notes the client is experiencing some involuntary movements of the tongue and face. The nurse should suspect the client has developed which of the following adverse effects?