A highly successful businessman presents to the community mental health center complaining of sleeplessness and anxiety over his financial status. Which action should the practical nurse (PN) take to assist this client in diminishing his anxiety?

Teach him to limit sugar and caffeine intake.

Direct him to drink a glass of red wine at bedtime

Reinforce the reality of his financial situation.

Encourage him to initiate daily rituals

Answer and Explanation

The Correct Answer is A

A. Limiting sugar and caffeine intake can positively impact sleep and anxiety levels.
B. Drinking red wine at bedtime might initially induce sleep but could disrupt sleep patterns and worsen anxiety.
C. Reinforcing the reality of his financial situation might increase anxiety rather than diminish it.

D. Encouraging daily rituals might help establish a routine but might not directly address the anxiety related to financial stress.

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Correct Answer is B

Explanation

This statement shows awareness but doesn't necessarily indicate acceptance of the prognosis. B. Acceptance is often linked with finding emotional support, and this statement implies the client has found solace and support from faith and family, reflecting a level of acceptance. C. This statement suggests a disbelief or denial of the diagnosis, which is not indicative of acceptance.
D. This statement reflects resistance and denial rather than acceptance of the prognosis. Acceptance usually involves acknowledgment and finding ways to cope positively, which is not shown in this statement.

A. Assess her feelings about therapeutic abortions in the event the infant has been affected. B. Identify current sexual partners so that they can be evaluated and treated for genital herpes if necessary. C. Instruct her to avoid sexual intercourse while active, visible lesions are present. D. Determine if the client has taken acyclovir for this outbreak of genital herpes.

Correct Answer is C

Explanation

A. Assess her feelings about therapeutic abortions in the event the infant has been affected. - While important to consider potential outcomes, immediate care involves preventing transmission and managing the current outbreak.
B. Identify current sexual partners so that they can be evaluated and treated for genital herpes if necessary. - Contact tracing is important but not the highest priority in managing the current outbreak.
C. Instruct her to avoid sexual intercourse while active, visible lesions are present. - This is crucial to prevent transmission of the herpes virus to the sexual partner and to reduce the risk of complications for the pregnancy.
D. Determine if the client has taken acyclovir for this outbreak of genital herpes. - While important for understanding the treatment history, instructing the client on preventive measures has a higher priority.

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A highly successful businessman presents to the community mental health center complaining of sleeplessness and anxiety over his financial status. Which action should the practical nurse (PN) take to assist this client in diminishing his anxiety?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which statement by a mature adult client with advanced prostate cancer best indicates that he has reached a level of acceptance of his prognosis?

Correct Answer is B

Explanation

During the first trimester of pregnancy, a client who was treated for genital herpes with acyclovir prior to this pregnancy tells the practical nurse (PN) that she is experiencing an episode of genital herpes. Which nursing intervention has the highest priority?

Correct Answer is C

Explanation

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