A male client with paranoia has been admitted to the mental health unit, and upon arrival, he immediately goes to the corner of the room and sits quietly without communicating. In approaching the client, what intervention should the practical nurse (PN) implement first?

Explain the unit rules to ensure his safety.

Gather required admission information.

Have the client put personal items away.

Sit and oﬀer to listen to the client's concerns.

Answer and Explanation

The Correct Answer is D

The first intervention the PN should implement is to **sit and oﬀer to listen to the client's concerns**. It is important to approach the client in a calm and non-threatening manner and to establish a rapport with him. Oﬀering to listen to his concerns can help the client feel heard and understood, and can help build trust between the client and the PN.

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Correct Answer is A

Explanation

This can oﬀer a safe place for her and her unborn child. The shelter can also provide resources for counseling and legal assistance if needed.

The safety plan and restraining order are important measures, but the priority should be to ensure the client's immediate safety.

The visit summary documenting the report of abuse is also important, but it should not be the only information provided to the client.

A. Take an enema the morning of the procedure. B. Empty your urinary bladder prior to the procedure. C. Refrain from sexual intercourse for 48 hours prior to the procedure. D. Shower with an antibacterial soap the night before the procedure.

Correct Answer is B

Explanation

Amniocentesis is a prenatal test that can diagnose genetic disorders and other health issues in a fetus. A provider uses a needle to remove a small amount of amniotic ﬂuid from inside your uterus, and then a lab tests the sample for specific conditions². It is important to empty your urinary bladder prior to the procedure ².

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A male client with paranoia has been admitted to the mental health unit, and upon arrival, he immediately goes to the corner of the room and sits quietly without communicating. In approaching the client, what intervention should the practical nurse (PN) implement first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

At a prenatal visit, a primigravida client confides to the practical nurse (PN) that her partner is abusive. Which information should the PN provide?

Correct Answer is A

Explanation

The practical nurse (PN) is preparing a client at 22-weeks gestation for an amniocentesis. Which instruction should the PN give to this client?

Correct Answer is B

Explanation

Which information is most important for the practical nurse (PN) to relay to the registered nurse (RN) concerning a 24-hour-old infant?

A client at 8-weeks gestation presents to the office with a report of vaginal bleeding for the last 12 hours without cramping. Which action should the practical nurse (PN) take?

A client who is a primigravida at 40 weeks gestation is contracting every 2 minutes and her cervix is 9 cm dilated and 100% eﬀaced. The fetal heart rate is 120 beats/minute. The client is screaming and her husband is alarmed. Which intervention should the practical nurse (PN) implement?

The practical nurse (PN) is assisting with the admission of a 12-month-old child with a history of frequent colds and growth failure. Testing is being planned for a possible diagnosis of cystic fibrosis (CF). Which information is most important for the PN to obtain?

A mother calls the clinic to report that her child has just swallowed "poison" and is vomiting. In preparing to instruct the mother about the necessary action to take, which substance should the practical nurse (PN) consider to be the least traumatic to the esophagus when the child vomits?

A patient is admitted to the postpartum unit one hour after a sterile vaginal delivery of a normal neonate weighing 8 pounds 2 ounces (3.7 kg). When the client's fundus becomes boggy and displaced above the umbilicus, which action should the practical nurse (PN) take first?

The practical nurse (PN) notes several nutritional goals in a standardized plan of care used in the antepartum clinic. Which client goal takes priority?

The practical nurse (PN) is caring for a newborn whose mother has poorly controlled type 1 diabetes mellitus and observes the newborn is grunting with mild sternal retractions. The PN should recognize the newborn is exhibiting signs of which condition?