A nurse is caring for a client in an inpatient mental health facility. The client tells the nurse that the government is reading her mail. Which of the following responses should the nurse make?

"It must be frightening to think that someone is reading your mail."

"You know that's not true, because it is against the law for others to read your mail."

"All of your letters come sealed, so that seems unlikely."

"Why do you think the government wants to read your mail?"

Answer and Explanation

The Correct Answer is A

A. This response acknowledges the client's feelings and validates their experience without confirming or denying the delusion.
B. This response challenges the client's belief and may cause distress or exacerbate paranoia.

C. While factually correct, this response may not address the client's underlying concerns or feelings.
D. This response may invalidate the client's experience and may not effectively address the delusional belief.

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Correct Answer is C

Explanation

A. Soy protein is not known to interact adversely with fluoxetine.

B. Echinacea is not known to interact adversely with fluoxetine.

C. St. John's wort is known to interact adversely with fluoxetine by increasing serotonin levels, which can lead to serotonin syndrome, a potentially life-threatening condition characterized by symptoms such as confusion, agitation, rapid heart rate, and high blood pressure.
D. Ginkgo biloba is not known to interact adversely with fluoxetine.

A. Hypothermia B. Lethargy C. Bradycardia D. Hypertension

Correct Answer is D

Explanation

A. Cocaine use typically causes hyperthermia (elevated body temperature) rather than hypothermia.
B. Cocaine use is more likely to result in increased alertness, agitation, and hyperactivity rather than lethargy.
C. Cocaine use is associated with tachycardia rather than bradycardia.

D. Cocaine is a stimulant drug that increases sympathetic nervous system activity, leading to elevated blood pressure as one of the primary clinical manifestations.

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A nurse is caring for a client in an inpatient mental health facility. The client tells the nurse that the government is reading her mail. Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who is to start taking fluoxetine. The nurse should instruct the client that which of the following supplements Interacts adversely with fluoxetine?

Correct Answer is C

Explanation

A nurse in an emergency department is assessing a client who reports recently using cocaine.Which of the following clinical manifestations should the nurse expect?

Correct Answer is D

Explanation

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