Try Naxlex NCLEX-RN (Free-Trial)

A nurse is caring for a client who has dementia and is experiencing an increased number of falls.
Which of the following actions should the nurse take?

Request a consult with recreational therapy.

Lower the window shade in the client's room.

Place the client in a room close to the nurses' station.

Obtain a PRN prescription for a vest restraint.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Recreational therapy may be beneficial, but it is not the primary intervention to reduce the risk of falls.

Choice B rationale

Lowering the window shade could help with sensory overload, but it does not directly address fall prevention.

Choice C rationale

Placing the client near the nurses' station allows for closer monitoring and quicker intervention, which can help prevent falls.

Choice D rationale

Vest restraints should only be used as a last resort after other less restrictive measures have been tried and found ineffective.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is A

Explanation

Choice A rationale

Acknowledging the client's fear and providing reassurance without confirming the hallucination helps build trust and reduce anxiety.

Choice B rationale

Correcting the client by stating it is a syringe, not a snake, dismisses their fear and can increase distress.

Choice C rationale

Emphasizing the provider's requirement for the blood specimen does not address the client's fear and can worsen anxiety.

Choice D rationale

Telling the client they are mistaken dismisses their hallucination and can increase their distress and mistrust.

A. Phenobarbital. B. Diazepam. C. Chlordiazepoxide. D. Buprenorphine.

Correct Answer is D

Explanation

Choice A rationale

Phenobarbital is not typically used for opioid use disorder; it is more commonly used for seizure disorders and as a sedative.

Choice B rationale

Diazepam is a benzodiazepine, used for anxiety and muscle spasms, but not for treating opioid use disorder.

Choice C rationale

Chlordiazepoxide is another benzodiazepine used for alcohol withdrawal, not opioid use disorder.

Choice D rationale

Buprenorphine is a partial opioid agonist used in medication-assisted treatment for opioid use disorder, helping to reduce cravings and withdrawal symptoms.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for a client who has dementia and is experiencing an increased number of falls.Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a mental health facility is collecting a blood specimen from a client.The client is hallucinating and states, "That looks like a snake, and I won't let it take all of my blood.”. Which of the following responses should the nurse make?

Correct Answer is A

Explanation

A nurse is caring for a client who has an opioid use disorder.The nurse should anticipate that the provider will prescribe which of the following medications for treatment?

Correct Answer is D

Explanation

A nurse is collecting data from a client who has schizophrenia.Which of the following client statements indicates that the client is experiencing a command hallucination?

A nurse in a mental health clinic is collecting data from a client to determine the client's risk for suicide.Which of the following findings should the nurse identify as a risk factor for suicide?

A nurse is collecting data from a client who experienced physical abuse as a child.Which of the following findings should the nurse identify as a risk factor for the client to become a perpetrator of child abuse?

A nurse is collecting data from a client who is experiencing opioid withdrawal.Which of the following manifestations should the nurse expect?

A nurse is collecting data from a client who has bulimia nervosa.Which of the following findings should the nurse expect?

A nurse is preparing to administer sertraline 50 mg PO once daily to a client who has depressive disorder. Available is sertraline oral solution 20 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is contributing to the plan of care for a client who is to start therapy with fluoxetine.Which of the following is an expected outcome for this client?

A nurse is caring for a client who has dementia and is experiencing an increased number of falls.
Which of the following actions should the nurse take?