A nurse is caring for a client who is dying. The client says, “My mother died in the hospital, but I did not get there before she died.” Which of the following statements should the nurse make?

I will tell your family of your concern so that they can be here.

We will call your family in time for them to get here.

I will make sure a staff member is in your room at all times.

I wonder if you are fearful of dying alone.

Answer and Explanation

The Correct Answer is D

Choice A reason: Informing the family without addressing the client’s emotional concern misses the opportunity to explore their feelings. This response does not directly respond to the client’s expressed fear about their mother’s death.

Choice B reason: Promising to call the family in time assumes the client’s primary concern is family presence, which may not address the underlying fear of dying alone. It also risks making a promise that may not be feasible.

Choice C reason: Ensuring a staff member’s constant presence is supportive but does not directly address the client’s stated concern about their mother’s death or explore their emotional needs, making it less therapeutic.

Choice D reason: Acknowledging the client’s potential fear of dying alone directly addresses the emotional content of their statement. This therapeutic response encourages the client to express their fears, fostering emotional support and understanding.

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Correct Answer is ["B","C"]

Explanation

Choice A reason:A stimulating environment can exacerbate symptoms during the manic phase of bipolar disorder, as it may increase agitation, impulsivity, or overstimulation. Instead, a calm, structured environment is recommended to help stabilize the client’s mood and behavior.

Choice B reason:Consistent unit routines provide predictability and structure, which are essential for clients in the manic phase. This helps reduce chaos, supports medication adherence, and promotes a sense of safety, aiding in mood stabilization.

Choice C reason:Discouraging daytime napping is appropriate because excessive sleep during the day can disrupt the client’s sleep-wake cycle, potentially worsening manic symptoms. Encouraging a regular sleep schedule supports overall stability in bipolar disorder management.

Choice D reason:Scheduling daily seclusion times is not a standard intervention for mania unless the client poses an immediate safety risk. Seclusion is typically a last resort and not a routine part of care, as it can increase agitation or feelings of isolation.

A. Evidence must exist prior to reporting. B. If the potential abuser commits to stopping the abuse, health care workers are not required to report it. C. I don’t want to defame someone if the report is false. D. If suspicion of abuse exists, then reporting is mandatory.

Correct Answer is D

Explanation

Choice A reason:Requiring definitive evidence before reporting suspected child abuse is incorrect. Healthcare professionals are mandated to report suspicion of abuse, as investigations determine the validity, not the reporter.

Choice B reason:A commitment from the abuser to stop does not exempt healthcare workers from reporting. Suspected abuse must be reported to protect the child, regardless of promises made by the potential abuser.

Choice C reason:Concern about defamation is understandable but does not override the duty to report suspected abuse. Mandatory reporting laws prioritize child safety and provide legal protection for reporters acting in good faith.

Choice D reason:Mandatory reporting laws require healthcare workers to report any suspicion of child abuse, even without confirmed evidence. This statement reflects an accurate understanding of the legal and ethical obligation to prioritize child safety.

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A nurse is caring for a client who is dying. The client says, “My mother died in the hospital, but I did not get there before she died.” Which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who is in the manic phase of bipolar disorder. Which of the following interventions should the nurse include in the client’s plan of care?

Correct Answer is ["B","C"]

Explanation

A nurse is teaching a newly licensed nurse about reporting suspected child abuse. Which of the following statements indicates an understanding by the newly licensed nurse?

Correct Answer is D

Explanation

A nurse is caring for a client who is dying. The client says, “My mother died in the hospital, but I did not get there before she died.” Which of the following statements should the nurse make?

Joniief is teaching her patient about the importance of adherence to antipsychotic medication. Which is the most important point she should convey?

A 25-year-old male with schizophrenia is brought to the emergency department by his family. He is exhibiting severe agitation, auditory hallucinations, and paranoid delusions. What are the nursing priorities for managing this patient in an acute situation? (Select All that Apply.)

A nurse is caring for a client who has schizophrenia and generalized anxiety disorder. The client has a prescription for alprazolam 0.25 mg PO every 8 hr PRN anxiety. For which of the following client statements should the nurse consider administering alprazolam?

A nurse is caring for a client who is taking amitriptyline. The nurse should monitor for which of the following adverse effects?

A patient diagnosed with bipolar disorder is prescribed lithium carbonate. The order states to administer 300 mg orally three times a day. How many milligrams of lithium should be administered over 24 hours?

A nurse in a mental health clinic is assessing a client who was brought in by her adult daughter, stating that her mother has not been able to leave her home for weeks because she is afraid to be outdoors alone. The nurse should anticipate planning care for managing which of the following phobias?