A nurse is caring for a client who was admitted with delirium five days ago. The client seeks permission from the nurse before performing ADLs. Which of the following actions should the nurse take?

Quiz the client with orientation questions.

Allow the client to function independently.

Prepare the client for discharge.

Determine the client's level of awareness.

Answer and Explanation

The Correct Answer is D

A: Quizzing the client might be part of an assessment but not the initial action.

B: Allowing independent function is important, but assessing cognitive function to tailor support is essential first.
C: Preparing for discharge might be premature without assessing readiness and stability.

D: Assessing awareness and cognitive function helps guide appropriate support and independence levels.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

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

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A: Goals must be relevant and important to the client to encourage engagement and commitment to the therapeutic process.
B: While regular evaluations are essential, they must align with the individual’s progress and specific needs rather than a set schedule.

C: Goals should indeed be achievable, but tying them strictly to discharge may not accommodate ongoing or long-term needs.
D: While physician input can be valuable, goals should be client-centered and driven by nursing assessments and the therapeutic plan.

A. Monthly laboratory tests are needed to monitor drug level. B. Foods that contain tyramine should be avoided C. Benzodiazepines do not cause physical dependence. D. Benzodiazepines and alcohol can be dangerous

Correct Answer is D

Explanation

A: Monthly laboratory tests to monitor drug levels are not typical for benzodiazepine use.
B: Avoiding foods containing tyramine is necessary with MAO inhibitors, not benzodiazepines.
C: Benzodiazepines are known to cause physical dependence; hence, stating otherwise would be incorrect.
D: Combining benzodiazepines with alcohol can increase CNS depression and is potentially dangerous.

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 was admitted with delirium five days ago. The client seeks permission from the nurse before performing ADLs. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

In developing a nursing care plan for an adult with a mental health disorder, the nurse knows the goals that are set must be:

Correct Answer is A

Explanation

A client is given the diagnosis of generalized anxiety disorder and is prescribed a benzodiazepine. The client should be instructed on which of the following?

Correct Answer is D

Explanation

An elderly client with severe cardiovascular disease is given the diagnosis of dementia. Which type of dementia does the client most likely have?

A nurse in an assisted-living facility is caring for a client who is in early stages of dementia. The client has been oriented to name and place and is usually cooperative. Which of the following nursing actions is appropriate if the client refuses to take morning medications?

An older adult is given the diagnosis of depression and is started on medication. Which group of medications would be appropriate for the depressed older adult?

Which of the following mental health disorders commonly occurs in older adults?

A nurse is caring for a client who is has an anxiety disorder and who has begun to hyperventilate, wring her hands, and is pacing the fleer continually. Which of the following actions should the nurse take first?

Which of the following is a physical clinical finding of depression in older adults?

A client with generalized anxiety disorder (GAD) is prescribed buspirone (BuSpar). Which information regarding side effects should be given to the client?