A nurse is conducting an admission interview with a new client who tells the nurse, "My life is so stressful. I can't take it anymore." Which of the following responses should the nurse make first?

"How have you dealt with stress in the past?".

"Are you thinking of harming yourself?".

"Tell me what makes you feel stressed.".

"Let's talk more about what you are experiencing.".

Answer and Explanation

The Correct Answer is B

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Correct Answer is A

Explanation

The correct answer is choice a. Seizure disorder. Choice A rationale: Seizure disorder is a contraindication for aripiprazole therapy. Aripiprazole, an antipsychotic medication, can lower the seizure threshold, making seizures more likely in susceptible individuals. Thus, it should be used with caution or avoided in patients with a known seizure disorder (NCBI) (NLM.nih.gov). Choice B rationale: Crohn's disease is not a known contraindication for aripiprazole therapy. There is no significant evidence suggesting that aripiprazole exacerbates Crohn's disease or interacts adversely with it. Choice C rationale: Asthma is not a contraindication for aripiprazole. While asthma is a chronic condition that requires careful management, aripiprazole does not typically interfere with asthma medications or exacerbate respiratory symptoms. Choice D rationale: Hypothyroidism is not a contraindication for aripiprazole therapy. Aripiprazole does not have a significant impact on thyroid function, and patients with hypothyroidism can be treated with appropriate thyroid hormone replacement while on aripiprazole.

A. Decreased blood pressure. B. Decreased heart rate. C. Hyperthermia. D. Hyperglycemia.

Correct Answer is C

Explanation

The correct answer is choicec. Hyperthermia.

Choice A rationale:

Decreased blood pressure is not a typical manifestation of alcohol withdrawal.Instead, clients often experience increased blood pressure due to the hyperactive state of the nervous system during withdrawal.

Choice B rationale:

Decreased heart rate is also not common in alcohol withdrawal.Clients usually have an increased heart rate (tachycardia) as part of the withdrawal symptoms.

Choice C rationale:

Hyperthermia, or elevated body temperature, can occur during alcohol withdrawal due to the hyperactive state of the nervous system. This is a serious symptom that requires monitoring and management.

Choice D rationale:

Hyperglycemia is not typically associated with alcohol withdrawal.Blood sugar levels can fluctuate, but hyperglycemia is not a primary concern in this context.

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A nurse is conducting an admission interview with a new client who tells the nurse, "My life is so stressful. I can't take it anymore." Which of the following responses should the nurse make first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical record of a client who is to begin taking aripiprazole. The nurse should identify that which of the following findings is a contraindication for aripiprazole therapy?

Correct Answer is A

Explanation

A nurse is caring for a client who has alcohol use disorder and is experiencing withdrawal. The nurse should monitor the client for which of the following manifestations?

Correct Answer is C

Explanation

A nurse is assessing a client who has delirium. Which of the following findings requires immediate intervention by the nurse?

A nurse is reviewing the medication administration record of a client who has major depressive disorder and a new prescription for selegiline. The nurse should recognize that which of the following client medications is contraindicated when taken with selegiline?

A nurse is leading a critical incident stress debriefing with a group of staff members following a mass trauma incident. Which of the following interventions should the nurse take first?

A nurse is assisting with obtaining informed consent for a client who has been declared legally incompetent. Which of the following actions should the nurse take?

A nurse on a mental health unit placed a client in mechanical restraints after the client assaulted another client. Which of the following actions should the nurse take?

A nurse in an alcohol rehabilitation facility is creating a discharge plan for a client who has alcohol use disorder. Which of the following recommendations should the nurse include in the plan?

A nurse is caring for a client who has borderline personality disorder. Which of the following actions should the nurse take?

A charge nurse is discussing the care of a client who has a substance use disorder with a staff nurse. Which of the following statements by the staff nurse should the charge nurse identify as countertransference?