A nurse is gathering data from a client who has severe anxiety. Which of the following findings should the nurse identify as an indication that the client is experiencing a crisis?
Client reports a decreased appetite
Client isolates themselves from their family and friends
Client expresses an inability to experience pleasure
Client reports intermittent depressed mood
The Correct Answer is B
Answer: B. Client isolates themselves from their family and friends
Rationale: A crisis is a situation that overwhelms a person's usual coping mechanisms and causes psychological distress. A client who isolates themselves from their family and friends is showing a sign of impaired social functioning, which indicates a crisis. The other options are not specific to a crisis and could be manifestations of anxiety or depression.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Explanation: Yogurt contains probiotics, which are beneficial bacteria that can help restore the normal flora of the gastrointestinal tract and prevent antibiotic-associated diarrhea.
The other foods may worsen diarrhea by stimulating bowel motility or causing lactose intolerance.
Correct Answer is {"dropdown-group-1":"D"}
Explanation
The nurse should prepare to administer naloxone and oxygen 10 L/min via face mask. Naloxone is a medicine that can reverse the effects of opioid drugs like fentanyl, which may have caused respiratory depression in the client.
Oxygen can help improve the client's oxygen saturation, which has dropped below 90%.
The nurse should avoid giving acetaminophen, which is not indicated for this situation, or additional doses of propofol or fentanyl, which may worsen the client's condition.
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