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A nurse is providing teaching to a client about avoiding foods with tyramine. The client states, "Thank you for all of this information, but it's just not for me. I eat what I want when I want it." Which of the following stages of change is the client demonstrating?

Preparation

Contemplation

Precontemplation

Action

Answer and Explanation

The Correct Answer is C

A. Preparation indicates the client is ready to take action soon.

B. Contemplation means the client is aware of the need for change but is ambivalent.

C. Precontemplation indicates the client is not considering change and does not recognize a need to change.

D. Action indicates the client is actively making changes.

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Correct Answer is C

Explanation

A. Dissociative amnesia involves an inability to recall important personal information, usually of a traumatic or stressful nature, not physical symptoms.

B. Depersonalization/derealization disorder involves feelings of detachment from oneself or one's surroundings, not physical symptoms.

C. Functional neurological symptom disorder (also known as conversion disorder) involves neurological symptoms, such as numbness or paralysis, that cannot be explained by medical conditions, often triggered by psychological stress.

D. Factitious disorder involves the intentional production or feigning of physical or psychological symptoms to assume the sick role.

A. Allow the client to control the conversation. B. Insist the client report the incident. C. Touch the client for reassurance. D. Ask the client a series of questions about who assaulted them.

Correct Answer is A

Explanation

A. Allowing the client to control the conversation provides them with a sense of safety and autonomy, which is crucial after experiencing trauma. This approach respects their comfort level and readiness to disclose information.

B. While reporting the incident may be important, insisting on it can be re-traumatizing. The client should be supported in making their own decisions about reporting.

C. Touching the client without permission can be intrusive and may increase their distress. It’s important to respect personal boundaries.

D. Asking a series of questions about the assailant can be overwhelming and intrusive. The focus should be on supporting the client and allowing them to share information at their own pace.

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A nurse is providing teaching to a client about avoiding foods with tyramine. The client states, "Thank you for all of this information, but it's just not for me. I eat what I want when I want it." Which of the following stages of change is the client demonstrating?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who states, "When I get in the car to drive to work in the morning, my hands go numb. It is to the point where I can't grip the steering wheel." Which of the following conditions is the client likely experiencing?

Correct Answer is C

Explanation

A nurse is speaking with a client who experienced physical assault. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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