A patient diagnosed with alcoholism says. "Drinking helps me cope with being a single parent." Which therapeutic response by the nurse would help the patient conceptualize the drinking objectively?

"Sooner or later, alcohol will kill you. Then what will happen to your children?"

"I hear a lot of defensiveness in your voice. Do you really believe this?"

"Tell me what happened the last time you drank."

"If you were coping so well, why were you hospitalized again?"

Answer and Explanation

The Correct Answer is C

A. This response is confrontational and judgmental, likely causing defensiveness rather than insight.
B. Pointing out defensiveness may provoke resistance rather than helping the patient analyze their behavior objectively.

C. This response encourages the patient to reflect on their own behavior and the consequences of drinking, promoting self-awareness and objective evaluation without judgment. It allows the patient to explore their actions and recognize patterns.

D. This response is accusatory and may make the patient feel blamed, which is not therapeutic.

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Correct Answer is A

Explanation

A. Atomoxetine, a selective norepinephrine reuptake inhibitor (SNRI), can cause insomnia if taken late in the day; morning dosing reduces this risk.

B. Unlike some antipsychotics, atomoxetine is more commonly associated with appetite suppression and weight loss, not weight gain.

C. Atomoxetine is not a stimulant; it usually reduces hyperactivity and impulsivity.

D. Atomoxetine does not suppress the immune system; infection risk is not a concern.

A. Temperature B. Respiratory assessment C. Blood alcohol level D. Living conditions E. Blood pressure F. Nutritional status

Correct Answer is ["A","B","E"]

Explanation

A. Hypothermia (35.3°C/96.5°F) is dangerous and requires immediate intervention to prevent worsening metabolic and cardiovascular instability.
B. Slow respiratory rate (10/min), wheezes, crackles, productive cough, and hypoxemia (SpO₂ 90% on room air) indicate respiratory compromise and possible impending failure.
C. Although very high, it confirms intoxication but does not require immediate reporting compared to life-threatening findings.
D. Important for discharge planning and social work involvement, but not an immediate medical priority.
E. Hypotension (88/66 mmHg) threatens organ perfusion and needs urgent management.
F. Malnutrition is significant but not an immediate emergency compared to airway, breathing, circulation, and temperature concerns.

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A patient diagnosed with alcoholism says. "Drinking helps me cope with being a single parent." Which therapeutic response by the nurse would help the patient conceptualize the drinking objectively?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching the parents of a school-age child who has ADHD about atomoxetine. Which of the following instructions should the nurse include in the teaching?

Correct Answer is A

Explanation

A nurse is caring for a client in the emergency department (ED) Exhibits Which of the following client findings should the nurse report to the provider Immediately? (Select all that apply.)

Correct Answer is ["A","B","E"]

Explanation

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