A registered nurse cares for an older adult patient admitted for the treatment of depression. The health care provider prescribes an antianxiety medication today, but the dose is more than the usual adult dose. The nurse should:
Select one:

give the usual geriatric dosage as per guidelines

give the medication and consult the health care provider:

consult a drug reference manual before administer the medication

hold the medication and consult the health care provider.

Answer and Explanation

The Correct Answer is D

If the nurse has concerns about the prescribed dose of an antianxiety medication being higher than the usual adult dose, they should hold the medication and consult with the health care provider before administering it. This will allow the health care provider to review the prescription and make any necessary adjustments to ensure the safety and well-being of the patient.

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Correct Answer is B

Explanation

This statement by the patient suggests that they may be projecting their feelings, thoughts, and attitudes toward their parents and uncle onto the therapist. This projection is a common phenomenon in therapy and is known as transference. Transference occurs when a patient transfers emotions, desires, and expectations from one person to another, usually the therapist. It can be positive or negative and can aﬀect the therapeutic relationship.

Therefore, the statement "Talking to you feels like talking to my parents and uncle" is a clear indication of transference and should be carefully considered by the therapist in the ongoing therapy sessions. The therapist should explore the patient's feelings and experiences with their parents and uncle to better understand the nature of the transference and how it may be aﬀecting the therapeutic process.

A. Hold the medication and refuse to administer additional doses for 3 days. B. Notify the health care provider immediately and give 4 liters of ﬂuids. C. Prior to giving the next dose, notify the health care provider of these symptoms and hold the next dose until new orders from provider. D. Document the client's symptoms and continue with medication as prescribed.

Correct Answer is C

Explanation

Diarrhea, vomiting, and drowsiness are potential signs of lithium toxicity, which can be a serious and potentially life-threatening condition. If a client who is being treated with lithium carbonate develops these symptoms, the nurse should notify the health care provider immediately and hold the next dose of medication until new orders are received from the provider.

Option a. Hold the medication and refuse to administer additional doses for 3 days is not an appropriate action because it does not involve notifying the health care provider or obtaining new orders.

Option b. Notify the health care provider immediately and give 4 liters of ﬂuids is not an appropriate action because it involves administering ﬂuids without obtaining orders from the health care provider.

Option d. Document the client’s symptoms and continue with medication as prescribed is not an appropriate action because it does not involve notifying the health care provider or holding the next dose of medication.

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A registered nurse cares for an older adult patient admitted for the treatment of depression. The health care provider prescribes an antianxiety medication today, but the dose is more than the usual adult dose. The nurse should: Select one:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

After several therapeutic sessions with a client who recently attempted suicide, which occurrence should cause the nurse to consider the possibility of transference? Select one:

Correct Answer is B

Explanation

A client who is being treated with lithium carbonate for bipolar disorder type I begins to develop diarrhea, vomiting, and drowsiness. Which action should the registered nurse take? Select one:

Correct Answer is C

Explanation

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A registered nurse cares for an older adult patient admitted for the treatment of depression. The health care provider prescribes an antianxiety medication today, but the dose is more than the usual adult dose. The nurse should:
Select one: