An adult female client is brought to the Emergency Center after fainting at work. The nurse completes an assessment of the client and identifies caregiver role strain as a nursing problem. Which information best supports this problem?

Cares for an older parent and her children.

Anxious to leave for personal appointments.

Takes naps in her car during lunch hour.

Works an average of 60 hours per week.

Answer and Explanation

The Correct Answer is A

A.   Caring for an older parent and her own children simultaneously can lead to significant caregiver role strain due to the increased responsibilities and demands on the client's time and energy.
B.   Feeling anxious to leave for personal appointments may indicate stress but does not specifically address caregiver role strain.
C.   Taking naps in her car during lunch hour may suggest fatigue or exhaustion but does not directly relate to caregiver role strain.
D.   Working an average of 60 hours per week may contribute to overall stress and fatigue but does not specifically address the client's role as a caregiver for her parent and children.

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Correct Answer is A

Explanation

Rationale:
A. MAO inhibitors such as phenelzine can cause significant fluctuations in blood pressure, including hypertensive crisis when combined with certain foods or medications. Therefore, monitoring blood pressure is crucial to detect and prevent hypertensive emergencies.
B. While monitoring urinary output is important for overall assessment, it is not specifically associated with the use of MAO inhibitors like phenelzine.
C. Respiratory rate is not typically affected by MAO inhibitors like phenelzine and may not be the most relevant assessment finding in this scenario.
D. Temperature monitoring is important for general assessment but is not specifically associated with the use of MAO inhibitors like phenelzine.

A. Shame and guilt. B. Children. C. Religious beliefs about marriage. D. The perpetrator will not change. E. Financial dependency.

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

Explanation

A. Shame and guilt often play a significant role in why victims of intimate partner violence may struggle to leave abusive relationships. Victims may feel ashamed of the abuse they are experiencing or guilty for various reasons, such as believing they are responsible for the abuse or worrying about the judgment of others.
B. Children can be a central factor in a victim's decision to stay in an abusive relationship. Concerns about the well-being of the children, fear of losing custody, or the desire to maintain a two-parent household can influence a victim's decision-making process.
C. Religious beliefs about marriage can also impact a victim's choice to stay in an abusive relationship. Some religions emphasize the sanctity of marriage and the importance of family unity, which can lead victims to feel obligated to stay and try to work things out despite the violence.
D. The belief that the perpetrator will not change is not typically a reason victims stay; rather, it's often hope for change that keeps them in the relationship. However, this option does not apply as a reason for staying as per the context of the question.
E. Financial dependency is a common barrier to leaving an abusive relationship. Victims may be economically dependent on their abusers for basic needs and financial security, making it challenging to envision a life independent of the relationship.

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An adult female client is brought to the Emergency Center after fainting at work. The nurse completes an assessment of the client and identifies caregiver role strain as a nursing problem. Which information best supports this problem?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

In conducting the initial assessment of a preoperative client, the nurse notes that the client's home medications include the monoamine oxidase (MAO) inhibitor phenelzine. Because of this client's medication history, which assessment finding is most important for the nurse to monitor?

Correct Answer is A

Explanation

Which reason(s) should the nurse expect a female client to use when she is having difficulty leaving a relationship where she is a victim of intimate partner violence? Select all that apply.

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

Explanation

During a family group meeting, the client's daughter tells the group, "I hope I didn't cause Mom to be depressed." Which response is best for the nurse to provide?

Which individual should the nurse consider at highest risk for suicide?

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