Exhibits

Click to highlight the statement(s) made by the client that indicate she understood the treatment recommendations and is developing an understanding of her disease. Select all that apply.
1.   Working with an addiction therapist for several months will assist in my recovery.

2.   The Alcoholics Anonymous program would be a great resource, but they do not have meetings when I'm free.
3.   It is not safe for me to drink alcohol, but I am still able to smoke marijuana without problems.
4.   Identifying potential triggers allows me to proactively utilize coping strategies.

5.   Relapse is an expected complication of substance use; thus, prevention strategies and awareness of my emotions are important.
6.   The treatment options for alcoholism are limited to inpatients, with very few resources for outpatients.

Working with an addiction therapist for several months will assist in my recovery.

The Alcoholics Anonymous program would be a great resource, but they do not have meetings when I'm free.

It is not safe for me to drink alcohol, but I am still able to smoke marijuana without problems.

Identifying potential triggers allows me to proactively utilize coping strategies.

Relapse is an expected complication of substance use; thus, prevention strategies and awareness of my emotions are important.

The treatment options for alcoholism are limited to inpatients, with very few resources for outpatients.

Answer and Explanation

The Correct Answer is ["A","D","E"]

Rationale:

1.   Working with an addiction therapist for several months will assist in my recovery. This statement reflects an acknowledgment of the importance of therapy in her recovery process, indicating an understanding of the treatment plan.
2.   The Alcoholics Anonymous program would be a great resource, but they do not have meetings when I'm free.
While it acknowledges AA as a resource, it doesn't show an understanding of prioritizing meetings or seeking alternative solutions.
3.   It is not safe for me to drink alcohol, but I am still able to smoke marijuana without problems.
This indicates a misconception; if alcohol is unsafe, other substances likely are too.

4. Identifying potential triggers allows me to proactively utilize coping strategies.

This statement demonstrates an understanding of the importance of identifying triggers and implementing coping strategies to prevent relapse, indicating engagement in the treatment process.
5. Relapse is an expected complication of substance use; thus, prevention strategies and awareness of my emotions are important.
Acknowledging relapse as a potential complication and recognizing the importance of prevention strategies and emotional awareness indicates a realistic understanding of the challenges associated with recovery.

6. The treatment options for alcoholism are limited to inpatients, with very few resources for outpatients.
This is factually incorrect and doesn't show understanding of the variety of treatment options available.

Nursing Test Bank

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Diarrhea can lead to significant fluid and electrolyte imbalances, especially in older adults. Prioritizing hydration and electrolyte management is essential to prevent severe complications like renal failure or shock.
B. While caregiver stress is significant and must be addressed, it is not as immediately life-threatening as a fluid volume deficit.
C. This is an ongoing management issue but does not pose an immediate threat to the client's life compared to fluid and electrolyte imbalances.
D. Although important for overall care and prevention of complications such as pressure ulcers, it is not as critical as managing fluid volume deficit in this scenario.

A. Monitor the amount of drainage from the client's incision. B. Observe both lower extremities for redness and swelling. C. Evaluate the client's ability to use an incentive spirometer. D. Palpate all peripheral pulse points for volume and strength.

Correct Answer is B

Explanation

A. Monitoring incision drainage is important for infection and wound healing but not directly related to the effectiveness of compression devices.
B. Observing both lower extremities for redness and swelling directly assesses the effectiveness of the pneumatic compression devices in preventing deep vein thrombosis (DVT).
C. Evaluating the use of an incentive spirometer is important for respiratory function but unrelated to the compression devices.
D. Palpating peripheral pulse points is useful for circulation assessment but does not specifically evaluate the prevention of DVT, which is the primary purpose of the compression devices.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse identifies several problems for an older adult client experiencing diarrhea and fecal incontinence who is confined to bed and being cared for by a primary caregiver. In planning care, the nurse should determine which nursing problem is the highest priority?

Correct Answer is A

Explanation

In evaluating the effectiveness of a postoperative client's intermittent pneumatic compression devices, which assessment is most important for the nurse to complete?

Correct Answer is B

Explanation

After receiving report on an inpatient acute care unit, which client should the nurse assess first?

The nurse is assigned to care for four surgical clients. After receiving report, which client should the nurse see first?

A client exposed to tuberculosis is scheduled to begin prophylactic treatment with isoniazid. Which information is most important for the nurse to note before administering the initial dose?

The nurse observes a client prepare a meal in the kitchen of a rehabilitation facility prior to discharge. What behavior(s) indicate the client understands how to maintain balance safely? Select all that apply.

Patient Data Exhibits Each row and each column must have at least one, but may have more than one, response option selected. Intervention: Promotes safety/ Does not promote safety

An older client is being admitted to a rehabilitation unit from a medical-surgical unit following a left hip replacement. When reviewing the client's prescribed medications, which intervention should the nurse implement first?