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A nurse is caring for a client who has depression and reports only sleeping a few hours each night.
Which of the following instructions should the nurse give the client to promote sleep? .

"You should drink a glass of wine 1 hour before you go to bed.”.

"You should take a nap after lunch.”. .

"You should eat a meal just prior to bedtime.”. .

"You should limit yourself to two caffeinated beverages per day.”. .

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Alcohol can interfere with sleep patterns and should not be used as a sleep aid.

Choice B rationale:

Napping can make it harder to fall asleep at night.

Choice C rationale:

Eating just before bedtime can cause discomfort and disrupt sleep.

Choice D rationale:

Limiting caffeine intake can help improve sleep, as caffeine is a stimulant that can interfere with the ability to fall asleep.

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Correct Answer is ["A","B","C","D","E","F","G"]

Explanation

The findings that require immediate follow-up are: Client confused and agitated: This could indicate a neurological issue or other serious condition that needs immediate attention.
Appearance is disheveled: This could suggest neglect or other issues that need to be addressed.
Mucous membranes dry: This could indicate dehydration which can be serious if not addressed promptly. Client states “Can you ask that person to leave my room?” Client is pointing to an empty chair: This could indicate hallucinations or other mental health concerns that need immediate attention.
Temperature 38.6°C (101.5°F): This is a fever and could indicate an infection or other medical condition that needs immediate attention.
Blood pressure 158/96 mm Hg: This is high and could indicate hypertension or other cardiovascular issues that need immediate attention.

A. "I should re-engage my child in an appropriate activity.”. B. "I should move closer to my child when they are agitated.”. . C. "I should use role-playing to enhance new behavioral skills.”. . D. "I should ignore attention-seeking behaviors.”. . .

Correct Answer is A

Explanation

Choice A rationale:

Re-engaging the child in an appropriate activity is a good example of the redirection technique.

Choice B rationale:

Moving closer to the child when they are agitated could escalate the situation rather than calm it.

Choice C rationale:

Using role-playing to enhance new behavioral skills is a good strategy, but it is not an example of the redirection technique.

Choice D rationale:

Ignoring attention-seeking behaviors could lead to an escalation of those behaviors as the child seeks attention.

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A nurse is caring for a client who has depression and reports only sleeping a few hours each night. Which of the following instructions should the nurse give the client to promote sleep? .

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["A","B","C","D","E","F","G"]

Explanation

A nurse is reinforcing behavior management techniques with the parent of a school-age child who has conduct disorder. Which of the following statements by the parent indicates an understanding of the redirection technique? .

Correct Answer is A

Explanation

A nurse in a mental health clinic is collecting data from a client to determine the client's risk for suicide. Which of the following findings should the nurse identify as a risk factor for suicide? (Select all that apply.) .

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A nurse is collecting data from a client who has anorexia nervosa. Which of the following findings should the nurse expect? (Select all that apply.) .

A nurse is caring for a client who has depression and reports only sleeping a few hours each night. Which of the following instructions should the nurse give the client to promote sleep? .

A nurse is collecting data from a client who has schizophrenia. Which of the following client statements indicates that the client is experiencing a command hallucination? .

A nurse is caring for a client who has depression and reports only sleeping a few hours each night.
Which of the following instructions should the nurse give the client to promote sleep? .