The nurse is educating a client about their diagnosis of somatization disorder prior to the termination phase of the nurse-client relationship. Which statement by the client indicates a need for additional teaching?
"I will let my therapist know if I think suicidal thoughts."
"I have learned that my family can be a support system."
"Drinking strong coffee really helps me combat my fatigue."
"Nicotine makes my heart race, so I need to stop smoking."
The Correct Answer is C
Choice A reason: Informing a therapist about suicidal thoughts is a positive step and indicates good understanding.
Choice B reason: Recognizing the family as a support system shows appropriate understanding of social support in managing somatization disorder.
Choice C reason: This statement indicates a misunderstanding, as caffeine may temporarily alleviate fatigue but does not address the underlying issues of somatization disorder.
Choice D reason: Understanding the need to stop smoking due to its effects on the heart is a correct understanding of managing physical symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["D","E","F"]
Explanation
Choice A reason: Exploring is a therapeutic technique that involves delving into a client's experiences and feelings, which can be beneficial in understanding their perspective.
Choice B reason: Silence can be a therapeutic technique that gives clients space to think and express themselves.
Choice C reason: Voicing doubt can undermine the client's confidence and is not considered a therapeutic response.
Choice D reason: Challenging may confront the client in a non-therapeutic way, potentially leading to defensiveness.
Choice E reason: Disapproving can make clients feel judged and is not conducive to a therapeutic relationship.
Choice F reason: Agreeing may not always be therapeutic as it can prevent clients from exploring all aspects of their issues.
Correct Answer is ["A","C","D","E"]
Explanation
Choice A Reason:
Checking the client's pupil reactivity is important because alcohol intoxication can affect the nervous system, which may be reflected in changes in pupil size and reactivity to light. Normal pupil size ranges from about 2 to 4 mm in diameter in bright light to 4 to 8 mm in the dark. Pupils that do not respond to light could indicate a neurological deficit that requires immediate attention.
Choice B Reason:
Performing a developmental screening test is not typically indicated for acute alcohol intoxication management. Developmental screenings are generally used to assess children for appropriate growth and developmental milestones, not for adults in an emergency setting due to intoxication.
Choice C Reason:
Preparing the client for a CT scan may be necessary if there is a suspicion of head trauma or intracranial bleeding, which can occur with falls or injuries associated with intoxication. A CT scan can help identify any urgent issues that need to be addressed.
Choice D Reason:
Obtaining a urine specimen can be useful for several reasons. It can be tested for the presence of alcohol, other substances, or toxins. Additionally, it can provide information about the client's overall health and kidney function.
Choice E Reason:
Monitoring the client’s vital signs frequently is crucial. Alcohol intoxication can lead to vital sign abnormalities such as hypotension, tachycardia, or respiratory depression. Normal ranges for vital signs vary but generally include a blood pressure of 90/60 mmHg to 120/80 mmHg, a heart rate of 60 to 100 beats per minute, and a respiratory rate of 12 to 20 breaths per minute.
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