The nurse is educating a client with alcoholism who has been in rehabilitation for two weeks to prepare for discharge. Which statement made by the client indicates that education was effective and the client is best prepared for discharge?

"This is a good time to make a lot of serious changes in my life, such as a new job."

"I will be able to maintain sobriety by looking at the long-term outcomes."

"In order to give myself the best chance for sobriety, I will abstain from alcohol."

"Now that I have completed rehab, I can safely return to life as it was before."

Answer and Explanation

The Correct Answer is C

Choice A reason: Making significant life changes immediately after rehab can be overwhelming and might not be advisable as the client adjusts to sobriety.

Choice B reason: Focusing on long-term outcomes can be motivating, but it is also important to have short-term goals to maintain sobriety.

Choice C reason: Abstaining from alcohol is a fundamental part of maintaining sobriety and indicates an understanding of the importance of avoiding triggers.

Choice D reason: Returning to life as it was before rehab can be risky without making changes to support sobriety, such as avoiding triggers and continuing therapy.

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Correct Answer is D

Explanation

Choice A reason: Seclusion may be considered for an adult client following a suicide attempt if they are a danger to themselves or others, but it must be used with caution and as a last resort.

Choice B reason: Seclusion could be used for a school-age client who attempts to repeatedly bite staff as a means to prevent harm to others.

Choice C reason: An adolescent client who throws objects at other clients may also be secluded to prevent harm to others, but again, it should be a last resort.

Choice D reason: Seclusion is contraindicated for an older adult client who is manic and crying due to overstimulation as it may exacerbate their distress and agitation.

A. Monitor the client's weight daily. B. Stay with the client during meals and for 1 hour afterward. C. Provide the client with small, frequent meals. D. Offer specific privileges for sustained weight gain. E. Allow the client to choose the meals she will eat.

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

Explanation

Choice A reason: Monitoring the client's weight daily is essential to track progress and adjust treatment plans accordingly.

Choice B reason: Staying with the client during and after meals helps prevent purging behaviors and provides emotional support.

Choice C reason: Providing small, frequent meals can help manage the client's intake without overwhelming them, which is suitable for someone with anorexia nervosa.

Choice D reason: Offering privileges for sustained weight gain can serve as positive reinforcement for healthy behaviors.

Choice E reason: Allowing the client to choose their meals is not recommended as it may lead to the selection of inadequate nutrition, which could hinder recovery.

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The nurse is educating a client with alcoholism who has been in rehabilitation for two weeks to prepare for discharge. Which statement made by the client indicates that education was effective and the client is best prepared for discharge?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse on an acute mental health unit is caring for a group of clients. For which of the following clients is seclusion contraindicated?

Correct Answer is D

Explanation

A nurse on an inpatient eating disorders unit is caring for a client who has anorexia nervosa with a body mass index (BMI) of 17.2. Which of the following actions should the nurse take? Select all that apply.

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

Explanation

A nurse in an acute care mental health facility is preparing to administer morning medication to a client who has been taking lithium for 2 weeks and has a current lithium level of 1.0 mEq/L. Which of the following actions should the nurse take?

The nurse observes a lack of hair on the eyebrows and hairline of a young adolescent. Which statement made by the parent demonstrates an understanding of the type of hair loss the child is experiencing?

The nurse is evaluating several clients with a diagnosis of schizophrenia. Which client will be assessed as having the worst potential outcomes?

The nurse is working with another nurse in the emergency department (ED) when a client comes in stating they have been raped during a date. Which statement made by the other nurse privately requires immediate correction?

A nurse observes a client's spouse sitting alone in the waiting room crying. When approached, the spouse says, "I am really concerned about my husband." Which of the following is a therapeutic nursing response?

A nurse is conducting a group session in the behavioral health unit for three clients on the topic of anxiety. The nurse determines that the session was successful based on which statement by the clients?

A client is seeking counseling due to difficulty coping with being a victim of a violent attack 16 months ago. Which elements will the nurse assess for when determining the major components of posttraumatic stress disorder (PTSD)? (Select all that apply.)