The nurse observes a client drooling during mealtime. The client complains that his tongue feels swollen, and his jaw feels tight. What is the first action by the nurse?

Check to see what medication the client is taking.

Encourage the client to eat more slowly.

Assessment security.

Assess the client more thoroughly and immediately report any concerns to the provider.

Answer and Explanation

The Correct Answer is D

A.   While medication review may be necessary, the immediate concern is the client's current symptoms and potential need for urgent intervention.
B.   Encouraging the client to eat more slowly does not address the urgent nature of the client's symptoms.

C.   "Assessment security" is not a standard term or intervention. It does not provide specific guidance for addressing the client's symptoms.
D.   Given the client's complaints of swelling and tightness, along with difficulty swallowing, further assessment is needed to determine the cause. This information should be reported to the provider promptly.

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Correct Answer is D

Explanation

A. This option is too vague and doesn't provide specific guidance about the detoxification process for alprazolam.
B. Frequency of usage is one factor, but it's not the only consideration in the detoxification process.
C. A planned reduction is necessary to safely taper off alprazolam and minimize withdrawal symptoms.
D. This option provides the best guidance, emphasizing the importance of a gradual and controlled tapering process for alprazolam.

A. "This therapy helps you learn to think more positively, and thereby reduce depressive thoughts and symptoms." B. "In this therapy, you will explore past events and analyze how these events have affected your behavior and thoughts." C. "This type of therapy focuses on how you use defense mechanisms to feel more comfortable and content." D. "The purpose of this therapy is to determine how to get psychological needs met through interpersonal relationships."

Correct Answer is A

Explanation

A. "This therapy helps you learn to think more positively, and thereby reduce depressive
thoughts and symptoms." Cognitive behavioral therapy (CBT) aims to identify and challenge negative thought patterns and replace them with more positive and realistic thinking, which can help alleviate symptoms of depression.

B. "In this therapy, you will explore past events and analyze how these events have affected your behavior and thoughts." This description is more characteristic of psychodynamic therapy, not cognitive behavioral therapy.

C. "This type of therapy focuses on how you use defense mechanisms to feel more comfortable and content." This description aligns more with psychodynamic therapy, not cognitive behavioral therapy.

D. "The purpose of this therapy is to determine how to get psychological needs met through
interpersonal relationships." This statement does not accurately describe cognitive behavioral
therapy, which primarily focuses on identifying and changing maladaptive thought patterns and behaviors.

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The nurse observes a client drooling during mealtime. The client complains that his tongue feels swollen, and his jaw feels tight. What is the first action by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client asks the nurse to give her information regarding the detoxification process of alprazolam. What is the best response by the nurse?

Correct Answer is D

Explanation

A client diagnosed with major depressive disorder is considering cognitive behavioral therapy. The client asks the nurse how this therapy would help alleviate depressive thoughts. What is the best response by the nurse?

Correct Answer is A

Explanation

A client diagnosed with bipolar II disorder has a problem statement of impaired social interactions related to egocentrism. Which short-term correctly written outcome is an appropriate expectation for this client problem?

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