The nurse should monitor the temperature of the environment of a client who becomes easily agitated, with awareness that increased temperatures sometimes may cause the client to become:
Calm
Depressed
Agitated
Confused
The Correct Answer is C
Choice A rationale: High temperatures do not usually cause people to become calm unless they are suffering from heat exhaustion or heat stroke, which are medical emergencies.
Choice B rationale: depression is usually associated with low temperatures and reduced sunlight exposure rather than high temperatures.
Choice C rationale: high temperatures is associated with arousal and agitation in some individuals which may be due to the effects of heat on the individual’s nervous system, cardiovascular, and endocrine systems.
Choice D rationale: confusion is not usually associated with confusion. However, it may result in confusion in older adults and individuals with other underlying conditions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale: Bright colors such as red, blue, green, purple, and pink are associated with patient arousal, excitement, and increased energy levels which can be beneficial for psychiatry patients by enhancing their alertness and motivation.
Choice B rationale: Bright colors are not frightening. However, they may trigger negative associations and memories for some individuals.
Choice C rationale: Bright colors are not depressive but instead they may evoke positive emotions and joy for individuals who may be feeling low and hopeless.
Choice D rationale: Bright colors have a calming effect since they have a soothing and relaxing effect on the client’s nervous system.
Correct Answer is A
Explanation
Choice A rationale: Axis 3 is used in the documentation of conditions, for instance, asthma, hypertension, and diabetes mellitus among others which are known to have effects on an individual’s mental health.
Choice B rationale: Axis 2 is used in the documentation of conditions affecting a client’s functioning such as personality disorders and mental retardation.
Choice C rationale: Axis 4 is used in the documentation of environmental and psychosocial issues contributing to a patient’s stress such as financial and family stressors.
Choice D rationale: Axis 1 is used to document clinical disorders that are the primary focus of management such as schizophrenia, major depressive disorder, and bipolar disorder among others.
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