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 B
Explanation
Choice A rationale: this statement is an example of false reassurance which may be dismissive and may make the client feel pressured to recover quickly.
Choice B rationale: this statement shows empathy since it acknowledges the client’s pains and validates the feelings and emotions without making them feel judged.
Choice C rationale: this statement is an example of positive reframing and can make the client feel guilty for feeling negative and may make them feel invalidated.
Choice D rationale: this is a form of sympathy to the patient rather than being empathetic since it shows that the nurse is sorry for the patient but is not necessarily relating to their emotions.
Correct Answer is D
Explanation
Choice A rationale: Increased sensitivity to light is a possible side effect of some antipsychotic medications, but it is not necessarily caused by flickering lights.
Choice B rationale: aggression is a symptom of schizophrenia but is not directly triggered by flickering lights.
Choice C rationale: over-stimulation is not caused by flickering lights but can instead be caused by excessive sensory input.
Choice D rationale: Flickering lights may trigger or worsen these hallucinations by creating sensory illusions or distortions, for instance, a client may see shadows, shapes, or colors that are not there.
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