The practical nurse is evaluating a male client with paranoia. Which behavior can this client be expected to exhibit?

Is openly hostile to others for no apparent reason.

Talks to voices only he can hear.

Repeatedly tries to commit suicide.

Tries to run the unit, telling everyone what to do and when to do it.

Answer and Explanation

The Correct Answer is A

A male client with paranoia can be expected to exhibit behavior such as being **openly hostile to others for no apparent reason**. Paranoia is a mental health condition characterized by intense and irrational mistrust or suspicion of others. This can lead to hostility and aggression towards others, even when there is no apparent reason for it.

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Correct Answer is B

Explanation

The priority goal for the practical nurse (PN) in the antepartum clinic is to ensure that the client recognizes the dangers of alcohol use during pregnancy. Alcohol consumption during pregnancy can lead to fetal alcohol syndrome and other developmental disorders. It is important for the client to understand the risks associated with alcohol use and to avoid it during pregnancy. The other goals are also important but recognizing the dangers of alcohol use takes priority.

A. Burp the infant after every 10 mL of formula and re-feed any volume that is spit up. B. Place the infant in the right lateral position to facilitate gastric emptying. C. Oﬀer a pacifier during the feedings to satiate the sucking reﬂex associated with feedings. D. Flush the GT with 50 mL water and clamp the GT to prevent leakage.

Correct Answer is C

Explanation

During gastrostomy (GT) feedings for a newborn infant with a tracheo-esophageal repair, the practical nurse (PN) should oﬀer a pacifier to satiate the sucking reﬂex associated with feedings. Sucking is a natural reﬂex for infants and providing a pacifier during feedings can help satisfy this need and promote comfort. The other interventions listed may also be important to implement during GT feedings, but oﬀering a pacifier to satiate the sucking reﬂex is the most appropriate intervention in this situation.

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The practical nurse is evaluating a male client with paranoia. Which behavior can this client be expected to exhibit?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The practical nurse (PN) notes several nutritional goals in a standardized plan of care used in the antepartum clinic. Which client goal takes priority?

Correct Answer is B

Explanation

A newborn infant with a tracheoesophageal repair is receiving gastrostomy (GT) feedings postoperatively. Which intervention should the practical nurse (PN) implement during the GT feedings?

Correct Answer is C

Explanation

The practical nurse (PN) caring for a 3-month-old boy one day after a pyloromyotomy notices that the infant is restless, is exhibiting facial grimaces, and is drawing his knees to his chest. What action should the PN take?

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