Which of the following medication orders should the nurse question?

A benzodiazepine for an elderly patient with agitation.

Quetiapine for a patient with refractory anxiety.

A low starting dose of an SSRI.

Prazosin for nightmares in patients with PTSD.

Answer and Explanation

The Correct Answer is C

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Correct Answer is D

Explanation

a. Giving the client choices of activities: While providing choices can be empowering for clients, it might be overwhelming for someone with severe depression, who may struggle with decision-making and motivation.

b. Playing a game of chess with the client: This could be too mentally demanding and may not be appropriate for a client with severe depression, who may have difficulty concentrating or engaging in complex activities.

c. Encouraging decision-making: Encouraging decision-making is important in general, but clients with severe depression may find it difficult and stressful to make decisions. This approach should be used cautiously and based on the client's readiness.

d. Spending time sitting with the client: This is correct and therapeutic. Spending time with the client without the pressure to engage in conversation or activities can help the client feel supported and understood. It fosters trust and shows that the nurse is there to provide support, which is especially important for someone experiencing severe depression.

A. Discourage the client from taking a nap during the day. B. Weigh the client every 3 to 4 days. C. Maintain an environment with low stimuli. D. Offer finger foods to the client every 2 hr. E. Monitor vital signs every 1 to 2 hr throughout the day.

Correct Answer is ["C","D","E"]

Explanation

Correct answers: C, D, E

Choice A rationale:
While a consistent sleep schedule is important in the long term, a short nap during the day might be helpful for someone experiencing mania to prevent complete exhaustion, which can worsen symptoms.

Choice B rationale:
Weighing the client every 3 to 4 days (Choice B) might not be as crucial as the other options provided. While changes in weight can occur during mania, this intervention may not be as directly related to managing the acute symptoms of mania as other interventions.

Choice C rationale:
Maintaining an environment with low stimuli (Choice C) is essential during a manic episode. Clients with mania often experience heightened sensory sensitivity, and reducing environmental stimuli can help decrease agitation and promote a more stable mood.

Choice D rationale:
A client in a manic episode has increased caloric needs due to constant physical activity but may be unable to sit down for regular meals.Providing finger foods allows them to eat while remaining active.

Choice E rationale:

Mania can cause physiological changes like increased heart rate, blood pressure, and body temperature. Frequent monitoring helps detect potential complications and guide treatment decisions.

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Which of the following medication orders should the nurse question?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is hospitalized for the treatment of severe depression. Which of the following nursing approaches is therapeutic to include in the client's plan of care?

Correct Answer is D

Explanation

A nurse is creating a plan of care for a client who is experiencing mania. Which of the following interventions should the nurse include in the plan? (Select all that apply.).

Correct Answer is ["C","D","E"]

Explanation

A nurse notices that a client who has moderate anxiety is pacing the hall and mumbling. As the nurse approaches the client, he states, "I am at the end of my rope. I don't think I can take any more bad news." Which of the following responses should the nurse make?

Which of the following medication orders should the nurse question?

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A nurse in a mental health facility is planning care for a client who has obsessive-compulsive disorder (OCD) and is newly admitted to the unit. Which of the following actions should the nurse plan to take regarding the client's compulsive behaviors?

A nurse is discussing obsessive-compulsive disorder (OCD) with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the underlying reason clients with OCD perform ritualistic behaviors?

A nurse caring for a client who has depression observes the client coming to breakfast freshly bathed, wearing clean clothes, and with combed and styled hair. Which of the following responses by the nurse is therapeutic?