ATI PN Mental Health Proctored ExA nurse is interviewing a client at a temporary shelter after surviving the destruction of
her home by a tornado. When
... [Show More] assessing the client, the nurse should ask which of the
following questions to determine the patient’s ability to cope with this situation?
- "To whom do you talk when you feel overwhelmed?"
- By asking this question, the nurse is assessing the client’s support system, which
is an important factor in the client’s ability to cope with the situation.
A nurse is caring for a patient who gave birth to a stillborn baby. Which of the
following statements should the nurse make?
- "I'll stay with you just in case you want to talk."
- This response indicates the nurse’s interest in the client and a desire to
understand the client’s feelings.
A nurse on a medical-surgical unit is assessing a client who sustained injuries 12 hours
ago following a motor-vehicle crash. The client’s admission blood alcohol level was 325
mg/dL. Which of the following findings should indicate to the nurse that the client is
experiencing alcohol withdrawal?
- BP 154/96 mm Hg
- Physical manifestations of alcohol withdrawal occur in addition to psychological
effects. A client who is experiencing alcohol withdrawal is expected to have
hypertension, tachycardia, and fever greater than 38.3°C (101°F). It will be important for
the nurse to rule out infection in the client who has fever.
A nurse is teaching a family member and a client who has a sew diagnosis of
Alzheimer’s disease and is to start taking donepezil. Which of the following statements
should the nurse include in the teaching?
- "Take this medication in the evening at bedtime."
- The client should take this medication in the evening for optimal effectiveness.
- A client should never double the dose after a missed dose due to adverse effects
of the medication but should notify the provider. Chewing, crushing, or splitting the
medication can affect the absorption of the medication. If the client has difficulty
swallowing, the provider can prescribe orally disintegrating tablets. [Show Less]