A client arrives at the clinic describing concerns to the nurse about mood swings, insomnia, and a lack of focus. Which information should the nurse obtain first?

Aggravating factors.

Methods to cope with stress.

Recent life changes.

Onset of symptoms.

Answer and Explanation

The Correct Answer is D

Choice A reason: Aggravating factors (e.g., caffeine) are relevant but secondary to establishing when mood swings, insomnia, and lack of focus began. Onset determines if symptoms are acute or chronic, guiding whether neurological or hormonal imbalances (e.g., serotonin dysregulation) are involved. This temporal data prioritizes differential diagnosis, making this a later step.

Choice B reason: Coping methods provide insight into stress management but are less urgent than symptom onset. Mood swings and insomnia may stem from neurotransmitter imbalances, like dopamine or GABA, requiring timeline data to assess duration and severity. Onset informs whether symptoms are situational or pathological, making coping strategies a secondary inquiry.

Choice C reason: Recent life changes (e.g., job loss) may contribute to symptoms but are not the first priority. Onset establishes the timeline, critical for diagnosing conditions like depression or anxiety, which involve altered brain chemistry (e.g., reduced serotonin). Life changes provide context but follow determining when symptoms began to guide accurate assessment.

Choice D reason: Onset of symptoms is the first information to obtain, as it establishes the timeline for mood swings, insomnia, and lack of focus. This data differentiates acute (e.g., stress-related) from chronic (e.g., bipolar disorder) conditions, guiding neurological or endocrine evaluation. Onset informs symptom progression, critical for diagnosis and treatment, making this the priority.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is D

Explanation

Choice A reason: Bending at the waist to hang a urinary unit risks back injury, as it violates body mechanics. Standing erect with bent knees uses leg muscles, reducing strain. This incorrect posture increases musculoskeletal injury risk, per ergonomic and safe patient handling guidelines in nursing.

Choice B reason: Stretching over the mattress to pick up an item strains the back and shoulders, ignoring body mechanics. Standing erect with bent knees ensures safe movement. This action risks injury, contradicting ergonomic principles, per safe patient handling and occupational safety standards in healthcare.

Choice C reason: Pushing a drawer closed with the hip avoids proper body mechanics, risking strain or injury. Standing erect with bent knees during client movement is safer. This action is unrelated to client care safety, per ergonomic and safe handling protocols in nursing practice.

Choice D reason: Standing erect with knees bent to pull a draw sheet uses proper body mechanics, leveraging leg muscles to reduce back strain. This minimizes injury risk during client movement, aligning with safe patient handling and ergonomic principles, per occupational safety and nursing care standards.

A. Bend at the knees to maintain a low center of gravity. B. Stand with feet 3 inches (7.6 cm) apart for balance. C. Position self at the back of wheelchair with wheels locked. D. Ask the client to place hands on the nurse’s shoulders.

Correct Answer is A

Explanation

Choice A reason: Bending at the knees lowers the nurse’s center of gravity, enhancing stability during lifting. This engages leg muscles (quadriceps, glutes), reducing spinal strain and fall risk. Proper body mechanics protect the nurse’s musculoskeletal system and ensure safe client transfer post-surgery, when mobility is limited, making this the correct action.

Choice B reason: Standing with feet 3 inches apart provides insufficient balance, as a wider stance (12-18 inches) stabilizes the body during lifting. Narrow footing increases fall risk, especially with a post-surgical client’s unpredictable movements. Bending at the knees ensures better biomechanical support, making this option inadequate for safe mobility.

Choice C reason: Positioning behind the wheelchair with wheels locked is preparatory but not the primary lifting action. Safe lifting requires bending at the knees to engage leg muscles, minimizing back strain. While locking wheels prevents movement, it does not address the nurse’s body mechanics, making this secondary to proper lifting technique.

Choice D reason: Asking the client to place hands on the nurse’s shoulders risks instability, as post-surgical clients may have weak grip or balance. This shifts weight unpredictably, straining the nurse’s back. Bending at the knees ensures the nurse controls the lift, using leg strength, making this option unsafe for secure transfer.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A client arrives at the clinic describing concerns to the nurse about mood swings, insomnia, and a lack of focus. Which information should the nurse obtain first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The charge nurse is observing a new nurse administering care during new hire orientation at the hospital. Which activity by the new nurse indicates correct body movement and posture to reduce the risk for injury?

Correct Answer is D

Explanation

The nurse is assisting to lift a client from a wheelchair after surgery. To ensure safe mobility, which action should the nurse take?

Correct Answer is A

Explanation

The electronic medication system alerts the nurse that the medication dose scanned for the client is two times higher than the dose prescribed. Which action should the nurse implement?

A male client has right-sided hemiplegia following a left cerebrovascular accident (CVA). His sitting balance has improved, and he is now able to sit in a wheelchair. To assist the client in transferring from the bed to a wheelchair, which action should the nurse take?

The nurse identifies several nursing problems for a client who is incontinent and immobile after a stroke and is now experiencing diarrhea. The client resides at home, and the spouse is the primary caregiver is the primary caregiver. While planning care, which problem has the highest priority?

While measuring vital signs, the nurse observes a client using accessory neck muscles during respiration. Which follow-up action should the nurse take first?

A client’s spouse has just learned of the client’s terminal illness. The spouse is sitting in the corner of the client’s room crying and says to the nurse, “I feel as if I’m already so alone.” Which action should the nurse take first?

A client requests heat therapy for lower back pain. Which action should the nurse take?

A client diagnosed with primary open-angle glaucoma received a prescription for miotic eye drops. Which instruction should the nurse plan to include in this client’s teaching?