A client diagnosed with a cerebral aneurysm reports a severe headache to the nurse. What action is a priority for the nurse?

Sit with the client for a few minutes.

Administer an analgesic.

Inform the nurse manager.

Call the health care provider immediately.

Answer and Explanation

The Correct Answer is D

A. Sit with the client for a few minutes. While providing comfort is important, it does not address the immediate need to evaluate and manage a potentially serious condition.

B. Administer an analgesic. Administering analgesics without assessing the cause of the headache might mask symptoms of a serious issue. This is not the priority action.

C. Inform the nurse manager. Informing the nurse manager is important but does not directly address the client’s immediate needs or potential emergency.

D. Call the health care provider immediately. Reporting severe headache in a client with a cerebral aneurysm is critical as it could indicate worsening of the condition, such as aneurysm rupture or increased intracranial pressure. Immediate action is required to prevent further complications.

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Correct Answer is D

Explanation

A. Psychopharmacology: Psychopharmacology involves the use of medications to treat mental health disorders. It does not focus on altering irrational thinking, which is more relevant to therapy techniques.

B. Desensitization: Desensitization, or systematic desensitization, is a technique used to reduce anxiety by gradually exposing the client to the anxiety-provoking stimulus. It is not specifically aimed at altering irrational thinking.

C. Changing Therapy: The term "Changing Therapy" is not a standard therapy technique. It is not a recognized method for altering irrational thinking.

D. Cognitive Behavioral Therapy (CBT): CBT is specifically designed to help clients identify and alter irrational or distorted thinking patterns. It focuses on changing maladaptive thought processes and behaviors.

A. Normal pessimism of the elderly. B. A cry for sympathy. C. Normal grieving. D. Evidence of high suicide potential.

Correct Answer is D

Explanation

A. Normal pessimism of the elderly: This statement downplays the seriousness of the client’s feelings. Although some elderly individuals may experience sadness, these statements suggest a deeper issue that should not be considered normal.

B. A cry for sympathy: This response dismisses the client's feelings as attention-seeking, which could lead to missing a serious issue, such as depression or suicidal ideation.

C. Normal grieving: While grief can lead to feelings of sadness, the statements indicate a broader sense of hopelessness and worthlessness, which goes beyond normal grieving.

D. Evidence of high suicide potential: The client’s statements suggest feelings of hopelessness and despair, which are red flags for suicide risk, especially in elderly clients. This requires immediate assessment and intervention.

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A client diagnosed with a cerebral aneurysm reports a severe headache to the nurse. What action is a priority for the nurse?

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Naxlex Comprehensive Predictor Exams

Which type of therapy assists the clients to alter their irrational thinking?

Correct Answer is D

Explanation

A client, age 79 years, tells the home visiting nurse, "I've been feeling down for the last few days. I don't have much to live for. My family and friends are all dead. My money's running out, and my health is failing." The nurse should assess this as:

Correct Answer is D

Explanation

The nurse is assessing the client's pupils following a sports injury. Which of the following assessment findings indicates a neurologic concern? Select all that apply.

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