A client is noted to be pacing on the unit with their hands clenched and mumbling curses. The nurse knows that the initial approach to this client would be to:

stop the client in the hall and tell them that they must pace in the day room instead.

keep hands in pockets so as not to appear threatening.

speak softly and calmly,

offer the client a cup of coffee.

Answer and Explanation

The Correct Answer is C

a. Stop the client in the hall and tell them that they must pace in the day room instead. This can be confrontational and might escalate the situation.
b. Keep hands in pockets so as not to appear threatening. While non-threatening body language is important, the focus should be on verbal communication.
c. Speak softly and calmly. De-escalation is key in such situations. A calm and non-threatening approach is essential to build rapport and assess the situation.
d. Offer the client a cup of coffee. Stimulants like caffeine might worsen anxiety.

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Correct Answer is D

Explanation

a. "Can you order the specific events that led to your admission?" This statement directs the client to provide specific information and is more focused than a general lead. It does not encourage a broad response.
b. "Do you know why you are here?" This question is somewhat open-ended but still directs the client's response toward understanding their admission.
c. "Are you feeling depressed or anxious?" This question is specific and closed-ended, prompting a choice between two options rather than encouraging the client to freely elaborate.
d. "Yes, I see. Go on." This is correct because it encourages the client to continue speaking without directing the topic, which is the essence of a general lead.

A. fluoxetine B. sibutramine C. carbamazepine D. diazepam

Correct Answer is A

Explanation

a. fluoxetine: Fluoxetine, a selective serotonin reuptake inhibitor (SSRI), has been used with some success in treating anorexia nervosa, especially when comorbid with depression. It can help with mood stabilization and reducing obsessive-compulsive behaviors related to food.
b. sibutramine: Sibutramine was an appetite suppressant used for weight loss, but it has been withdrawn from the market in many countries due to cardiovascular risks. It is not used for treating anorexia nervosa.
c. carbamazepine; Carbamazepine is an anticonvulsant and mood stabilizer, primarily used for bipolar disorder and seizure disorders. It is not commonly used for anorexia nervosa.
d. diazepam: Diazepam is a benzodiazepine used primarily for anxiety, muscle spasms, and seizures. It does not have a primary role in the treatment of anorexia nervosa and depression.

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A client is noted to be pacing on the unit with their hands clenched and mumbling curses. The nurse knows that the initial approach to this client would be to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is interviewing a newly admitted client. Which of the following nursing statements is an example of offering a "general lead"?

Correct Answer is D

Explanation

The nurse understands that which medication has been used with some success in clients diagnosed with anorexia nervosa along with depression?

Correct Answer is A

Explanation

A client is diagnosed with Alzheimer's disease. When asked about the previous evening, the client describes a wonderful evening spent on a cruise. Which symptom is the client exhibiting?

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A client is noted to be pacing on the unit with their hands clenched and mumbling curses. The nurse knows that the initial approach to this client would be to:

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