A highly successful businessman presents to the community mental health center complaining of sleeplessness and anxiety over his financial status. Which action should the practical nurse (PN) take to assist this client in diminishing his anxiety?
Teach him to limit sugar and caffeine intake.
Direct him to drink a glass of red wine at bedtime
Reinforce the reality of his financial situation.
Encourage him to initiate daily rituals
The Correct Answer is A
A. Limiting sugar and caffeine intake can positively impact sleep and anxiety levels.
B. Drinking red wine at bedtime might initially induce sleep but could disrupt sleep patterns and worsen anxiety.
C. Reinforcing the reality of his financial situation might increase anxiety rather than diminish it.
D. Encouraging daily rituals might help establish a routine but might not directly address the anxiety related to financial stress.
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Related Questions
Correct Answer is C
Explanation
A. Evaluating a client's understanding of discharge instructions typically requires a nursing assessment and explanation, more suitable for a licensed nurse.
B. Encouraging fluid intake might involve assessing the client's condition and providing specific advice, which aligns more with the responsibilities of a licensed nurse.
C. Measuring urinary output is a task that falls within the scope of practice for unlicensed assistive personnel (UAP), as it involves routine data collection and does not require clinical judgment.
D. Checking a client's femoral dressing after a cardiac catheterization requires observation for signs of bleeding, which involves assessment and potential interventions beyond the UAP's scope of practice.
Correct Answer is ["A","B","D"]
Explanation
A. Measure head circumference daily. - Monitoring head circumference is crucial to detect changes that might indicate increased intracranial pressure after the shunt placement.
B. Document strict intake and output. - Monitoring fluid intake and output helps assess the infant's hydration status and shunt functionality.
C. Irrigate shunt and pump valve every 12-hours. - Shunt irrigation should be performed by specialized healthcare professionals, not typically by a practical nurse.
D. Monitor body temperature every 4 hours. - Postoperative monitoring includes assessing for signs of infection or systemic changes, which might be indicated by changes in body temperature.
E. Place in Trendelenburg position. - The Trendelenburg position is not typically recommended post-ventriculoperitoneal shunt placement and should be avoided unless specifically prescribed by the healthcare provider.
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