A nurse in an emergency department is assessing a client for suspected cocaine intoxication. Which of the following findings should the nurse expect?

Hypersomnia

Depression

Nystagmus

Dilated pupils

Answer and Explanation

The Correct Answer is D

Choice A reason: Hypersomnia is not typically associated with cocaine intoxication, which usually results in increased alertness and energy.

Choice B reason: Depression may occur as a come-down effect after the cocaine high, but it is not a direct symptom of intoxication.

Choice C reason: Nystagmus, or rapid involuntary movements of the eyes, can occur with cocaine intoxication.

Choice D reason: Dilated pupils are a common sign of cocaine intoxication due to its stimulant effects on the nervous system.

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Correct Answer is C

Explanation

Choice A reason: Attending all therapy sessions and utilizing services indicates cooperation but does not specifically reflect the identification phase, which is characterized by deeper emotional connections.

Choice B reason: Stating that issues have been resolved and no longer needing to come may suggest a conclusion to the therapeutic relationship rather than the development of the identification phase.

Choice C reason: Sharing feelings and emotions with the nurse is indicative of the identification phase, where the client starts to see the nurse as a supportive figure and begins to identify with them.

Choice D reason: Answering questions related to the plan of care shows engagement but does not necessarily indicate the identification phase's emotional connection.

A. Decreased display of emotions. B. Personality traits that are opposite of original traits. C. Decreased auditory and visual acuity. D. Forgetfulness gradually progressing to disorientation.

Correct Answer is D

Explanation

Choice A reason: A decreased display of emotions, or blunted affect, is common in dementia as the illness affects the brain areas responsible for emotion regulation.

Choice B reason: While personality changes can occur, they do not typically present as complete opposites of original traits.

Choice C reason: Decreased auditory and visual acuity can be part of the cognitive decline associated with dementia.

Choice D reason: Forgetfulness that progresses to disorientation is a hallmark of dementia, reflecting the deterioration of cognitive functions over time.

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A nurse in an emergency department is assessing a client for suspected cocaine intoxication. Which of the following findings should the nurse expect?

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A nurse in an emergency department is assessing a client for suspected cocaine intoxication. Which of the following findings should the nurse expect?