A nurse is caring for a client who asks for information regarding terminating their treatment against their partner's wishes. By providing this information, the nurse is acting in which of the following roles for this client?
Conflict manager
Advocate
Social worker
Negotiator
The Correct Answer is B
A. Conflict manager: A conflict manager helps parties resolve disagreements and mediate disputes. In this scenario, the nurse is not mediating between the client and their partner but is providing guidance directly to the client.
B. Advocate: Acting as a client advocate involves supporting the client’s rights, choices, and best interests, even when others may disagree. By providing information about treatment termination, the nurse empowers the client to make informed decisions independently.
C. Social worker: A social worker provides counseling, resources, and support for psychosocial needs. While the nurse may offer similar guidance, the role described focuses on protecting client rights rather than providing social services.
D. Negotiator: A negotiator facilitates agreement between parties through discussion or compromise. The nurse is not negotiating with the partner but is supporting the client’s autonomy, which aligns with advocacy rather than negotiation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Extension cords placed under area rugs: Placing extension cords under rugs creates a fire hazard and increases the risk of electrical shock. It can also cause trips and falls if the cords shift or become damaged, making it an unsafe environmental practice.
B. Refrigerator temperature is 3.3° C (38° F): This temperature is within the recommended safe range for storing perishable food, helping prevent bacterial growth. It does not pose a safety hazard.
C. Covers placed on unused electrical outlets: Outlet covers prevent children from inserting objects into outlets, reducing the risk of electrical shock. This is considered a positive safety measure, not a hazard.
D. A lamp plugged directly into a wall outlet: Plugging a lamp directly into a wall outlet is standard and safe when the outlet is not overloaded. It does not present a hazard under normal use.
Correct Answer is ["A","B","C","E"]
Explanation
A. Headache: Disulfiram causes an aversive reaction when alcohol is consumed, leading to vasodilation and increased acetaldehyde levels. This often results in a severe, throbbing headache as one of the earliest and most common manifestations. The symptom appears quickly after alcohol intake and signals a disulfiram–alcohol interaction.
B. Vomiting: Accumulation of acetaldehyde triggers gastrointestinal distress, including nausea and profuse vomiting. These symptoms occur because the body is unable to metabolize alcohol properly while on disulfiram. Vomiting is a classic indicator that alcohol was consumed after starting therapy.
C. Confusion: Neurological effects such as confusion can develop during a disulfiram–alcohol reaction due to hypotension, decreased cerebral perfusion, and heightened toxin buildup. This change in mental status is especially concerning and suggests significant physiological stress after alcohol ingestion.
D. Sedation: Sedation is not a typical effect of a disulfiram–alcohol reaction. It is more commonly associated with other CNS depressants or alcohol intoxication alone. Because it does not reflect the vasodilatory or metabolic effects produced by disulfiram, it is not a reliable indicator of concurrent alcohol use.
E. Sweating: Sweating results from the sympathetic surge that occurs when acetaldehyde levels rise during a disulfiram–alcohol reaction. Clients may experience flushing, tachycardia, and diaphoresis as part of the acute response. This strongly supports that alcohol was consumed while taking disulfiram.
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