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A nurse is caring for a client who has a fractured hip following a fall. The client is very upset about her planned discharge to a rehabilitation facility because she has always lived independently. The nurse should identify that the client is experiencing which of the following types of crises?

Adventitious crisis

Psychopathologic crisis

Psychiatric emergency

Situational crisis

Answer and Explanation

The Correct Answer is D

Choice A rationale:

An adventitious crisis is a crisis resulting from an external event such as a natural disaster or crime.

Choice B rationale:

Psychopathologic crises involve individuals with preexisting mental health conditions experiencing acute exacerbations.

Choice C rationale:

A psychiatric emergency involves a sudden onset of severe behavioral symptoms that require immediate intervention.

Choice D rationale:

A situational crisis arises from an unexpected life event, such as injury, illness, or loss of independence, which can disrupt a person's normal routine and coping mechanisms.

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Free Nursing Study Resources

Correct Answer is B, A, E, C, D

Explanation

This sequence ensures proper identification, infection control, specimen collection, and safety for the newborn.

Choice A rationale:

The nurse should place a heel warmer on the newborn's heel for 3 to 5 minutes before the heelstick to increase blood flow and facilitate collection.

Choice B rationale:

The nurse should confirm the identity of the newborn before collecting any specimen to ensure patient safety and avoid errors.

Choice C rationale:

The nurse should apply pressure to the puncture site with a dry gauze pad to stop bleeding and promote clotting.

Choice D rationale:

The nurse should label the specimen per facility protocol to ensure accurate identification and processing.

Choice E rationale:

The nurse should clean the puncture site with an antiseptic cleanser to prevent infection and reduce contamination of the specimen.

A. "Restrict your fluid intake while taking lithium. B. "Double your dose of lithium if you experience blurred vision." C. "Consume a moderate-sodium diet while taking lithium." D. "Slurred speech can indicate that your lithium level is low."

Correct Answer is C

Explanation

Choice A rationale:

Restricting fluid intake is not the primary concern when taking lithium. It's more important to maintain a consistent level of sodium intake.

Choice B rationale:

Doubling the dose of lithium without medical supervision can lead to lithium toxicity, which can be life-threatening.

Choice C rationale:

Sodium levels can impact the effectiveness and safety of lithium. Consuming a moderate- sodium diet helps prevent sodium depletion or overload, which can affect lithium levels.

Choice D rationale:

Slurred speech is not indicative of low lithium levels. It's important to monitor for signs of lithium toxicity, which include tremors, confusion, and GI symptoms.

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A nurse is caring for a client who has a fractured hip following a fall. The client is very upset about her planned discharge to a rehabilitation facility because she has always lived independently. The nurse should identify that the client is experiencing which of the following types of crises?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to collect a blood specimen from a newborn via heelstick. Which of the following actions should the nurse take? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Correct Answer is B, A, E, C, D

Explanation

A nurse is providing teaching about lithium to a client who has bipolar disorder. Which of the following information should the nurse include?

Correct Answer is C

Explanation

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A nurse is creating a plan of care for a client who has antisocial personality disorder. Which of the following interventions should the nurse include?

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A nurse is performing an admission assessment for an older adult client. The nurse should identify that which of the following findings is a manifestation of possible elder maltreatment?