A nurse is caring for a client who has agreed to a verbal safety contract following a self-mutilation attempt. Which of the following behaviors indicates that the contract has been effective?

The client goes to their room alone when they feel overwhelmed.

The client displaces their feelings of self-harm until they talk to the provider.

The client suppresses their feelings when they are angry.

The client notifies the nurse when they want to harm themselves.

Answer and Explanation

The Correct Answer is D

Choice A reason: Going to their room alone when feeling overwhelmed may indicate that the client is trying to manage their emotions, but it does not directly address the effectiveness of the safety contract. The goal of the contract is to ensure that the client seeks help and communicates their feelings of self-harm to a healthcare provider.

Choice B reason: Displacing feelings of self-harm until talking to the provider is not a clear indication of the contract's effectiveness. The client may still be at risk of self-harm if they do not have immediate access to the provider. The safety contract aims to encourage the client to seek help and communicate their feelings promptly.

Choice C reason: Suppressing feelings when angry is not a healthy coping mechanism and does not indicate the effectiveness of the safety contract. The contract should promote open communication and seeking help rather than suppressing emotions, which can lead to further distress and potential self-harm.

Choice D reason: Notifying the nurse when they want to harm themselves is a clear indication that the safety contract has been effective. The client is following the agreed-upon plan to seek help and communicate their feelings of self-harm, which is the primary goal of the safety contract. This behavior demonstrates that the client is taking steps to ensure their safety and seeking support from healthcare providers.

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Correct Answer is B

Explanation

Choice A reason: A decrease in appetite is not a typical effect of starting a nicotine transdermal system. In fact, individuals may experience an increase in appetite and potential weight gain after quitting smoking, as nicotine acts as an appetite suppressant. It is important for clients to be aware of this potential change so they can plan healthy eating habits and manage their weight effectively.

Choice B reason: Nicotine replacement therapy, including the nicotine transdermal system, is designed to help minimize symptoms of nicotine withdrawal. These symptoms can include cravings, irritability, anxiety, and difficulty concentrating. By providing a controlled release of nicotine, the transdermal system helps reduce the intensity of withdrawal symptoms and supports the quitting process.

Choice C reason: It is unrealistic to expect clients to stop smoking immediately after starting a nicotine transdermal system. The goal of nicotine replacement therapy is to gradually reduce dependence on nicotine while managing withdrawal symptoms. Clients are often encouraged to set a quit date and use the transdermal system as part of a comprehensive plan to stop smoking over time.

Choice D reason: Applying a new patch every 4 hours is incorrect and impractical. Nicotine transdermal patches are typically designed to be worn for 16 to 24 hours, depending on the specific product. Clients should follow the manufacturer's instructions and their healthcare provider's guidance for the proper use of the patch, usually replacing it once a day.

A. Provide a stimulating environment for the client. B. Offer the client several choices for daily activities and meals. C. Give the client clothing with elastic or fastening tape. D. Keep the bedroom dark while the client is sleeping.

Correct Answer is C

Explanation

Choice A reason: While a stimulating environment can be beneficial in engaging a client with Alzheimer's disease, it is not directly related to assisting with activities of daily living (ADLs). The goal is to create an environment that simplifies tasks and reduces confusion, which might be better achieved through other methods.

Choice B reason: Offering several choices for daily activities and meals can overwhelm a client with Alzheimer's disease. Simplifying choices and providing clear, structured routines are more effective strategies. Too many options can lead to confusion and difficulty in decision-making for these clients.

Choice C reason: Providing clothing with elastic or fastening tape simplifies the process of dressing and undressing, making it easier for the client to maintain independence in ADLs. This type of clothing can reduce frustration and promote a sense of autonomy, which is crucial for clients with Alzheimer's disease.

Choice D reason: Keeping the bedroom dark while the client is sleeping can promote better sleep, but it does not directly assist with performing ADLs. Ensuring the client has adequate lighting and a safe environment during waking hours is more relevant to supporting their ability to perform daily activities.

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A nurse is caring for a client who has agreed to a verbal safety contract following a self-mutilation attempt. Which of the following behaviors indicates that the contract has been effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has a new prescription for a nicotine transdermal system. Which of the following statements should the nurse make?

Correct Answer is B

Explanation

A nurse is assisting with the plan of care for a client who has Alzheimer's disease. Which of the following actions should the nurse recommend implementing to assist the client with performing ADLs?

Correct Answer is C

Explanation

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