A nurse is caring for a client who is experiencing visual hallucinations followed by impaired consciousness as a result of alcohol withdraw which of the following conditions should the nurse identify as causing these manifestations?

Autonomic dysreflexia

Synergistic effect

Sleep deprivation

Delirium

Answer and Explanation

The Correct Answer is D

A. Autonomic dysreflexia: This condition typically occurs in individuals with spinal cord injuries above the T6 level and presents with sudden, severe hypertension, bradycardia, headache, and profuse sweating. It is not typically associated with alcohol withdrawal symptoms such as visual hallucinations and impaired consciousness.

B. Synergistic effect: This term refers to the combined effect of two or more substances or factors being greater than the sum of their individual effects. While alcohol withdrawal can interact with other substances or conditions to produce various effects, it is not a specific condition causing visual hallucinations and impaired consciousness.

C. Sleep deprivation: Prolonged sleep deprivation can lead to cognitive impairment, mood disturbances, and hallucinations, but it is not typically associated with impaired consciousness as described in the scenario. Additionally, the manifestations described are more indicative of alcohol withdrawal rather than sleep deprivation alone.

D. Delirium: Delirium is a state of acute confusion and altered consciousness characterized by disturbances in attention, awareness, cognition, and perception. Visual hallucinations and impaired consciousness are common features of delirium, especially in the context of alcohol withdrawal. Delirium often occurs due to underlying medical conditions, substance withdrawal, or medication side effects.

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Correct Answer is C

Explanation

A. Use detailed explanations when providing education to the client: Providing detailed explanations can help the client better understand their condition and treatment, which is essential for managing obsessive-compulsive disorder (OCD). This intervention promotes client education and empowerment, enabling them to participate more effectively in their care and treatment.

B. Maintain a stimulating environment for the client: Individuals with OCD often benefit from a calm and organized environment rather than a stimulating one. A stimulating environment might exacerbate anxiety and OCD symptoms. Therefore, maintaining a calm and structured environment is typically more beneficial for clients with OCD.

C. Provide the client with a structured schedule of daily activities: Providing a structured schedule of daily activities can help regulate the client's routine and provide a sense of predictability, which can be comforting for individuals with OCD. A structured schedule can also help minimize the impact of OCD symptoms on daily functioning by providing a framework for completing tasks and managing time effectively.

D. Limit time for rituals to 20 minutes each day: Limiting time for rituals to a specific duration each day may not be appropriate or effective for all clients with OCD. While gradual exposure and response prevention (ERP) therapy may involve gradually reducing the time spent on rituals, setting a specific time limit may not address the underlying causes of OCD and could potentially increase anxiety and distress for the client.

A. The client's advance directives status B. The client's willingness to attend a support group C. The client's current health status D. The client’s family support system E. The client’s involvement in a spiritual community

Correct Answer is ["B","C","D","E"]

Explanation

A. The client's advance directives status: Advance directives indicate the client's preferences for medical treatment in the event they are unable to communicate their wishes. While important for end-of-life planning, they may not directly impact the client's ability to transition to widowhood.

B. The client's willingness to attend a support group: Attending a support group can provide emotional support and coping strategies during the grieving process. Willingness to engage in such activities may positively influence the transition to widowhood.

C. The client's current health status: Health status can influence one's ability to cope with stressors, including grief. Poor health may complicate the grieving process, while better health may provide resilience.

D. The client’s family support system: Family support can play a significant role in coping with loss. Having a supportive network can provide emotional comfort and practical assistance during the transition to widowhood.

E. The client’s involvement in a spiritual community: Spiritual beliefs and involvement in a religious or spiritual community can provide comfort and meaning during times of loss. Spiritual support may contribute positively to the client's ability to navigate the grieving process.

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A nurse is caring for a client who is experiencing visual hallucinations followed by impaired consciousness as a result of alcohol withdraw which of the following conditions should the nurse identify as causing these manifestations?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is creating a plan of care for a newly admitted client who has obsessive-compulsive disorder. Which of the following interventions should the nurse include?

Correct Answer is C

Explanation

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Correct Answer is ["B","C","D","E"]

Explanation

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