A nurse is caring for a client who is seeking help to quit smoking. Which of the following prescriptions should the nurse expect the provider to prescribe?

Naltrexone

Disulfiram

Varenicline

Donepezil

Answer and Explanation

The Correct Answer is C

Choice A reason: Naltrexone is primarily used to manage alcohol or opioid dependence and is not typically prescribed for smoking cessation. It works by blocking the euphoric effects of these substances, which is not directly applicable to nicotine addiction.

Choice B reason: Disulfiram is used as a deterrent agent in the treatment of alcoholism. It causes unpleasant effects when even small amounts of alcohol are consumed, thus it is not suitable for smoking cessation.

Choice C reason: Varenicline is a medication specifically designed to aid in smoking cessation. It works by binding to nicotine receptors in the brain, reducing cravings and the pleasurable effects of smoking. This makes it easier for individuals to quit smoking.

Choice D reason: Donepezil is a medication used to treat cognitive symptoms of Alzheimer's disease. It is not indicated for smoking cessation and does not have an effect on nicotine addiction.

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Correct Answer is C

Explanation

Choice A reason: Ringing in the ears is not a common side effect of lorazepam. This medication is more likely to cause drowsiness or dizziness, which could increase the risk of falls.

Choice B reason: Restraints should only be used as a last resort when all other options have been exhausted and the client is a danger to themselves or others. Lorazepam is used to reduce anxiety, not to sedate to the point where restraints would be necessary.

Choice C reason: Initiating fall precautions is a prudent nursing action after administering lorazepam, especially if given intramuscularly, as the client may experience drowsiness or dizziness, increasing the risk of falls.

Choice D reason: Repeating the dose in 15 minutes is not recommended. The effects of lorazepam should be monitored, and additional doses should be administered based on the client's response and as prescribed by the healthcare provider.

A. The client will verbalize an improved mood. B. The client will report a decrease in hallucinations. C. The client will attend to personal hygiene. D. The client will communicate needs.

Correct Answer is C

Explanation

Choice A reason: While verbalizing an improved mood is a positive outcome, it is not specific to borderline personality disorder and does not directly address the behavioral aspects of the condition.

Choice B reason: Hallucinations are not a typical symptom of borderline personality disorder; they are more commonly associated with psychotic disorders. Therefore, a decrease in hallucinations would not be a relevant treatment outcome for this condition.

Choice C reason: Attending to personal hygiene can be a significant issue for clients with borderline personality disorder, as self-care routines may be neglected during periods of intense emotional distress. Including this in the treatment plan focuses on improving daily functioning and self-care abilities.

Choice D reason: Communicating needs is an important skill for all clients, but it is not specific to the treatment of borderline personality disorder. The focus should be on outcomes that address the core symptoms and behaviors of the disorder.

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A nurse is caring for a client who is seeking help to quit smoking. Which of the following prescriptions should the nurse expect the provider to prescribe?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who just received lorazepam 1 mg IM for anxiety. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is caring for a client who has borderline personality disorder. Which of the following outcomes should the nurse include in the treatment plan?

Correct Answer is C

Explanation

A nurse is caring for a client who has a depressive disorder. The client states, "I don't always go to bed at night, so I get in trouble for falling asleep at work." Which of the following interventions should the nurse recommend?

A nurse is assessing a client who has been receiving electroconvulsive therapy (ECT). Which of the following findings indicates the treatment is effective?

A nurse is caring for a client who is experiencing active auditory hallucinations. Which of the following actions should the nurse take?

A nurse is caring for a client who has a substance use disorder. The client states, "The state took my child away after my overdose. I don't want to go on living without them." Which of the following therapeutic responses should the nurse make?

A nurse is planning to delegate client care for several clients in a mental health facility. Which of the following tasks should the nurse delegate to an assistive personnel?

A nurse is caring for a client who is involuntarily admitted for major depressive disorder and refuses to take a prescribed oral anti-anxiety medication. Which of the following actions should the nurse take?

A nurse is visiting with the partner of a client who recently died. The partner expresses guilt that they did not do more for their partner. Which of the following responses should the nurse make?

A nurse is caring for a client who is going through the grieving process. Which of the following actions should the nurse take to meet the client's spiritual needs?