A nurse is caring for a client who states, "Things will never work out." Which of the following responses should the nurse make?

"You should try to focus on yourself for a change."

"Why do you feel like things will never work out?"

"Have you been thinking about harming yourself?"

"Maybe an antidepressant will make you feel better."

Answer and Explanation

The Correct Answer is C

A.   This response minimizes the client’s feelings and could be perceived as dismissive. It’s essential to acknowledge the client’s feelings before offering advice.
B.   This question may seem confrontational and can make the client feel defensive, which might hinder
further communication. It’s better to ask open-ended questions related to safety and well-being.
C.   The statement "Things will never work out" could indicate a sense of hopelessness, which is associated with suicidal ideation. Directly asking about self-harm or suicidal thoughts ensures that the nurse can intervene appropriately if necessary.
D.   While antidepressants may be helpful for depression, it is premature to suggest medication without first assessing for safety concerns, such as suicidal ideation.

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Correct Answer is ["A","B","D"]

Explanation

A. Installing locks at the top of doors is a safety measure to prevent wandering at night. It ensures that the client cannot easily open the door and leave the house.
B. Positioning the mattress on the floor helps prevent injury from falls by eliminating the risk of the client falling from a height while in bed.
C. Encouraging physical activity can help promote better sleep, but it should be done earlier in the day. Excessive stimulation right before bedtime could have the opposite effect.
D. Installing sensor devices on outside doors alerts caregivers when the client attempts to leave the house, which is important for preventing wandering.
E. Placing the client in a reclining chair is not recommended as a safety measure for wandering and could be uncomfortable, limiting the client's mobility and ability to rest properly.

A. "Take your medication with a meal to decrease the onset of dizziness." B. "Dizziness typically indicates an allergic response, so the medication should be stopped immediately." C. "Take your medication first thing in the morning, and it will not cause as much dizziness." D. "Dizziness is a common adverse effect of the medication and is related to low blood pressure."

Correct Answer is D

Explanation

A. Taking quetiapine with a meal might help reduce gastrointestinal side effects, but it will not necessarily prevent dizziness, which is a common side effect of the medication.
B. Dizziness is not typically an allergic response to quetiapine, so stopping the medication immediately would not be appropriate without further evaluation.
C. Taking the medication in the morning may not reduce dizziness since the side effect is related to the medication's effect on blood pressure, not the time of administration.
D. Dizziness is a common side effect of quetiapine due to its sedative properties and its impact on blood pressure, particularly orthostatic hypotension, which is common with antipsychotic medications.

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A nurse is caring for a client who states, "Things will never work out." Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to the caregiver of an older adult client who has Alzheimer's disease and is being cared for at home. The client wanders at night and has a history of previous falls. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)

Correct Answer is ["A","B","D"]

Explanation

A nurse is caring for a client who has been taking quetiapine for 1 week and reports dizziness. The client asks the nurse if the dizziness indicates an allergic reaction to the medication. Which of the following responses should the nurse make?

Correct Answer is D

Explanation

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