A nurse is caring for a hospitalized client who has bipolar disorder and is disturbing other clients with incessant talking. Which of the following actions should the nurse take?

Inform the client that restraints may be necessary if she cannot control her behavior.

Assist the client to practice social interaction with peers during a community meeting.

Escort the client to her room when she is observed trying to interact with other clients.

Allow the client to interact freely with others on the unit.

Answer and Explanation

The Correct Answer is B

Choice A reason: Informing the client about the potential use of restraints could be perceived as threatening and may not be therapeutic.

Choice B reason: Assisting the client to practice social interaction in a structured setting like a community meeting can provide a safe environment for interaction and can be part of a therapeutic plan.

Choice C reason: Escorting the client to her room could be isolating and may not address the need for social interaction, which is important for clients with bipolar disorder.

Choice D reason: Allowing the client to interact freely might not be appropriate if the behavior is disturbing others. It's important to find a balance that respects both the client's needs and those of others.

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

Explanation

Choice A reason: Taking Lasix in the morning is appropriate to avoid nocturia and sleep disturbances.

Choice B reason: Patients should be cautious with fluid intake when taking Lasix to avoid fluid overload, especially in heart failure.

Choice C reason: Counting the radial pulse is not directly related to Lasix administration but is a good practice for monitoring heart rate.

Choice D reason: Lasix should not be taken with each meal; it is usually taken once daily unless otherwise prescribed.

Choice E reason: Eating a banana daily is recommended to replenish potassium that may be lost due to the diuretic effect of Lasix.

A. Discourage the client from expressing anger. B. Reinforce how to use assertive communication techniques. C. Set short-term and long-term goals for the client. D. Schedule the client's daily self-care activities.

Correct Answer is B

Explanation

Choice A reason: Discouraging the client from expressing anger is not therapeutic and can inhibit emotional expression, which is important in managing depression.

Choice B reason: Reinforcing assertive communication techniques is beneficial as it helps clients express themselves in a healthy way, which is a key aspect of depression management.

Choice C reason: Setting goals is important, but it should be done collaboratively with the client to empower them and ensure the goals are realistic and achievable.

Choice D reason: Scheduling daily self-care activities is helpful, but teaching the client how to manage their own schedule can promote independence and self-efficacy.

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A nurse is caring for a hospitalized client who has bipolar disorder and is disturbing other clients with incessant talking. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Explanation

A nurse is reviewing the plan of care for a client who has depression. Which of the following actions should the nurse plan to take?

Correct Answer is B

Explanation

A nurse is collecting data from a client who has depression to identify his ability to perform activities of daily living (ADLs) prior to discharge. Which of the following data should the nurse collect? (Select all that apply.)

Which tests can be used to assist in diagnosing a patient with coronary artery disease? Select all that apply.

A nurse is caring for a client who has bipolar disorder and states that his latest computer project is "revolutionizing the industry." Which of the following behaviors is the client exhibiting?

A nurse is collecting data from a client who has bipolar disorder with mania. Which of the following findings is the nurse's priority?

A nurse is reinforcing teaching with a client who has a new diagnosis of angina pectoris. Which of the following information about anginal pain should the nurse include in the teaching?

The patient is being discharged on furosemide (Lasix). The nurse evaluates the patient as understanding medication teaching if the patient states that which of the following laboratory tests will be monitored as ordered?

A nurse is contributing to the plan of care for a client who is newly admitted with severe depression. Which of the following actions should be added to the plan of care?

The nurse reviews the lab test results of a patient who has heart failure (HF). Which test result would be most important for the nurse to report to the healthcare provider (HCP)?