A nurse is caring for an adolescent client who has conduct disorder. The client reports that she has received five speeding tickets in the past 6 months. Which of the following interventions should the nurse take?

Inform the client that she cannot drink and drive.

Call the local police and alert them to the client's car license plate number and the make and model of her car.

Make a contract with the client not to drive over the speed limit.

Ask the client to "hand over the keys" to you, and tell her that now she must use a cab or other public transportation until your next session.

Answer and Explanation

The Correct Answer is C

A. Informing the client that she cannot drink and drive is an important safety message, but it doesn't directly address the issue of speeding or offer a constructive solution for the client’s behavior.

B. Calling the police to report the client’s behavior would be an overreaction and would not help address the root causes of the client's conduct disorder. The nurse should focus on therapeutic interventions rather than punitive actions.

C. Making a contract with the client not to drive over the speed limit is the most appropriate response. This intervention involves the client in setting boundaries and goals and can help create accountability for their actions. It’s an active and collaborative approach that supports behavioral change.

D. Taking away the client's keys and requiring them to use a cab or public transportation is too punitive and could lead to resistance or further defiance. A more constructive and collaborative approach, such as the contract, would be more effective.

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Correct Answer is B

Explanation

A. Discourage daytime napping. Clients in the manic phase of bipolar disorder may already have difficulty with sleep, and discouraging daytime naps could increase their irritability and fatigue. It is more important to maintain a regular sleep-wake schedule and promote relaxation techniques rather than strictly limiting naps.

B. Have consistent unit routines. This is the most appropriate intervention. Clients in the manic phase of bipolar disorder often have difficulty with focus and impulsivity. Having a structured and consistent routine helps reduce confusion, provides a sense of stability, and can minimize overstimulation, which is important in managing mania.

C. Provide a stimulating environment. This is not a recommended intervention. A stimulating environment can increase agitation, exacerbate manic symptoms, and lead to further distress. A calm, structured, and low-stimulation environment is more appropriate to help the client manage their symptoms.

D. Schedule daily seclusion times. Seclusion should be considered a last resort, only if the client is at risk of harming themselves or others. It should not be part of the routine plan of care, as it can increase feelings of isolation, anxiety, and agitation. Less restrictive interventions should always be attempted first.

A. Forgetfulness gradually progressing to disorientation B. Decreased display of emotions C. Personality traits that are opposite of original traits D. Decreased auditory and visual acuity

Correct Answer is A

Explanation

A. Forgetfulness gradually progressing to disorientation; Primary dementia, such as Alzheimer's disease, typically starts with mild forgetfulness (e.g., forgetting recent events or conversations) that progressively worsens. As the disease advances, clients may become disoriented to time and place, and may even fail to recognize loved ones.

B. Decreased display of emotions is not a typical manifestation of primary dementia. While some individuals with dementia may show emotional instability or unpredictable emotional reactions, a decreased display of emotions is not characteristic.

C. Personality traits that are opposite of original traits can occur in some forms of dementia, particularly in cases involving frontotemporal dementia. However, it is not a hallmark of primary dementia like Alzheimer's disease, where personality changes tend to be more subtle or not as extreme.

D. Decreased auditory and visual acuity is not specifically associated with primary dementia. While sensory deficits can occur due to age or other conditions, dementia itself primarily affects cognitive functions such as memory, language, and executive function rather than sensory acuity.

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A nurse is caring for an adolescent client who has conduct disorder. The client reports that she has received five speeding tickets in the past 6 months. Which of the following interventions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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