A nurse is collecting data from a client who reports cessation of nicotine use. Which of the following manifestations should the nurse expect? (Select all that apply.)
Weight gain
Difficulty concentrating
Diarrhea
Restlessness
Decreased appetite
Correct Answer : A,B
Choice A reason: Weight gain is a common manifestation after cessation of nicotine use. Nicotine is an appetite suppressant, and its absence can lead to increased appetite and caloric intake. Additionally, some individuals may turn to food as a substitute for smoking, leading to weight gain. Understanding this can help in planning strategies to manage weight during the cessation process.
Choice B reason: Difficulty concentrating is another common symptom experienced during nicotine withdrawal. Nicotine has stimulant effects on the brain, enhancing concentration and alertness. When a person stops using nicotine, they may experience cognitive difficulties, including trouble focusing and memory issues. These symptoms are typically temporary but can be challenging during the withdrawal period.
Choice C reason: Diarrhea is not a common manifestation of nicotine cessation. Gastrointestinal symptoms like constipation are more frequently reported during nicotine withdrawal. The body's digestive system adjusts to the absence of nicotine, which can result in changes in bowel habits, but diarrhea is less typical.
Choice D reason: Restlessness is a well-documented symptom of nicotine withdrawal. The body and mind are accustomed to the stimulant effects of nicotine, and its absence can lead to increased agitation and restlessness. This symptom can contribute to the difficulty of quitting smoking, as it creates a sense of discomfort and unease.
Choice E reason: Decreased appetite is not typically associated with nicotine cessation. Instead, increased appetite is more commonly observed due to the removal of nicotine's appetite-suppressing effects. Therefore, decreased appetite is not a typical manifestation of nicotine withdrawal.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: While this statement might be true, it can come across as dismissive or invalidating the adolescent's feelings. The nurse's goal should be to listen and understand the adolescent's perspective, rather than making assumptions about the parents' intentions.
Choice B reason: This response opens up a conversation about the adolescent's feelings and experiences regarding their relationship with their parents. It shows empathy and a willingness to understand the adolescent's perspective, which can help build trust and rapport. By exploring the relationship, the nurse can gather more information and provide appropriate support and guidance.
Choice C reason: Asking "Why do you think your parents are hard to please?" can come across as confrontational or judgmental. It might make the adolescent feel defensive or misunderstood. The nurse should focus on creating a supportive environment for the adolescent to express their feelings without feeling judged.
Choice D reason: Telling the adolescent that "Things will get better as time goes on" can seem dismissive and may not address the immediate concerns and feelings the adolescent is experiencing. It is important for the nurse to validate the adolescent's feelings and offer support and understanding in the present moment.
Correct Answer is C
Explanation
Choice A reason: Setting limits is not typically the primary behavioral management technique for clients with delirium. Delirium is an acute and often reversible state of confusion that requires addressing the underlying medical cause. Management strategies for delirium focus on reorientation, ensuring safety, and treating any underlying conditions rather than setting behavioral limits.
Choice B reason: Clients with depression may benefit from supportive and empathetic interactions rather than strict behavioral limits. While structure and routine can be helpful, the primary approach for managing depression involves therapeutic communication, medication management, and cognitive-behavioral strategies rather than setting limits on behavior.
Choice C reason: Setting limits is an essential behavioral management technique for clients with antisocial personality disorder. Individuals with this disorder often exhibit manipulative, deceitful, and aggressive behaviors. Clear and consistent limits help establish boundaries and prevent the exploitation of others. This approach promotes accountability and helps manage inappropriate behaviors in a therapeutic setting.
Choice D reason: Generalized anxiety disorder is characterized by excessive and persistent worry. Behavioral management techniques for anxiety disorders typically include cognitive-behavioral therapy, relaxation techniques, and sometimes medication. Setting limits is not a primary intervention for managing anxiety; rather, the focus is on reducing anxiety symptoms through therapeutic strategies.
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