A nurse is completing an admission assessment for a client who has obsessive- compulsive disorder and is becoming increasingly anxious. Which of the following actions should the nurse take first?

Teach the client about manifestations of anxiety.

Complete the client's assessment.

Provide reassurance of safety to the client.

Administer an anti-anxiety medication to the client.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Teaching about manifestations of anxiety might be important, but addressing the immediate needs of the anxious client takes precedence.

Choice B rationale:

Completing the assessment is important, but if the client is becoming increasingly anxious, immediate intervention is needed.

Choice C rationale:

Reassuring the client of their safety is a priority intervention for managing escalating anxiety. This can help to provide a sense of security and prevent the situation from worsening.

Choice D rationale:

Administering an anti-anxiety medication should not be the first step, especially without assessing the client's current condition and considering non-pharmacological interventions first.

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Correct Answer is A

Explanation

Choice A rationale:

Magnesium sulfate is often used to suppress preterm labor by relaxing the uterine smooth muscle.

Choice B rationale:

Methylergonovine is used to prevent or control postpartum hemorrhage and is not typically used for preterm labor.

Choice C rationale:

Calcium gluconate is used to treat magnesium sulfate toxicity and is not typically used for preterm labor.

Choice D rationale:

Dinoprostone is used to ripen the cervix for labor induction, not to suppress preterm labor.

A. Determine if the client is experiencing command hallucinations. B. Arrange for the client to have consistent staff assignments. C. Administer lorazepam to the client. D. Use the client's name when talking to him.

Correct Answer is A

Explanation

Choice A rationale:

Assessing for the presence of command hallucinations is a priority, as they can pose a risk to the client's safety and the safety of others.

Choice B rationale:

Consistent staff assignments can be important for clients with schizophrenia, but immediate safety concerns should take precedence.

Choice C rationale:

Administering medication is not the priority action unless there is a specific reason to do so based on the assessment.

Choice D rationale:

Using the client's name is respectful and helpful, but it is not the priority action in this scenario.

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A nurse is completing an admission assessment for a client who has obsessive- compulsive disorder and is becoming increasingly anxious. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is experiencing preterm labor. Which of the following medications should the nurse expect to administer?

Correct Answer is A

Explanation

A nurse is caring for a newly admitted client who has schizophrenia. Which of the following actions is the nurse's priority?

Correct Answer is A

Explanation

A nurse is providing teaching about home care to the family of a client who has dementia. Which of the following statements should the nurse make?

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A nurse is facilitating a group session for clients who have posttraumatic stress disorder. Which of the following client statements indicates progression toward positive outcomes?

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