A nurse is providing discharge teaching to a client prescribed diazepam. Which client statement would indicate that the client teaching was effective? "

can stop taking this medication abruptly without serious complications."

will need scheduled blood work in order to monitor for toxic levels of this drug

will not drink alcohol while taking this medication."

Will have to take this medication for the rest of my life."

Answer and Explanation

The Correct Answer is C

a. Can stop taking this medication abruptly without serious complications: Abruptly stopping diazepam, especially after long-term use, can lead to withdrawal symptoms like anxiety, seizures, and insomnia.
b. Will need scheduled blood work in order to monitor for toxic levels of this drug: While monitoring might be necessary in some cases, it's not typical for everyone on diazepam.
c. Will not drink alcohol while taking this medication. (Correct) Diazepam is a central nervous system depressant. Alcohol has similar effects, and combining them can significantly increase the risk of drowsiness, impaired coordination, and respiratory depression. Understanding this interaction is crucial for safe medication use.
d. Will have to take this medication for the rest of my life: The duration of diazepam therapy depends on the individual and the condition being treated.

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Correct Answer is D

Explanation

a. Aphasia: Aphasia is a language disorder that affects a person's ability to communicate. It does not involve the creation of false memories or stories.
b. Delirium: Delirium is an acute, often sudden change in mental status that can cause confusion and impaired attention, but it is not characterized by the fabrication of detailed stories.
c. Apraxia: Apraxia is a motor disorder where a person has difficulty with the motor planning to perform tasks or movements. It does not involve creating false stories.
d. Confabulation: Confabulation involves the creation of false memories or stories without the intention to deceive. This is common in Alzheimer's disease as the brain attempts to fill gaps in memory.

A. Anticipate the behavior and restrain when pacing begins. B. Assess environmental triggers and potential unmet needs. C. Assess for potential injury. D. Consult the psychologist regarding behavior modification techniques.

Correct Answer is B

Explanation

a. Anticipate the behavior and restrain when pacing begins: Restraint should be a last resort. Pacing might not necessarily lead to screaming, and early intervention should focus on de-escalation techniques.
b. Assess environmental triggers and potential unmet needs. De-escalation strategies should prioritize understanding why the client's behavior is escalating. Identifying environmental triggers or unmet needs (like pain, hunger, thirst) can help prevent further agitation.
c. Assess for potential injury: While assessing for injury is important, it should come after ensuring the safety of both the client and the staff by addressing the cause of the outburst.
d. Consult the psychologist regarding behavior modification techniques: Consultation is valuable, but immediate intervention to de-escalate the situation and understand the cause is the priority.

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A nurse is providing discharge teaching to a client prescribed diazepam. Which client statement would indicate that the client teaching was effective? "

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Naxlex Comprehensive Predictor Exams

A client is diagnosed with Alzheimer's disease. When asked about the previous evening, the client describes a wonderful evening spent on a cruise. Which symptom is the client exhibiting?

Correct Answer is D

Explanation

A client diagnosed with major neurocognitive disorder is exhibiting behavioral problems daily. At change of shift, the client's behavior escalates from pacing to screaming and waving their arms while on the ground. Which action should be a nursing priority?

Correct Answer is B

Explanation

The nurse's approach to a client with neurotic vs. psychotic behavior is different mainly because clients with neurotic behavior.

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A nurse is providing discharge teaching to a client prescribed diazepam. Which client statement would indicate that the client teaching was effective? "