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A nurse is providing teaching to a school-age child about using an inhaler with a mouthpiece to manage asthma exacerbation. Identify the order in which the nurse should instruct the client to perform the steps. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Press down on the canister top.

Attach the spacer.

Shake the haler.

Hold breath for 10 seconds.

Place lips around the mouthpiece.

Answer and Explanation

The Correct Answer is B,C,E,A,D

B. Attach the spacer.: Attaching the spacer first ensures that the inhaler is properly connected and ready for use.

C. Shake the inhaler.: Shaking the inhaler is essential to mix the medication thoroughly before use.

E. Place lips around the mouthpiece.: Placing the lips around the mouthpiece is done while the inhaler is ready to be activated.

A. Press down on the canister top.: Pressing the canister releases the medication into the spacer, which the client will then inhale.

D. Hold breath for 10 seconds.: Holding the breath allows the medication to be fully absorbed into the lungs.

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Correct Answer is D

Explanation

A. "The client is preoccupied with a supposed body defect.": This manifestation is more characteristic of body dysmorphic disorder rather than generalized anxiety disorder (GAD).

B. "The client compulsively bites fingernails.": Nail-biting is often associated with obsessive-compulsive disorder (OCD) or other stress-related behaviors rather than GAD.

C. "The client exhibits hoarding behaviors.": Hoarding is typically associated with obsessive-compulsive disorder (OCD) and not generalized anxiety disorder.

D. "The client puts off making decisions.": Individuals with generalized anxiety disorder often experience indecisiveness and procrastination due to excessive worry and fear of making the wrong choice. This is a common manifestation of GAD

A. "A parent is supposed to pass before their child." B. "My partner and I have plans to open a small business." C. "I have put all the pictures of my child in the attic." D. "My partner says I seem to forget things frequently."

Correct Answer is B

Explanation

A) "A parent is supposed to pass before their child": This statement reflects ongoing grief and a struggle with the loss, indicating the client is still grappling with the emotional impact rather than moving toward reorganization and acceptance.

B) "My partner and I have plans to open a small business": This statement demonstrates that the client is beginning to focus on future goals and engaging in activities that signify a return to normalcy and investment in life. This reflects reorganization and acceptance of the loss as they are planning for the future.

C) "I have put all the pictures of my child in the attic": Putting away pictures of the child might indicate avoidance or difficulty coping with reminders of the loss. This action suggests the client may still be in the process of dealing with grief rather than having reached acceptance.

D) "My partner says I seem to forget things frequently": Frequent forgetfulness can be a symptom of ongoing grief and emotional distress. This indicates that the client may still be experiencing significant emotional and cognitive impacts from the loss.

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Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical record for a client who has generalized anxiety disorder. Which of the following manifestations should the nurse expect to see included in the client's medical record?

Correct Answer is D

Explanation

A nurse in a provider's office is assessing a client following the death of his child 6 months ago. Which of the following statements should the nurse identify as an indication the client has entered reorganization and acceptance of the loss?

Correct Answer is B

Explanation

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