A nurse must be alert when a client is giving away possessions, getting his/her life in order, or making vague goodbyes to people. Which of the following should the nurse be concerned about?
Depressive State
Suicidal intent
A plan to relocate
Elopement with partner
The Correct Answer is B
A. A depressive state may involve feelings of hopelessness, but giving away possessions and saying goodbyes are signs of potential suicidal intent.
B. Suicidal intent is the primary concern in this situation. These behaviors are commonly seen when a client is preparing to end their life.
C. A plan to relocate would not typically involve giving away possessions or saying goodbyes in such a manner.
D. Elopement with a partner is not a typical behavior associated with suicidal intent.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2"]
Explanation
The nurse needs to administer 1 mg of clonazepam, and since each tablet is 0.5 mg, the nurse should give 2 tablets to provide the correct dose.
Correct Answer is A
Explanation
A. Tardive dyskinesia is a movement disorder often caused by long-term use of antipsychotic medications like chlorpromazine. Symptoms include involuntary movements such as jerking or lip smacking.
B. Lock Jaw is not a characteristic of tardive dyskinesia; it refers to trismus, often seen with other conditions.
C. Pseudoparkinsonism is characterized by tremors, rigidity, and bradykinesia, typically occurring early in antipsychotic treatment.
D. Akathisia involves restlessness and an inability to stay still, not the involuntary movements associated with tardive dyskinesia.
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