A recently widowed client is experiencing memory loss, insomnia, loss of appetite, and irritability over the last few months.

Which data should the nurse obtain when assessing this client?

Suicidal ideations.

Medication history.

Alcohol use.

Anhedonia.

Answer and Explanation

The Correct Answer is A

Choice A rationale
Suicidal ideations are a critical concern in individuals who have recently experienced a significant loss and are exhibiting symptoms of depression, such as memory loss, insomnia, loss of appetite, and irritability. The loss of a spouse can trigger intense grief, which can lead to physical and mental health issues, including sleep disorders like insomnia, and loss of appetite. In severe cases, the individual may also experience a heart attack. Therefore, assessing for suicidal ideations is crucial in these situations.
Choice B rationale
While a medication history is important in any health assessment, it is not the most critical data to obtain in this specific scenario. The client’s symptoms are more indicative of a grief reaction or possible depression, which would not be directly revealed through a medication history.
Choice C rationale
Although alcohol use can exacerbate symptoms of depression and grief, and it is important to assess alcohol use in any patient presenting with mental health concerns, it is not the most critical data to obtain in this scenario. The client’s symptoms and recent loss point more towards a need to assess for suicidal ideations.
Choice D rationale
Anhedonia, or the inability to feel pleasure, is a common symptom of depression. However, in this scenario, the client’s symptoms and recent loss make it more critical to first assess for suicidal ideations.

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Correct Answer is D

Explanation

Choice A rationale
Walking away from the nurses’ station, heading to the hallway, and taking a tray from the meal cart is not necessarily aggressive behavior. It could be seen as a person simply going about their day or fulfilling a need such as hunger.
Choice B rationale
Expressing feelings of anger towards a primary nurse about not being able to have a second helping at lunch is not an aggressive behavior. It’s a form of assertive communication where the person is openly expressing their feelings and needs in a respectful manner.
Choice C rationale
Bursting into tears, leaving a community meeting, and sitting on a bed hugging a pillow and crying is more of an emotional response rather than an aggressive behavior. It could indicate sadness, frustration, or feeling overwhelmed, but it doesn’t involve any harm or intent to harm others.
Choice D rationale
Telling the medication nurse, “I am not going to take that, or any other, medication you try to give me” can be considered an aggressive behavior. This statement shows a refusal to cooperate and a confrontational attitude, which are characteristics of aggressive behavior.

A. Nausea B. Dizziness C. Fatigue D. Headache

Correct Answer is ["A","B","C","D"]

Explanation

Choice A rationale

Nausea is a common symptom that can occur due to various conditions and can be a side effect of certain medications.

Choice B rationale

Dizziness can be a symptom of various conditions, including adverse reactions to certain medications.

Choice C rationale

Fatigue is a common symptom that can occur due to various conditions and can be a side effect of certain medications.

Choice D rationale

Headache is a common symptom that can occur due to various conditions and can be a side effect of certain medications.

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A recently widowed client is experiencing memory loss, insomnia, loss of appetite, and irritability over the last few months. Which data should the nurse obtain when assessing this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following actions is the best example of aggressive behavior?

Correct Answer is D

Explanation

Correct Answer is ["A","B","C","D"]

Explanation

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

A client taking Risperdal complains of dry mouth and constipation. The nurse understands that these symptoms are caused by:

A patient returned from a procedure after receiving general anesthesia and is aggressive and confused. The nurse knows that the patient is experiencing:

A score of 1 to 10 on the Global Assessment Functioning (GAF) scale would indicate that a client was at risk for:

In a medical-surgical unit, the nurse is monitoring several patients. Which patient does the nurse identify as being at the highest risk for developing delirium?

What is an effective nursing intervention to help an angry patient manage their anger without resorting to violence?

A patient with a history of suicidal ideation is under observation. When is the patient at the highest risk for self-harm?

During a therapy session, which statement made by the nurse indicates a need for further training in effective therapeutic communication techniques?

A recently widowed client is experiencing memory loss, insomnia, loss of appetite, and irritability over the last few months.

Which data should the nurse obtain when assessing this client?