A registered nurse assesses a confused older adult, The nurse experiences sadness and reﬂects. "The patient is like one of my grandparents, so helpless." What feelings does the nurse describe?
Select one:

Sublimation

Transference

Counter transference

Repression

Answer and Explanation

The Correct Answer is C

Countertransference refers to the feelings and emotions that a healthcare provider may have towards a patient. In this case, the nurse is experiencing sadness and reﬂecting on their own personal experiences with their grandparents while assessing the confused older adult. This can lead to the nurse projecting their own feelings and emotions onto the patient.

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Correct Answer is C

Explanation

Diarrhea, vomiting, and drowsiness are potential signs of lithium toxicity, which can be a serious and potentially life-threatening condition. If a client who is being treated with lithium carbonate develops these symptoms, the nurse should notify the health care provider immediately and hold the next dose of medication until new orders are received from the provider.

Option a. Hold the medication and refuse to administer additional doses for 3 days is not an appropriate action because it does not involve notifying the health care provider or obtaining new orders.

Option b. Notify the health care provider immediately and give 4 liters of ﬂuids is not an appropriate action because it involves administering ﬂuids without obtaining orders from the health care provider.

Option d. Document the client’s symptoms and continue with medication as prescribed is not an appropriate action because it does not involve notifying the health care provider or holding the next dose of medication.

A. Gent clams that she was forced to participate in sexual intercourse by a friend B. Client States “my date raped me tonight." C. Client has been sexually assaulted last night at 10 pm D. Client reported that she had sexual relations against her Will and she feels very bad

Correct Answer is B

Explanation

This statement clearly and accurately conveys the client's complaint of being raped by her date.

Option a uses colloquial language and may not accurately convey the severity and trauma of the situation.

Option c uses vague language that does not clearly state the nature of the incident.

Option d uses subjective language that may not be helpful for accurately documenting the client's complaint.

It's important for healthcare providers to use appropriate language when documenting sensitive situations like sexual assault to ensure clear communication among the healthcare team and accurate documentation for legal and forensic purposes.

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A registered nurse assesses a confused older adult, The nurse experiences sadness and reﬂects. "The patient is like one of my grandparents, so helpless." What feelings does the nurse describe? Select one:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who is being treated with lithium carbonate for bipolar disorder type I begins to develop diarrhea, vomiting, and drowsiness. Which action should the registered nurse take? Select one:

Correct Answer is C

Explanation

A young female client is admitted to the emergency room because she was raped that evening by her date. How should the registered nurse record the client's chief complaint in the medical record?

Correct Answer is B

Explanation

The registered nurse is preparing for the termination phase of the nurse-client relationship. The registered nurse prepares to implement which nursing task that is most appropriate and most important for this phase? Select one:

A registered nurse is preparing a client who has chronic anxiety for discharge from the psychiatric unit. Which of the following instructions should the nurse include in the client's discharge plan?

The nurse provides care for a client with anorexia nervosa. The nurse knows which statements aretrue regarding anorexia nervosa?

After several therapeutic sessions with a client who recently attempted suicide, which occurrence should cause the nurse to consider the possibility of transference? Select one:

A patient cries as the nurse explores the patient's relationship with a deceased parent. The patient says, “I shouldn't be crying like this, it happened a long time ago.” Which responses by the nurse will facilitate communication? Select all that apply. Select one or more:

A nurse in a substance abuse clinic is assessing a client who recently started taking disulfiram. The client reports discontinued the medication after experiencing severe nausea and vomiting. Which of the following reasons should the nurse suspect to be a likely cause of the Client’s distress?

A registered nurse cares for an older adult patient admitted for the treatment of depression. The health care provider prescribes an antianxiety medication today, but the dose is more than the usual adult dose. The nurse should: Select one:

A psychiatric nurse is caring for a young adult client who says he is experiencing increased anxiety and an inability to concentrate. Which of the following responses should the nurse make?

A registered nurse assesses a confused older adult, The nurse experiences sadness and reﬂects. "The patient is like one of my grandparents, so helpless." What feelings does the nurse describe?
Select one: