During a family group meeting, the client's daughter tells the group, "I hope I didn't cause
Mom to be depressed." Which response is best for the nurse to provide?

I hear you say you worry about causing your mother's distress.

Are you afraid that your mother's depression will lead to her death?

What do you think you did that led to your mother's depression?

You are not alone in feeling responsible for others in your family.

Answer and Explanation

The Correct Answer is A

A.   This response acknowledges the daughter's feelings without making assumptions or placing blame, fostering open communication and understanding within the family group.
B.   This response may escalate the daughter's anxiety and is not directly related to her statement about causing her mother's depression.
C.   This response may inadvertently encourage the daughter to blame herself for her mother's depression, which is not helpful in addressing family dynamics.
D.   This response may put the daughter on the spot and could make her feel defensive or misunderstood, hindering effective communication within the family group.

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Correct Answer is A

Explanation

A. Caring for an older parent and her own children simultaneously can lead to significant caregiver role strain due to the increased responsibilities and demands on the client's time and energy.
B. Feeling anxious to leave for personal appointments may indicate stress but does not specifically address caregiver role strain.
C. Taking naps in her car during lunch hour may suggest fatigue or exhaustion but does not directly relate to caregiver role strain.
D. Working an average of 60 hours per week may contribute to overall stress and fatigue but does not specifically address the client's role as a caregiver for her parent and children.

A. Current vital signs. B. White blood cell count. C. 24-hour urinary output. D. Blood sugar level.

Correct Answer is A

Explanation

A. Current vital signs are essential for assessing for neuroleptic malignant syndrome (NMS), a potentially life-threatening side effect of antipsychotic medications like haloperidol. Vital signs such as temperature, blood pressure, heart rate, and respiratory rate are crucial indicators of
NMS.

B. While monitoring white blood cell count may be important for detecting infections or adverse reactions to medications, it is not specific to assessing for NMS.
C. Monitoring 24-hour urinary output may be important for assessing renal function but is not specific to assessing for NMS.
D. Monitoring blood sugar levels may be important for clients with diabetes or those at risk of hyperglycemia due to medication effects, but it is not specific to assessing for NMS.

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During a family group meeting, the client's daughter tells the group, "I hope I didn't cause Mom to be depressed." Which response is best for the nurse to provide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An adult female client is brought to the Emergency Center after fainting at work. The nurse completes an assessment of the client and identifies caregiver role strain as a nursing problem. Which information best supports this problem?

Correct Answer is A

Explanation

A client with schizophrenia returns to the clinic two weeks after receiving a prescription for haloperidol. To assess for neuroleptic malignant syndrome (NMS), which information is most important for the nurse to obtain during this visit?

Correct Answer is A

Explanation

A client engages in repeated checks of door and window locks and behavior that prevents the client from arriving on time and interfering with the ability to function effectively. Which action should the nurse take?

The nurse wants to teach the client about the long-term phase symptoms of rape-trauma syndrome. What symptoms are consistent with long-term rape trauma? Select all that apply.

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The charge nurse of the psychiatric unit observes clients in the day area. Which client is exhibiting symptoms of a conversion disorder?

A client who is an alcoholic receives a prescription for disulfiram 500 mg by mouth (PO) daily. Which instruction should the nurse provide to this client?

The nurse develops a plan of care for a female client who scratches her wrists in attempts to deal with anxiety. Which client outcome is most important to include in the plan of care?

During a family group meeting, the client's daughter tells the group, "I hope I didn't cause
Mom to be depressed." Which response is best for the nurse to provide?