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During an intake assessment, a client with antisocial personality disorder uses profanity, sexual orientation slurs, and threatens to spit at the nurse. What is the MOST appropriate statement or ask for the nurse to make about the client's behavior?

"You need to learn how to talk to people.We are trying to help you.”.

"What medications do you take for your mental health problems?"

"Do you know how long I've been doing this? You do not intimidate me.”.

"I understand that you are angry, but this behavior will not be tolerated.”.

Answer and Explanation

The Correct Answer is D

Choice A rationale

This statement is confrontational and does not provide clear boundaries or expectations for acceptable behavior.

Choice B rationale

Asking about medications does not address the inappropriate behavior and may further escalate the situation.

Choice C rationale

This response is defensive and may provoke further aggression from the client.

Choice D rationale

This statement acknowledges the client's feelings while clearly setting a boundary for unacceptable behavior, promoting a safe environment.

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

Explanation

Choice A rationale

It's widely recommended to attempt lifestyle modifications, such as diet and exercise, before initiating pharmacotherapy for obesity. This approach is due to the potential side effects and costs associated with weight loss medications, making non-pharmacological interventions a safer first option.

Choice B rationale

This statement is incorrect. Drugs used for weight loss can have significant side effects, including gastrointestinal disturbances, increased heart rate, and potential risks of abuse or dependence. It is important for healthcare providers to weigh the benefits and risks before prescribing these medications.

Choice C rationale

Weight loss drugs are typically used in conjunction with lifestyle changes and are not recommended to be used for prolonged periods if ineffective. Continuous monitoring and evaluation of the drug's effectiveness and side effects are crucial in managing obesity with pharmacotherapy.

Choice D rationale

Correct. Current drugs approved for weight loss generally work by either reducing nutrient absorption (e.g., orlistat) or suppressing appetite (e.g., phentermine). These mechanisms help individuals decrease caloric intake and promote weight loss.

Choice E rationale

This statement is inaccurate. The amount of weight loss with medication varies among individuals, and losing at least forty pounds is not a guaranteed outcome. The effectiveness of weight loss drugs depends on several factors, including adherence to the medication and accompanying lifestyle changes.

A. This medication is the best antibiotic to treat H. Pylori. B. Crush the medication and give with at least 10 ounces of water. C. Give the medication 30 minutes prior to meals. D. Treatment using proton pump inhibitors lasts 3 to 6 months typically.

Correct Answer is C

Explanation

Choice A rationale

Omeprazole is not an antibiotic; it is a proton pump inhibitor (PPI). It reduces stomach acid production, which helps in managing peptic ulcer disease but does not directly treat H. pylori infection. Antibiotics are needed to treat H. pylori.

Choice B rationale

Omeprazole should not be crushed as it is a delayed-release medication designed to protect it from stomach acid. Crushing it would destroy this protective mechanism, reducing its effectiveness.

Choice C rationale

Omeprazole is most effective when taken 30 minutes before meals. This timing allows the medication to inhibit the proton pumps that produce stomach acid, providing better control of acid secretion.

Choice D rationale

Treatment with proton pump inhibitors for peptic ulcer disease may last from a few weeks to several months, depending on the severity of the condition and the individual response to treatment. It is not typically a fixed 3 to 6 months duration.

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During an intake assessment, a client with antisocial personality disorder uses profanity, sexual orientation slurs, and threatens to spit at the nurse. What is the MOST appropriate statement or ask for the nurse to make about the client's behavior?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is leading a community-based discussion group on pharmacotherapy used in obesity. Which statement(s) made by the participants is/are correct? (SELECT ALL THAT APPLY)

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

Explanation

A nurse is preparing to administer a prescribed dose of omeprazole to a client with peptic ulcer disease. What does the nurse need to remember when administering this medication?

Correct Answer is C

Explanation

Which finding would most concern the nurse when caring for a client diagnosed with a bowel obstruction?

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