Ms. S is admitted to your medical unit with a diagnosis of dehydration and a history of depression. She tells you, "I just can't eat, I'm not hungry." What would be your best therapeutic response?

"You aren't hungry?"

"If you can't eat, what is that candy bar wrapper doing under your bed?"

"You really should try to eat some real food."

"Why aren't you hungry?"

Answer and Explanation

The Correct Answer is D

Choice A reason: This response is a closed-ended question that might not encourage further discussion or reveal the underlying issues.

Choice B reason: This confrontational approach could make the patient defensive and is not conducive to building a therapeutic relationship.

Choice C reason: While encouraging the patient to eat is important, this directive does not address the patient's feelings or concerns.

Choice D reason: Asking an open-ended question invites the patient to share more about their feelings and can lead to a better understanding of their lack of appetite.

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Correct Answer is C

Explanation

Choice A reason: Respiratory alkalosis is typically associated with hyperventilation, which is not common in acute pulmonary edema.

Choice B reason: Metabolic acidosis can occur in pulmonary edema due to tissue hypoxia and lactic acid production, but respiratory acidosis is more directly related to the primary problem of gas exchange.

Choice C reason: Respiratory acidosis is likely in acute pulmonary edema due to impaired gas exchange and CO2 retention.

Choice D reason: Metabolic alkalosis is not typically associated with acute pulmonary edema and is less likely than respiratory acidosis in this context.

A. An Asian male B. A Black female C. A Hispanic female D. A White male

Correct Answer is B

Explanation

Choice A reason: While all individuals can develop heart failure, an Asian male is not considered the highest risk group based on the available data.

Choice B reason: A Black female is at a higher risk for developing heart failure, especially due to factors like hypertension, diabetes, and certain socioeconomic factors³.

Choice C reason: A Hispanic female may have multiple risk factors for heart failure, but the prevalence and risk are not as high as in the Black female population³.

Choice D reason: A White male, while at risk for heart failure, does not have the highest risk when compared to a Black female with the same age and health conditions³.

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Ms. S is admitted to your medical unit with a diagnosis of dehydration and a history of depression. She tells you, "I just can't eat, I'm not hungry." What would be your best therapeutic response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting in the care of a client who has acute onset pulmonary edema and is experiencing dyspnea with low oxygen saturation rates. The nurse should recognize the client is at risk for which of the following acid-base imbalances?

Correct Answer is C

Explanation

The nurse is caring for a group of patients. Which patient is at the highest risk for developing heart failure (HF)?

Correct Answer is B

Explanation

The nurse is reinforcing teaching to the patient about the cause of pain from coronary artery disease. The nurse would evaluate the patient as understanding the education if the patient stated which of the following causes the pain from coronary artery disease?

A nurse is collecting data from a client who has right-sided heart failure. Which of the following findings should the nurse expect?

Which of the following is not true about depression?

A nurse is caring for a hospitalized client who has bipolar disorder and is disturbing other clients with incessant talking. Which of the following actions should the nurse take?

A nurse is collecting data from an older adult client who has been taking digoxin for the past several months. For which of the following manifestations of digoxin toxicity should the nurse monitor?

A nurse is caring for a client who has depression. After two days of treatment, the nurse notices that the client is suddenly more active and there are no longer signs of a depressive state. Which of the following interventions should the nurse recommend for the plan of care?

The nurse is reinforcing teaching for a patient with chronic heart failure. Which of the following weight measurements should the nurse ask the patient to perform to monitor fluid status at home?

Your patient with major depressive disorder isolates herself in her room for the whole day. You find her sitting and staring out the window. What is your best therapeutic response when you walk into her room?