The client is in the hospital after her house collapsed during a hurricane. She has been in the intensive care unit for 2 weeks and moved today to the surgical floor to continue monitoring her respiratory function and to complete intravenous antibiotic administration.

For each client statement, click to highlight the statement(s) below that require follow up teaching by the nurse.

I am at high risk for post-traumatic-stress disorder because I have acute stress disorder

I can use holistic approaches like meditation to help my symptoms.

I can learn to manage my thoughts better through therapy.

Many people have the same response to a stressful situation as I am having.

This diagnosis means that I am crazy.

I will probably need to be on medication for the rest of my life.

I am at high risk for post-traumatic-stress disorder because I have acute stress disorder

I can use holistic approaches like meditation to help my symptoms.

I can learn to manage my thoughts better through therapy.

Many people have the same response to a stressful situation as I am having

This diagnosis means that I am crazy.

I will probably need to be on medication for the rest of my life.

Answer and Explanation

The Correct Answer is ["A","E","F"]

A) Correct- The client's statement suggests a misconception about the progression from acute stress disorder (ASD) to post-traumatic stress disorder (PTSD). While ASD is an initial response to trauma, it doesn't necessarily indicate a high risk for developing PTSD. The nurse should provide education about the differences and the various factors that influence the development of PTSD.

B) Incorrect- This statement reflects the client's proactive approach to using holistic approaches like meditation to manage symptoms. Meditation and other relaxation techniques can be beneficial for managing stress and anxiety related to the traumatic event.

C) Incorrect- This statement reflects the client's motivation to learn how to manage their thoughts better through therapy. Therapy can be highly effective for addressing trauma-related distress and helping clients develop coping strategies.

D) Incorrect- This statement reflects the client's recognition that their response is shared by many people in similar situations. Validating the client's experience and normalizing their feelings can be therapeutic.

E) Correct- This statement reflects a common misconception and stigma associated with mental health diagnoses. The nurse should reassure the client that a diagnosis of acute stress disorder does not equate to being "crazy" and provide information about the nature of the disorder and available treatments.

F) Correct- The statement implies a potential pessimistic outlook on treatment. While medication might be part of the treatment plan, it's important to emphasize that treatment approaches are individualized. Encouraging an open dialogue about various treatment options, including therapy and coping strategies, is essential.

Nursing Test Bank

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Free Nursing Study Resources

Correct Answer is ["25"]

Explanation

The prescription is for 1 gram of azithromycin, which is 1000 mg. The concentration of

the suspension is 200 mg per 5 mL. To calculate the amount in mL:

1000 mg / 200 mg per 5 mL = 25 mL

The nurse should administer 25 mL of the suspension.

A. Review the literature and answer any questions the nurse is able to answer. B. Determine their reasoning for seeking genetic counseling at this time. C. Tell the couple that it is best to call the counselor with their questions. D. Recommend a community support group for parents of children with Trisomy 21.

Correct Answer is A

Explanation

A) Correct- As a nurse, it's important to provide accurate and helpful information to patients and families. In this situation, the parents have brought literature from a genetic counselor and are seeking clarification. The nurse should review the literature to the best of their ability and answer any questions they can. This approach demonstrates support, a willingness to help, and a commitment to providing accurate information.
B) Incorrect- While understanding the parents' reasons for seeking genetic counseling is important, it shouldn't be the first response when they have already brought literature and are seeking clarification. Addressing their questions and concerns is the immediate priority.
C) Incorrect- While it's true that the couple could contact the genetic counselor for further information, as a healthcare professional, the nurse should still offer assistance by reviewing the literature and answering questions to the best of their ability.
D) Incorrect- While support groups can be beneficial for parents of children with Trisomy 21, the immediate concern is addressing the parents' questions about the literature they've brought. Providing accurate information should be the primary focus at this time.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with a chlamydia infection receives a prescription for a single dose azithromycin 1 gram by mouth. The bottle is labeled "Azithromycin for Oral Suspension, USP 200 mg per 5 mL." How many mL should the nurse administer? (Enter numerical value only.)

Correct Answer is ["25"]

Explanation

Correct Answer is A

Explanation

When performing suctioning for a client with a tracheostomy, which action should the nurse include?

The nurse is caring for a client who reports running out of aspirin 1 week ago and taking ibuprofen as a replacement. Which information should the nurse obtain from the client first?

The nurse has completed the diet teaching of a client who is being discharged following treatment of a leg wound. A high protein diet is encouraged to promote wound healing. Which lunch choice by the client indicates that the teaching was effective?

The nurse is providing care to a client having surgery to repair a retinal detachment to the left eye. Which intervention should the nurse implement during the postoperative period?

Exhibits here What should the nurse include in pre-discharge education for this child's parents? Select all that apply.

A client with unilateral hearing loss is admitted for a scheduled surgery. Which technique should the nurse use to provide education about pain relief options?

A client who is receiving zidovudine reports the appearance of pinpoint, red, round spots on the skin. Which result should the nurse report to the healthcare provider?