The nurse is assisting with the care of a patient with rheumatoid arthritis (RA). What should the nurse consider when providing care?

Injury and age are the greatest contributors to disease development.

Acutely inflamed joints will respond best to heat therapy.

It is essential to monitor all body systems for effects of the disease.

Exercise is poorly tolerated and frequent rest is needed.

Answer and Explanation

The Correct Answer is C

Choice A reason: While injury and age can be risk factors, they are not the greatest contributors to RA, which is an autoimmune disease.

Choice B reason: Heat therapy can help relieve pain in some cases, but it is not always the best response for acutely inflamed joints; cold therapy is often recommended to reduce inflammation.

Choice C reason: RA can affect multiple body systems beyond the joints, including the cardiovascular and respiratory systems, so it is essential to monitor all body systems.

Choice D reason: Exercise is actually beneficial for patients with RA to maintain joint function and muscle strength; rest is important, but should be balanced with physical activity.

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

Explanation

Choice A reason: Lack of interest is a negative symptom of schizophrenia, characterized by a diminished ability to initiate and sustain planned activities.

Choice B reason: Hyperactivity is not typically considered a negative symptom of schizophrenia.

Choice C reason: Delusions are considered positive symptoms, not negative symptoms of schizophrenia.

Choice D reason: Neglect of personal hygiene is a negative symptom, reflecting a decrease in the ability to manage personal self-care.

Choice E reason: Irrational actions are more aligned with positive symptoms due to their active nature.

A. Provide information on stress reduction methods. B. Assist the client to identify triggers to obsessive behaviors. C. Speak to the client in a calm and soothing manner. D. Assist the client in identifying his anxiety level.

Correct Answer is B

Explanation

Choice A reason: While providing information on stress reduction is helpful, it is not the immediate priority.

Choice B reason: Assisting the client to identify triggers is a priority as it directly addresses the cause of the OCD behaviors.

Choice C reason: Speaking to the client in a calm manner is supportive but does not address the underlying OCD behaviors.

Choice D reason: Identifying anxiety levels can be part of the intervention, but it is not as specific as identifying triggers for the OCD behaviors.

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The nurse is assisting with the care of a patient with rheumatoid arthritis (RA). What should the nurse consider when providing care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A schizophrenic client is being assessed by the nurse. The client is demonstrating negative symptoms. Which symptoms should be considered negative? (select all that apply)

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

Explanation

A nurse is contributing to the plan of care for a client who has obsessive-compulsive disorder (OCD) regarding brushing his teeth. The client brushes his tongue several times a day and has developed several ulcerations. Which of the following interventions should the nurse identify as a priority?

Correct Answer is B

Explanation

Mr. Thomas is chastised by his boss for failing to complete an assignment. When he arrives home, he slaps his son when the boy is slow in performing his chores. Mr. Thomas is displaying:

A nurse is reinforcing preoperative teaching to a client who is undergoing total hip replacement surgery. Which of the following statements should the nurse include in the teaching?

A nurse is caring for a client who has positive manifestations of schizophrenia. Which of the following behaviors should the nurse anticipate?

Which of these would the nurse implement as the priority action for the patient with newly diagnosed septic shock?

A nurse is preparing a young adult client who has a hearing impairment for surgery. Which of the following actions should the nurse take?

A general goal for a patient with a Personality Disorder is:

A nurse is caring for a client during the immediate postoperative period following thoracic surgery. When administering an opioid analgesic for pain, the nurse should explain that the medication should have which of the following effects?

The nurse is assisting a coworker in preparing a patient for surgery. Which statement by the coworker should warrant intervention by the nurse?