The nurse is caring for a client who has has been inhaling solvents to receive a "high." After the nurse provides education on the effects of inhaling solvents, which statement from the client indicates understanding of the teaching?
"Inhalants are central nervous system (CNS) depressants similar to alcohol."
"The 'high' that I am getting is from hallucinogenic properties in the inhalant"
"Inhalants are easy to come by and highly addictive."
"When inhaling solvents, I get an instant CNS stimulation that is euphoric.”
The Correct Answer is C
A. "Inhalants are central nervous system (CNS) depressants similar to alcohol." Inhalants are CNS depressants, but this response might not indicate full understanding of the risks and addictive nature of inhalants.
B. "The 'high' that I am getting is from hallucinogenic properties in the inhalant." This is incorrect because inhalants are not primarily hallucinogens; they depress the CNS, leading to effects similar to alcohol intoxication.
C. "Inhalants are easy to come by and highly addictive." This statement indicates the client understands the accessibility and addictive potential of inhalants, which is a critical aspect of the education provided by the nurse.
D. "When inhaling solvents, I get an instant CNS stimulation that is euphoric." While inhalants may provide a euphoric sensation, they are primarily CNS depressants, not stimulants. This response indicates a misunderstanding of their effects.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "Are you frightened?" This response is empathetic but may inadvertently reinforce the client's delusional thinking by focusing on the fear rather than addressing the delusion.
B. "You know I'm not following you." This response directly challenges the client's delusion, which could provoke defensiveness and escalate the situation.
C. "You'll have to go into seclusion if you continue to threaten me." This response is confrontational and may escalate the situation further by implying a threat, which could increase the client's fear and anger.
D. "I'm sorry if I frightened you. I was returning to the nurses' station after going out for lunch." This response acknowledges the client's feelings without reinforcing the delusion and provides a simple, non-threatening explanation for the nurse's actions. It helps de-escalate the situation by maintaining a calm, non-confrontational tone.
Correct Answer is A
Explanation
A. Drink adequate noncaffeinated and non-alcoholic beverages: Xerostomia (dry mouth) can be alleviated by staying hydrated with noncaffeinated and non-alcoholic beverages, which help to moisten the mouth and improve comfort.
B. Take nutrient-dense foods or to combine plant-based proteins: While nutrient-dense foods are important for overall health, they do not specifically address the issue of xerostomia. Plant-based proteins do not directly impact the symptoms of dry mouth.
C. Take protein-based liquid supplements: Protein-based liquid supplements are not specifically designed to address dry mouth and may not help in alleviating xerostomia.
D. Get dental care and practice dental hygiene daily: While dental care and hygiene are important for overall oral health, they do not specifically address xerostomia. Drinking fluids is more directly helpful for managing dry mouth.
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