The nurse is caring for a client with poor self-esteem. What intervention would be important for the nurse to include in the plan of care?

Encourage descriptions of perceived failures

Set limits on manipulative behaviors

Provide activities that can be accomplished

Teach aggressive communication skills

Answer and Explanation

The Correct Answer is C

A.   Encouraging descriptions of perceived failures may further exacerbate the client's poor self- esteem and is not a therapeutic intervention.
B.   While setting limits is important in managing behavior, it may not directly address the underlying issue of poor self-esteem.
C.   Providing activities that can be accomplished can help boost the client's confidence and self- esteem.
D.   Teaching aggressive communication skills is not appropriate and may contribute to further negative self-perception.

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Correct Answer is A

Explanation

A) Correct. Amitriptyline, like other tricyclic antidepressants, can cause orthostatic hypotension, which is a drop in blood pressure when changing position from lying to standing.

B) Incorrect. Diarrhea is not a common side effect of amitriptyline.
C) Incorrect. Weight gain is more commonly associated with amitriptyline, not weight loss.
D) Incorrect. Excessive salivation is not a typical side effect of amitriptyline.

A. Label the bathroom door. B. Take the older adult to the bathroom hourly. C. Place the older adult in disposable adult briefs. D. Limit the intake of oral fluids to 1000 mL/day.

Correct Answer is A

Explanation

A. Labeling the bathroom door can provide a visual cue to help the older adult locate the bathroom, which may reduce episodes of incontinence.
B. Taking the older adult to the bathroom hourly is a good strategy, but it may not always be feasible or effective in preventing accidents.
C. Using disposable adult briefs may be necessary at times, but it should not be the first line intervention.
D. Limiting oral fluids to 1000 mL/day may lead to dehydration and is not an appropriate intervention for addressing incontinence.

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The nurse is caring for a client with poor self-esteem. What intervention would be important for the nurse to include in the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has been diagnosed with major depression and placed on amitriptyline. Which is a side effect of amitriptyline?

Correct Answer is A

Explanation

An older adult in the middle and late stages of Alzheimer's forgets where the bathroom is and has episodes of incontinence. Which intervention should the nurse suggest to the client's family?

Correct Answer is A

Explanation

The nurse observes a client drooling during mealtime. The client complains that his tongue feels swollen, and his jaw feels tight. What is the first action by the nurse?

A client diagnosed with major depressive disorder with psychotic features hears voices commanding self harm. The client refuses to commit to developing a plan for safety. What should be the nurse's priority intervention at this time?

A client diagnosed with major depressive disorder is considering cognitive behavioral therapy. The client asks the nurse how this therapy would help alleviate depressive thoughts. What is the best response by the nurse?

The client is experiencing a manic episode. Which of the following activities will be included in the plan of care?

A nurse in the emergency department is implementing a plan of care for an older adult client who is experiencing delirium tremens. Which of the following actions should the nurse take first?

An adult in the emergency department states, "Everything I see appears to be waving. I am outside my body looking at myself. I think I'm losing my mind." Vital signs are slightly elevated. What does the nurse suspect?

A nurse is providing teaching for a client who has schizophrenia and a new prescription for risperidone. Which of the following statements should the nurse include in the teaching?

A client is admitted to the emergency department after using ecstasy. The nurse identifies this drug as belonging to what class?