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

An Asian male

A Black female

A Hispanic female

A White male

Answer and Explanation

The Correct Answer is B

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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Correct Answer is D

Explanation

Choice A reason: This statement is not entirely true because not all bipolar disorders include periods of major depression. For example, in cyclothymic disorder, individuals experience hypomanic episodes with milder episodes of depression.

Choice B reason: This statement is incorrect because bipolar disorders can manifest in various patterns and behaviors, and there is no single pattern that applies to all individuals with the condition.

Choice C reason: This statement is false. Manic depression, now known as bipolar disorder, is characterized by episodes of mania, which are more severe than the hypomanic episodes seen in hypomanic disorder.

Choice D reason: This is the most accurate statement. Patients with bipolar II disorder experience major depressive episodes along with hypomanic episodes, which are less severe than the manic episodes seen in bipolar I disorder.

A. "You should rest in bed until you feel able to take part in unit activities." B. "You really need to follow the rules of the unit and get out of bed." C. "I will help you sit up and get your slippers on." D. "If you do not get out of bed, you will not receive your meal."

Correct Answer is C

Explanation

Choice A Reason:Encouraging the client to rest in bed until she feels able to participate in unit activities is appropriate. Depression often leads to fatigue, lack of motivation, and decreased interest in daily activities. Allowing the client to rest and regain energy while acknowledging her feelings is supportive and respectful.

Choice B Reason:Telling the client that she needs to follow the rules of the unit and get out of bed may come across as dismissive and unsupportive. It does not consider the client's emotional state or address her fatigue. A more empathetic approach is needed.

Choice C Reason:Offering assistance to help the client sit up and put on her slippers is a helpful action, but it does not directly address her feelings of tiredness or depression. While physical support is essential, emotional support and understanding are equally crucial.

Choice D Reason:Linking getting out of bed to receiving a meal may inadvertently pressure the client. It could worsen her feelings of guilt or hopelessness. Instead, focusing on her well-being and emotional state is more appropriate.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which statement is most true about bipolar disorder?

Correct Answer is D

Explanation

A nurse is caring for a client who has depression and states that she is too tired to get out of bed or dress. Which of the following statements by the nurse is appropriate?

Correct Answer is C

Explanation

A nurse on the mental health unit is caring for a client who has bipolar disorder and comes to the nurse's station at 0300 demanding to see the provider. Which of the following responses should the nurse make?

A nurse is contributing to the plan of care for a client who is newly admitted with severe depression. Which of the following actions should be added to the plan of care?

A nurse is caring for a client who has depression and is taking a monoamine oxidase inhibitor (MAOI). The nurse should inform the client that their diet may include which of the following foods?

Your patient, who is manic, says, "Everything I do is great." How should you respond?

Your patient appears withdrawn and depressed. Which of the following would not be an effective intervention?

A newly licensed nurse is assisting with the involuntary admission of a client who has depression to an acute care mental health facility. Which of the following guidelines should the nurse follow when caring for the client?

The nurse is reinforcing teaching to the patient about controlling cholesterol with diet. Which of the following dietary actions help reduce cholesterol? Select all that apply.

A nurse is preparing to administer digoxin to a client who has heart failure. Before administering this medication, which of the following actions should the nurse take?