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Questions and Answers
A man is admitted to the nursing care unit with a diagnosis of
cirrhosis. He has a long history of alcohol dependence. During the late
evening following his admission, he becomes increasingly disoriented and
agitated. Which of the following would the client be least likely to
Diaphoresis and tremors.
Increased blood pressure and heart rate.
Delusions of grandeur.
Mr. Wilson, 35, is admitted for bipolar illness, manic phase, after assaulting his landlord in an argument over Mr. Wilson’s staying up all night playing loud music. Mr. Wilson’s is hyperactive, intrusive, and has rapid, pressured speech. He has not slept in three days and appears thin and disheveled. Which of the following is the most essential nursing action at this time?
Providing a meal and beverage for Mr. Wilson to eat in the dining room.
Providing linens and toiletries for Mr. Wilson to attend to his hygiene.
Consulting with the psychiatrist to order a hypnotic to promote sleep.
Providing for client safety by limiting his privileges.
Which of the following would best indicate to the nurse that a depressed client is improving?
Reduced levels of anxiety.
Changes in vegetative signs
Compliance with medications.
Requests to talk to the nurse.
An elderly man is admitted to the hospital. He was alert and oriented during the admission interview. However, his family states that he becomes disruptive and disoriented around dinnertime. One night he was shouting furiously and didn’t know where he was. He was sedated and the next morning he was fine. At dinnertime the disruptive behavior returned. The client is diagnosed as having sundown syndrome. The client’s son asks the nurse what causes sundown syndrome. The nurse’s best response is that it is attributed to
An underlying depression.
Inadequate cerebral flow.
Changes in the sensory environment.
Fluctuating levels of oxygen exchange.
The nurse is discussing electroconvulsive therapy (ECT) with a client who asks how long it will be before she feels better. The nurse explains that the beneficial effects of ECT usually occur within
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Questions: 53 | Attempts: 16838 | Last updated: Feb 19, 2021
The best explanation of what Title VI of the Civil Rights Act mandates is the freedom to: