When working with a male client suffering phobia about black cats, Nurse Trish should anticipate that a problem for this client would be?
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Solution
Anxiety when discussing phobia
Option A: Discussion of the feared object triggers an emotional response to the object.
A 60-year-old female client who lives alone tells the nurse at the community health center “I really don’t need anyone to talk to”. The TV is my best friend. The nurse recognizes that the client is using the defense mechanism known as?
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Solution
Denial
Option D: The client statement is an example of the use of denial, a defense that blocks problem by unconscious refusing to admit they exist.
Nurse Perry is aware that language development in autistic child resembles:
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Solution
Echolalia
Option D: The autistic child repeat sounds or words spoken by others.
When teaching parents about childhood depression Nurse Trina should say?
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Solution
It may appear acting out behavior
Option A: Children have difficulty verbally expressing their feelings, acting out behavior, such as temper tantrums, may indicate underlying depression.
Nurse Monette recognizes that the focus of environmental (MILIEU) therapy is to:
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Solution
Manipulate the environment to bring about positive changes in behavior
Option A: Environmental (MILIEU) therapy aims at having everything in the client’s surrounding area toward helping the client.
To establish an open and trusting relationship with a female client who has been hospitalized with severe anxiety, the nurse in charge should?
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Solution
Respect client’s need for personal space
Option D: Moving to a client’s personal space increases the feeling of threat, which increases anxiety.
Which of the following would Nurse Hazel expect to assess for a client who is exhibiting late signs of heroin withdrawal?
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Solution
Vomiting and Diarrhea
Option D: Vomiting and diarrhea are usually the late signs of heroin withdrawal, along with muscle spasm, fever, nausea, repetitive, abdominal cramps, and backache.
Which of the following foods would the nurse Trish eliminate from the diet of a client in alcohol withdrawal?
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Solution
Regular Coffee
Option D: Regular coffee contains caffeine which acts as psychomotor stimulants and leads to feelings of anxiety and agitation. Serving coffee top the client may add to tremors or wakefulness.
Cely is experiencing alcohol withdrawal exhibits tremors, diaphoresis, and hyperactivity. Blood pressure is 190/87 mmHg and pulse is 92 bpm. Which of the medications would the nurse expect to administer?
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Solution
Lorazepam (Ativan)
Option C: The nurse would most likely administer benzodiazepine, such as lorazepan (ativan) to the client who is experiencing symptom: The client’s experiences symptoms of withdrawal because of the rebound phenomenon when the sedation of the CNS from alcohol begins to decrease.