A client has been receiving hemodialysis for 3 months. During the history assessment the client reports that they find themselves feeling angry whenever it is time for the dialysis treatment. The nurse can probably attribute this to:

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Question 1 of 5

A client has been receiving hemodialysis for 3 months. During the history assessment the client reports that they find themselves feeling angry whenever it is time for the dialysis treatment. The nurse can probably attribute this to:

Correct Answer: B

Rationale: Anger during dialysis reflects grief over lost health, a normal reaction per Kübler-Ross. Brain changes lack evidence, personality flaws are judgmental, and denial doesn't fit anger. Grief explains emotional response to chronic illness, making it the attribution.

Question 2 of 5

Medication Calculation: The nurse practitioner prescribes: Trazodone 150 milligrams by mouth at bedtime for insomnia. Trazodone 25 milligrams is available. How many tablets would you administer at bedtime?

Correct Answer: D

Rationale: Prescribed 150 mg ÷ 25 mg tablets = 6 tablets . Option A (2) is 50 mg, B (1) is 25 mg, C (1.5) is 37.5 mg all insufficient. Precision ensures sedation without overdose risk; 6 tablets match the dose, making it correct.

Question 3 of 5

The Nurses Associated Alumnae of the United States had which purpose?

Correct Answer: C

Rationale: Formed in 1897, the Nurses Associated Alumnae aimed to oversee training to protect patients from incompetent nurses , addressing unregulated practices of the time. Setting standards was the American Society of Superintendents' role, while keeping nurses updated on medical or educational information fell to the American Journal of Nursing. The Alumnae's focus was patient safety through training oversight, a critical step in professionalizing nursing. This purpose aligns with late 19th-century efforts to elevate care quality, distinguishing it from broader educational or informational roles, making C the correct historical purpose.

Question 4 of 5

The nurse reviews with a student the responsibilities of a student nurse. Which student statement indicates additional teaching is required?

Correct Answer: D

Rationale: Student nurses must check labs , note abnormalities , and monitor charts , then notify appropriate professionals of significant findings. Saying notification is outside scope is incorrect, indicating a need for teaching. This responsibility aligns with safe care coordination, even under supervision. Misunderstanding scope could delay interventions, risking patient harm, making it the statement requiring correction through further instruction.

Question 5 of 5

A high school graduate plans to attend a One Plus One Program. How should this student explain the program to her friends?

Correct Answer: D

Rationale: The One Plus One Program trains students as LPNs in year one, then adds a year for RN preparation , often while working. Applying to baccalaureate or associate degrees involves different tracks (PN to BSN or ADN), and MSN requires a BSN first. D accurately describes the program's ladder, making it the correct explanation.

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