A nurse is assisting a patient in using simple rel

Question 1 of 5

A nurse is assisting a patient in using simple relaxation techniques. Which of the following would the nurse do first?

A. Have the patient assume a relaxed position. B. Advise the patient to let the sensations happen. C. Ensure a quiet, nondisrupting environment. D. Instruct the patient to take an initial slow, deep breath.

Correct Answer: C

Rationale: The correct answer is C: Ensure a quiet, nondisrupting environment. This is the first step because creating a peaceful setting is essential for relaxation techniques to be effective. It helps the patient focus and unwind. - Choice A is incorrect as assuming a relaxed position comes after setting the environment. - Choice B is incorrect as advising the patient to let sensations happen is a later step in the process. - Choice D is incorrect as instructing the patient to take a deep breath is also a subsequent step once the environment is conducive to relaxation.

Question 2 of 5

The older patient is discussing chronic pain and asks the primary care provider for a prescription. Which medication should the nurse anticipate being ordered rather than an opioid?

A. Gabapentin B. Acetaminophen C. Morphine D. Fentanyl

Correct Answer: A

Rationale: The correct answer is A: Gabapentin. Gabapentin is a medication commonly used to treat neuropathic pain, which is often associated with chronic pain in older patients. It is considered a safer alternative to opioids due to its lower risk of addiction and overdose. Acetaminophen (B) is an over-the-counter pain reliever but may not be sufficient for chronic pain. Morphine (C) and Fentanyl (D) are opioids, which have a higher risk of side effects, addiction, and overdose compared to Gabapentin. Therefore, Gabapentin is the most suitable choice for managing chronic pain in older patients.

Question 3 of 5

A nurse is caring for a client just received the first dose of lisinopril. The following is an appropriate nursing intervention?

A. Place's cardiac monitoring B. Monitor the clients oxygen saturation level C. Provide standby assist with the client from bed D. Encourage foods high in potassium

Correct Answer: C

Rationale: The correct answer is C: Provide standby assist with the client from bed. This is appropriate after administering lisinopril, which can cause dizziness or lightheadedness. Assisting the client from bed ensures safety. Placing cardiac monitoring (A) is not necessary unless there are specific indications. Monitoring oxygen saturation (B) is not directly related to lisinopril administration. Encouraging foods high in potassium (D) is not the immediate priority post-lisinopril administration.

Question 4 of 5

In some cultures, therapeutic touch can be perceived as uncomfortable. What nursing interventions should the nurse implement when caring for a client who may have aversions to touch?

A. The nurse should avoid touching during initial interactions. B. The nurse should teach the client to incorporate touch in the communication process. C. The nurse should avoid talking to the client about feelings related to touch. D. The nurse should wear gloves during all client interactions.

Correct Answer: A

Rationale: The correct answer is A because respecting the client's preferences is essential in providing patient-centered care. By avoiding touching during initial interactions, the nurse acknowledges and accommodates the client's discomfort with touch, promoting a trusting and therapeutic relationship. Choice B is incorrect because forcing the client to incorporate touch in communication may further distress them. Choice C is incorrect as open communication about feelings related to touch is important for understanding and addressing the client's aversions. Choice D is incorrect as wearing gloves during all interactions is unnecessary and may not address the client's specific discomfort with touch.

Question 5 of 5

A group of nursing students is reviewing information about the changing family structure and its effect on mental health and illness. The students demonstrate understanding of this information when they identify which of the following?

A. Middle-aged childless adults are more vulnerable to loneliness and depression. B. In stepfamilies, caring for the children often is a primary stressor to the marital partners. C. Separation because of relocation provides additional support from extended family. D. Same-sex families typically demonstrate lower rates for depression and stress.

Correct Answer: B

Rationale: The correct answer is B because in stepfamilies, caring for the children can be a primary stressor to the marital partners due to the complexities of blending different family dynamics. This can lead to increased tension and challenges in the relationship, impacting mental health. Explanation: 1. Stepfamilies involve integrating individuals from previous relationships, leading to potential conflicts and adjustments. 2. Caring for children from previous relationships can create additional stress and strain on the marital partners. 3. Balancing different parenting styles and expectations can lead to disagreements and increased stress levels. 4. These stressors can contribute to mental health issues such as anxiety, depression, and relationship conflicts within stepfamilies. Summary: Choice A is incorrect as it generalizes about middle-aged childless adults without considering individual circumstances. Choice C is incorrect as separation due to relocation may not always result in additional support from extended family. Choice D is incorrect as mental health outcomes in same-sex families can vary and may not always demonstrate lower rates of depression