A nurse is working with a patient who is in crisis. Which of the following would be least appropriate for the nurse to do?

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Question 1 of 5

A nurse is working with a patient who is in crisis. Which of the following would be least appropriate for the nurse to do?

Correct Answer: C

Rationale: The least appropriate action for the nurse is to provide false reassurance that everything will be okay. This can invalidate the patient's feelings and minimize the severity of their crisis. It's crucial for the nurse to acknowledge the patient's emotions and provide support without making unrealistic promises. Supporting cultural beliefs (A) and clarifying misconceptions (D) are important for effective communication. Encouraging the patient to focus on one aspect at a time (B) can help in breaking down overwhelming situations.

Question 2 of 5

A 52-year-old male client who has a history of alcohol dependence is admitted to a detoxification unit. He has tremors, he is anxious, his pulse has risen from 98 to 110 beats/min, his blood pressure has risen from 140/88 to 152/100 mm Hg, and his temperature is six tenths of a degree above normal. He is slightly diaphoretic. Which nursing diagnosis would be the priority?

Correct Answer: B

Rationale: The correct answer is B: Risk for Injury. The priority nursing diagnosis in this scenario is based on the client's physical symptoms and potential harm to himself. The client's tremors, anxiety, elevated pulse and blood pressure, increased temperature, and diaphoresis indicate symptoms of alcohol withdrawal, which can lead to seizures or delirium tremens. The client is at risk for injury due to these physiological manifestations. Disturbed Thought Processes (A) may be present, but addressing the risk for injury takes precedence. Ineffective Coping (C) and Ineffective Denial (D) may be relevant, but they are not as urgent as ensuring the client's safety from potential harm during alcohol withdrawal.

Question 3 of 5

A group of students is reviewing medications used to treat erectile dysfunction. The students demonstrate understanding of the information when they identify which of the following as being administered by injection?

Correct Answer: B

Rationale: The correct answer is B: Papaverine. Papaverine is administered by injection for the treatment of erectile dysfunction. It is a smooth muscle relaxant that helps increase blood flow to the penis, improving erections. Tadalafil, Alprostadil, and Vardenafil are all administered orally and do not require injection. Tadalafil and Vardenafil are phosphodiesterase type 5 inhibitors, while Alprostadil is available in various forms such as injectable, topical, and urethral suppository, but the question specifically asks for an injection, making B the correct choice.

Question 4 of 5

A nurse is presenting a talk on homelessness and its effect on individuals. The nurse describes the resiliency of homeless individuals based on which of the following?

Correct Answer: C

Rationale: Step 1: Homeless individuals often face extreme stressors like lack of shelter, food, and safety. Step 2: Coping mechanisms are crucial for survival in such challenging conditions. Step 3: Resiliency refers to the ability to adapt and thrive despite adversity. Step 4: Therefore, the correct choice is C, as coping with extreme stressors demonstrates resiliency. Summary: A is incorrect because strong community supports may not always be available. B is incorrect since homeless individuals may not have access to family resources. D is incorrect as local governmental intervention may not directly impact individual resiliency.

Question 5 of 5

A group of nursing students is reviewing information about barriers to pain management. The group demonstrates the need for additional study when they identify which of the following as a barrier?

Correct Answer: B

Rationale: The correct answer is B: Adequate reimbursement. This is the correct answer because reimbursement issues do not typically act as a barrier to pain management. It is important for healthcare professionals to provide pain management regardless of reimbursement concerns. In contrast, fear of tolerance (A), concern for being a good client (C), and reluctance to report pain (D) are common barriers to pain management that can impact patient care and outcomes. Patients may fear developing tolerance to pain medications, may be hesitant to report pain due to concerns about being seen as a difficult patient, or may simply be reluctant to report pain altogether. Addressing these barriers is crucial for effective pain management.

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