While caring for a family who lost a 10-year-old son in a car accident, the nurse should instruct the parents to tell the 4-year-old sister which of the following about her brother?

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Question 1 of 5

While caring for a family who lost a 10-year-old son in a car accident, the nurse should instruct the parents to tell the 4-year-old sister which of the following about her brother?

Correct Answer: A

Rationale: The correct answer is A because it is important for children to be given clear and honest information about death to help them process their grief effectively. This choice provides the 4-year-old sister with a direct and simple explanation of her brother's death, which can help her understand the permanence of the situation. Choices B, C, and D use euphemisms or abstract concepts that may confuse or mislead the child, potentially causing more distress or misunderstanding. It is crucial to be honest and straightforward with children about death to support their emotional well-being.

Question 2 of 5

Which of the following would be most important for the nurse to keep in mind when establishing the nurse-patient relationship with a client with schizophrenia to promote recovery?

Correct Answer: C

Rationale: The correct answer is C because short, time-limited interactions are best for clients experiencing psychosis due to their limited attention span and potential for increased anxiety. Lengthy interactions may overwhelm the client and hinder the development of trust and rapport. A: The relationship typically develops over a short period of time - Incorrect. Building a therapeutic relationship with a client with schizophrenia takes time due to trust issues and symptom severity. B: Decisions about care are the responsibility of interdisciplinary team - Incorrect. While involving the interdisciplinary team is important, the nurse-patient relationship is crucial in promoting recovery. D: Typically, clients with schizophrenia readily engage in a therapeutic relationship - Incorrect. Clients with schizophrenia may have difficulties in engaging due to symptoms such as paranoia and disorganized thinking.

Question 3 of 5

The nurse is working with the family of a patient with obsessive-compulsive disorder (OCD). Which concept should the nurse incorporate in the teaching plan?

Correct Answer: C

Rationale: The correct answer is C because OCD symptoms typically worsen with stress due to increased anxiety triggering obsessions and compulsions. This understanding is crucial for the family to help manage the condition effectively. Option A is incorrect because thoughts in OCD are intrusive and involuntary. Option B is incorrect as immediate attention may reinforce the symptoms. Option D is incorrect as OCD can respond well to treatment approaches like therapy and medication.

Question 4 of 5

A nurse is giving a presentation to a community group about sleep and its relationship to health. In explaining the relationship between REM sleep and body temperature, which statement by the nurse would be most appropriate?

Correct Answer: C

Rationale: The correct answer is C. REM sleep and body temperature cycles are inversely related. During REM sleep, our body temperature decreases, which is essential for the body to conserve energy and maintain a state of relaxation. This decrease in body temperature during REM sleep helps promote the restoration and rejuvenation of the body. It is crucial for the nurse to convey this information accurately to the community group to emphasize the importance of quality sleep for overall health. Choice A is incorrect because there is indeed an observable relationship between REM sleep and body temperature. Choice B is incorrect as higher levels of REM sleep are associated with lower body temperatures, not higher. Choice D is incorrect as the experience of REM sleep is not directly proportional to a rise in body temperature; instead, it is inversely related.

Question 5 of 5

The nurse is assessing a client who has a history of heavy drinking and who lost his wife to cancer during the previous year. He reports that he isn't getting as much sleep as he used to when he was younger. Which question would be most appropriate to ask the client to determine if the change in his sleep pattern is related to normal aging or depression?

Correct Answer: B

Rationale: The correct answer is B: "Is it hard for you to fall asleep or remain asleep during the night?" This question is most appropriate because it directly addresses the client's current sleep issues and can provide insights into whether he is experiencing symptoms of depression, such as insomnia or disrupted sleep patterns. By focusing on the client's sleep difficulties, the nurse can better assess if the changes are related to normal aging or if they are indicative of an underlying mood disorder like depression. Choice A is incorrect as it does not address the client's current sleep problems. Choice C is not relevant to the client's sleep patterns and focuses on alcohol consumption. Choice D is also irrelevant to the client's sleep issues and does not directly assess potential depressive symptoms.

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