Extract:

Question 1 of 5

A client reports having blurred vision after 4 days of taking haloperidol (Haldol) 1 mg BID, and benztropine (Cogentin) 2 mg BID. The nurse contacts the physician to explain the situation, background, and the patient's disease, which information reported to the physician is the assessment of the situation?

Correct Answer: C

Rationale: Reporting the client's symptom (blurred vision since this morning) provides the physician with the specific assessment data needed to evaluate the situation.

Question 2 of 5

Which of the following approaches is most appropriate to use with a client diagnosed with a narcissistic personality disorder when discrepancies exist between what the client states and what actually exists?

A. Limit setting. B. Supportive confrontation. C. Consistency. D. Rationalization.

Correct Answer: B

Rationale: Supportive confrontation is most appropriate, as it gently addresses discrepancies in a non-threatening way, encouraging the client to reflect on reality while maintaining therapeutic rapport.

Question 3 of 5

A client reports having blurred vision after 4 days of taking haloperidol (Haldol) 1 mg BID, and benztropine (Cogentin) 2 mg BID. The nurse contacts the physician to explain the situation, background, and the patient's disease, which information reported to the physician is the assessment of the situation?

A. Mr. Roberts is taking 1 mg of Haldol BID and Cogentin 2 mg BID.' B. I think Mr. Roberts might need a lower dose of Cogentin.' C. Mr. Roberts reports having blurred vision since this morning.' D. The higher dose of Cogentin could be causing Mr. Roberts' blurred vision.'

Correct Answer: C

Rationale: Reporting the client's symptom (blurred vision since this morning) provides the physician with the specific assessment data needed to evaluate the situation.

Question 4 of 5

A school nurse is planning a program for parents on 'Drugs Commonly Abused by Teenagers'. Which of the following information should be included about inhalants? Select all that apply.

A. Monitor for paper bags and rags that may have been used for breathing inhalants. B. Brain damage is unlikely with the use of inhalants. C. Use of inhalants by teens is on the decline. D. Inhalants can cause sudden death through heart irregularities, suffocation, and aspiration of vomit. E. Inhalants usually cause depression of the central nervous system. F. The basic groups of inhalants are hydrocarbon solvents such as glue, aerosol propellants from spray cans, and anesthetics/gases.

Correct Answer: A, D, E, F

Rationale: Correct information includes: Monitoring for bags/rags (
A), sudden death risks (
D), CNS depression (E), and types of inhalants (F). Brain damage is likely (B is false), and use is not declining (C is false).

Question 5 of 5

A client with a history of interpersonal violence is admitted after an altercation. The nurse observes the client pacing and muttering angrily. Which of the following is the most appropriate initial intervention?

A. Administer a PRN anxiolytic medication. B. Place the client in seclusion to prevent harm. C. Offer the client a quiet space to calm down. D. Restrain the client to ensure staff safety.

Correct Answer: C

Rationale: Offering a quiet space allows the client to de-escalate without escalating to restrictive measures, aligning with least-restrictive intervention principles. Medication, seclusion, or restraints are premature without attempting de-escalation, and the client's behavior does not yet indicate immediate danger.