Exam 3: NUR210 / NUR 210 (Latest
Update 2024 / 2025) Transition to Practice - Capstone | Questions and Verified Answers | 100% Correct - Fortis
Question:
The nurses developing a plan of care for client in a crisis state when developing the plan the nurse should consider which factor?
Answer:
clients response to a crisis is individualized and what constitutes a crisis for one client may not constitute a crisis for another client
Question:
Discharge instruction for an adult client who was a victim of family violence
The emergency department nurse is caring for an adult client who is a victim of family violence which Priority instruction should be included in the discharge instructions?
Answer:
Information regarding shelters 1 / 3
Question:
Signs of delirium after taking digoxin, hydrochlorothiazide and lorazepam
Answer:
this adult developed confusion, slurred speech, an unsteady gait, and fluctuating levels of orientation
Question:
An older adult takes digoxin and hydrochlorothiazide daily, as well as lorazepam (Ativan) as needed for anxiety. Over 2 days, this adult developed confusion, slurred speech, an unsteady gait, and fluctuating levels of
orientation. These findings are most characteristic of:
- delirium.
- dementia.
- amnestic syndrome.
- Alzheimer disease.
Answer:
A - delirium
Question:
Defense mechanisms for alcohol patient
Answer:
rationalization
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Question:
- A client who abuses alcohol and cocaine tells a nurse that he only uses
- Sublimation
- Rationalization
- Displacement
- Projection
substances because of his stressful marriage and difficult job. Which defense mechanisms is this client using?
Answer:
ANS: B Rationale
Rationalization is the defense mechanism that involves offering excuses for maladaptive behavior. The client is defending his substance abuse by providing reasons related to life stressors. This is a common defense mechanism used by clients with substance abuse problems. None of the remaining defense mechanisms involves making excuses for behaviors.
Question:
symptoms of opiate withdrawal
Answer:
Autonomic hyperactivity: diarrhea, vomiting, chills, fever, tearing, and runny
nose. Tremor, abdominal cramps, and pain can be severe.
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