1) A nurse is caring for a client who has alcohol use disorder and is experiencing acute withdrawal. Which of the following medications should the nurse expect to administer first?

 

Naltrexone

Lorazepam

Disulfiram

Acamprosate

 

2. A nurse is caring for a client who has a prescription for phenelzine. The nurse should instruct the client to avoid which of the over the counter medications?

 

Pseudoephedrine

Docusate sodium

Ranitidine

Ibuprofen

 

3. A nurse is planning care for a client who has adjustment disorder following a traumatic below-the-knee amputation. Which of the following actions should the nurse include?

Discourage the client from talking about activities he did prior to the amputation

Encourage the client's family members to perform the client's ADLS

Determine the client's stage of grief.

Respect the client's need for social isolation

 

4. A nurse is assessing a client who experienced a sexual assault. Which of the following findings should the nurse identify as an indicate the client might be experiencing posttraumatic stress disorder?

Increased time sleeping

Difficulty concentrating

Inability to express empathy

Auditory hallucinations

 

5. nurse is reviewing the medical record of a young adult client who has a new diagnosis of borderline personality disorder. Which of the g findings should the nurse identify as risk factors for this disorder?(Select all that apply.)

The client is a twin.

The client's mother abandoned him as a child.

The client's father has an impulse control disorder.

The client reports having a substance use disorder.

The client follows a strict routine of daily activities

 

6. A nurse in an acute care mental health facility is creating a plan of care for a newly admitted client. Which of them the nurse plans to include in the working phase of the nurse-client relationship?

Present issues regarding confidentiality.

Promote the client's problem-solving skills.

Identify the responsibilities of the client and nurse

Summarize the objectives the client achieved during the relationship

1. Naltrexone. This is recommended naltrexone as a first therapy for the most recently diagnosed treatment of moderate to severe alcohol consumption disorder.

2. Pseudoephedrine. Ask your doctor as well as pharmacist if you're taking any other drowsy medications, including opioid painkillers, sleep or anxiety medications (alprazolam, lorazepam, zolpidem), even muscle relaxants (such as carisoprodol, cyclobenzaprine),

When used with phenelzine, pseudoephedrine is thought to enhance the risk of a hypertensive crisis. Resist for 14 days after quitting MAOI, according to the manufacturer.

3. Encourage the client's family members to perform the client's ADLS

-In order to comfort the client the family ought  to be there for the client

-What to Do If You Have to Have Your Leg Amputated
-Recognize and Accept Your Emotions. Recognizing your emotions can assist you in healing and moving through the grief process.

-Negative emotions should be expressed.

-Make Friends With Others.

-Look for a reason to live.

-Make a list of goals that are meaningful to you.

-Make a daily routine for yourself.

-Accept Optimism.
 

4. Difficulty concentrating. Intrusive memories, flashbacks, but also nightmares are used to relive a distressing incident. Emotional numbness and aversion to individuals, places, but also activities linked to a traumatic event. Arousal symptoms include difficulties sleeping and focusing, feeling jittery, and being quickly agitated and angry. The client specifies difficulties or worries, and his or her feelings and behaviors are evaluated throughout the working phase.

5. The client's mother abandoned him as a child. Personality disorders or even other mental illnesses run in the family. Family life as a youngster was abusive, unstable, sometimes chaotic. Getting treated with conduct disorder as a youngster. Chemical and structural changes in the brain.
Abandonment in childhood or adolescent is a potential risk for BPD.

Family life has been disrupted.

In the family, there is a breakdown in communication.

Abuse can be sexual, physical, sometimes emotional.

6. Promote the client's problem-solving skills.

- During working phase of the nurse-client relationship, this same nurse should anticipate the client to develop understanding and adopt alternative behaviors. The individual may also be able to overcome resistance, address problems, and assess achievements on a regular basis.