Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is creating a plan of care for a client who has antisocial personality disorder. Which of the following interventions should the nurse include?
A. Appoint the client to be the leader during group therapy.
Appointing the client as a leader may not be appropriate, as individuals with antisocial personality disorder may misuse their position of authority.
B. Monitor the client's interactions with other clients.
Clients with antisocial personality disorder often struggle with interpersonal relationships, may be manipulative, and may engage in behaviors that violate the rights of others. Monitoring the client's interactions with other clients helps ensure a safe and therapeutic environment while preventing harm to others.
C. Offer the client two warnings before implementing consequences.
Offering warnings before consequences might not be effective with clients who have antisocial personality disorder, as they may disregard rules and consequences.
D. Assign the client to a room near the activity area.
Assigning a room near the activity area does not necessarily address the need to monitor the client's interactions with others.
This question is an excerpt from Nurse Dive's nursing test bank - RN ati Concept-based assessment level proctored exam. Take the full exam now
Full Explanation
Choice A rationale:
Appointing the client as a leader may not be appropriate, as individuals with antisocial personality disorder may misuse their position of authority.
Choice B rationale:
Clients with antisocial personality disorder often struggle with interpersonal relationships, may be manipulative, and may engage in behaviors that violate the rights of others. Monitoring the client's interactions with other clients helps ensure a safe and therapeutic environment while preventing harm to others.
Choice C rationale:
Offering warnings before consequences might not be effective with clients who have antisocial personality disorder, as they may disregard rules and consequences.
Choice D rationale:
Assigning a room near the activity area does not necessarily address the need to monitor the client's interactions with others.
Similar Questions
A nurse is instructing a client about medications that can cause erectile dysfunction. Which of the following medications should the nurse include in the teaching?
A. Sertraline
Sertraline is an antidepressant medication known as a selective serotonin reuptake inhibitor (SSRI). One of the potential side effects of SSRIs is sexual dysfunction, including erectile dysfunction.
B. Vancomycin
Vancomycin is an antibiotic and is not typically associated with erectile dysfunction.
C. Topiramate
Topiramate is an anticonvulsant medication and is not typically associated with erectile dysfunction.
D. Polyethylene glycol
Polyethylene glycol is a laxative and is not typically associated with erectile dysfunction.
Full Explanation
Choice A rationale:
Sertraline is an antidepressant medication known as a selective serotonin reuptake inhibitor (SSRI). One of the potential side effects of SSRIs is sexual dysfunction, including erectile dysfunction.
Choice B rationale:
Vancomycin is an antibiotic and is not typically associated with erectile dysfunction.
Choice C rationale:
Topiramate is an anticonvulsant medication and is not typically associated with erectile dysfunction.
Choice D rationale:
Polyethylene glycol is a laxative and is not typically associated with erectile dysfunction.
A nurse is teaching a client who has a new diagnosis of diverticulitis. Which of the following instructions should the nurse include in the teaching?
A. "Follow a high-fiber diet until inflammation subsides."
A high-fiber diet is not recommended during acute inflammation, as it may be too abrasive for the inflamed bowel. Diverticulitis is a condition in which small pouches in the colon become inflamed and infected. A high-fiber diet can help prevent constipation and reduce pressure in the colon, which can aggravate diverticulitis.
B. "Use a soapsuds enema as needed."
Soapsuds enemas are not typically used for diverticulitis. They can cause irritation and discomfort.
C. "Avoid bending at the waist."
Bending at the waist has no effect on diverticulitis and is not a relevant instruction.
D. "Restrict fluid intake to 1.5 liters per day."
Fluid restriction can lead to dehydration and constipation, which can exacerbate diverticulitis. A client with diverticulitis should drink plenty of fluids to stay hydrated and soften the stool.
Full Explanation
Choice A rationale:
A high-fiber diet is not recommended during acute inflammation, as it may be too abrasive for the inflamed bowel. Diverticulitis is a condition in which small pouches in the colon become inflamed and infected. A high-fiber diet can help prevent constipation and reduce pressure in the colon, which can aggravate diverticulitis.
Choice B rationale:
Soapsuds enemas are not typically used for diverticulitis. They can cause irritation and discomfort.
Choice C rationale:
Bending at the waist has no effect on diverticulitis and is not a relevant instruction.
Choice D rationale:
Fluid restriction can lead to dehydration and constipation, which can exacerbate diverticulitis. A client with diverticulitis should drink plenty of fluids to stay hydrated and soften the stool.
A nurse is teaching a client who is receiving treatment for infertility and has a new prescription for clomiphene. Which of the following statements should the nurse include in the teaching?
A. "You might experience hot flashes while taking this medication."
Clomiphene is used to induce ovulation in women with infertility. Hot flashes are a common side effect of clomiphene due to its impact on hormone levels. Clomiphene is a medication that stimulates ovulation by blocking estrogen receptors in the hypothalamus and pituitary gland. This causes an increase in the production of follicle-stimulating hormone (FSH) and luteinizing hormone (LH), which stimulate the growth and maturation of ovarian follicles. One of the common side effects of clomiphene is hot flashes, which are caused by the sudden drop in estrogen levels. Hot flashes can be mild or severe, and can occur at any time of the day or night. They usually last for a few minutes and can be accompanied by sweating, palpitations, anxiety, or nausea.
B. "You might notice changes in taste while taking this medication."
Changes in taste are not a typical side effect of clomiphene.
C. "You might have a dry cough while taking this medication."
A dry cough is not typically associated with clomiphene.
D. "You might experience migraine with aura while taking this medication.
Migraine with aura is not typically associated with clomiphene.
Full Explanation
Choice A rationale:
Clomiphene is used to induce ovulation in women with infertility. Hot flashes are a common side effect of clomiphene due to its impact on hormone levels. Clomiphene is a medication that stimulates ovulation by blocking estrogen receptors in the hypothalamus and pituitary gland. This causes an increase in the production of follicle-stimulating hormone (FSH) and luteinizing hormone (LH), which stimulate the growth and maturation of ovarian follicles. One of the common side effects of clomiphene is hot flashes, which are caused by the sudden drop in estrogen levels. Hot flashes can be mild or severe, and can occur at any time of the day or night. They usually last for a few minutes and can be accompanied by sweating, palpitations, anxiety, or nausea.
Choice B rationale:
Changes in taste are not a typical side effect of clomiphene.
Choice C rationale:
A dry cough is not typically associated with clomiphene.
Choice D rationale:
Migraine with aura is not typically associated with clomiphene.