Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
What should the nurse do to decrease the patient's disorientation at night during the detoxification period?
A. Use nightlights and remove extra furniture from the room.
Use nightlights and remove extra furniture from the room: Nightlights provide gentle lighting that can reduce disorientation, and removing extra furniture minimizes fall risk.
B. Place the patient in a room with another recovering patient.
Place the patient in a room with another recovering patient. This might increase agitation and disrupt both patients' sleep.
C. Instruct the patient to orient himself to his surroundings at bedtime.
Instruct the patient to orient himself to his surroundings at bedtime. This may not be effective due to the patient's disorientation during detoxification.
D. Wake the patient up every 4 hours to eat a small snack.
Wake the patient up every 4 hours to eat a small snack. Frequent waking can disrupt sleep patterns and increase confusion.
This question is an excerpt from Nurse Dive's nursing test bank - Lpn fundamentals exam evolve ( Illinois college) proctored exam. Take the full exam now
Full Explanation
A. Use nightlights and remove extra furniture from the room: Nightlights provide gentle lighting that can reduce disorientation, and removing extra furniture minimizes fall risk.
B. Place the patient in a room with another recovering patient. This might increase agitation and disrupt both patients' sleep.
C. Instruct the patient to orient himself to his surroundings at bedtime. This may not be effective due to the patient's disorientation during detoxification.
D. Wake the patient up every 4 hours to eat a small snack. Frequent waking can disrupt sleep patterns and increase confusion.
Similar Questions
A perceived threat to self causes what emotion?
A. Depression
Depression is more related to a sense of loss or prolonged stress, not immediate perceived threats.
B. Anxiety
Anxiety is an emotional response to a perceived threat, involving worry and fear about potential danger.
C. Fear
Fear is a direct response to a known and definite threat, whereas anxiety is more about anticipation of a threat.
D. Anger
Anger can result from frustration or perceived injustice but is not primarily driven by perceived threats to self.
Full Explanation
A. Depression is more related to a sense of loss or prolonged stress, not immediate perceived threats.
B. Anxiety is an emotional response to a perceived threat, involving worry and fear about potential danger.
C. Fear is a direct response to a known and definite threat, whereas anxiety is more about anticipation of a threat.
D. Anger can result from frustration or perceived injustice but is not primarily driven by perceived threats to self.
Cultural and ethnic considerations for skin assessment include which aspect??
A. The darker the patient's skin, the easier it is to assess for color change.
The darker the patient's skin, the easier it is to assess for color change. Darker skin can make it more challenging to assess color changes, such as pallor or cyanosis.
B. To assess rashes and skin inflammation in dark-skinned individuals, the nurse should rely on palpation.
To assess rashes and skin inflammation in dark-skinned individuals, the nurse should rely on palpation. Palpation can help detect changes in texture and warmth, which might be less visible on darker skin.
C. Pallor in black-skinned individuals will appear as a pale pink color.
Pallor in black-skinned individuals will appear as a pale pink color. Pallor in dark-skinned individuals often appears as an ashen or gray color, not pink.
D. Baseline skin color should be assessed in areas with the most pigmentation.
Baseline skin color should be assessed in areas with the most pigmentation. Baseline skin color should be assessed in normally less pigmented areas like palms and soles for accurate assessment.
Full Explanation
A. The darker the patient's skin, the easier it is to assess for color change. Darker skin can make it more challenging to assess color changes, such as pallor or cyanosis.
B. To assess rashes and skin inflammation in dark-skinned individuals, the nurse should rely on palpation. Palpation can help detect changes in texture and warmth, which might be less visible on darker skin.
C. Pallor in black-skinned individuals will appear as a pale pink color. Pallor in dark-skinned individuals often appears as an ashen or gray color, not pink.
D. Baseline skin color should be assessed in areas with the most pigmentation. Baseline skin color should be assessed in normally less pigmented areas like palms and soles for accurate assessment.
What should the entire health team focus on during the rehabilitation phase?
A. Abstaining from drug use
Abstaining from drug use: Abstinence is crucial, but rehabilitation also involves addressing underlying issues and developing coping strategies.
B. Establishing a support system
Establishing a support system: Support systems are important, but the primary focus is addressing addiction-related problems.
C. Addressing the problems related to addiction
Addressing the problems related to addiction: Comprehensive rehabilitation involves identifying and addressing the root causes and consequences of addiction.
D. Seeking and maintaining employment
Seeking and maintaining employment: Employment is beneficial, but it is a part of broader rehabilitation goals focused on addiction-related issues.
Full Explanation
A. Abstaining from drug use: Abstinence is crucial, but rehabilitation also involves addressing underlying issues and developing coping strategies.
B. Establishing a support system: Support systems are important, but the primary focus is addressing addiction-related problems.
C. Addressing the problems related to addiction: Comprehensive rehabilitation involves identifying and addressing the root causes and consequences of addiction.
D. Seeking and maintaining employment: Employment is beneficial, but it is a part of broader rehabilitation goals focused on addiction-related issues.