A client presents in the Emergency Department with hallucinations, anxiety, and confusion. The client denies taking any illegal drugs in the past 48 hours. Based upon the assessment data, the nurse is aware that these symptoms can occur from which type of drug?
1. Hallucinogens
2. Barbiturates
3. Cannabinoids
4. Opioids
1
Rationale 1: Hallucinogens can cause flashbacks.
Rationale 2: This type of drug does not cause flashbacks.
Rationale 3: This type of drug does not cause flashbacks.
Rationale 4: This type of drug does not cause flashbacks.
Global Rationale: Hallucinogens can cause flashbacks. Barbiturates, cannabinoids, and opioids do not cause flashbacks.
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The nurse uses a variety of types of questions during the course of the interview. An example of a neutral question would be:
1. "How do you feel about that?" 2. "You won't walk to the bathroom without help, will you?" 3. "How have you been feeling lately?" 4. "Are you feeling okay?"
The nurse in an endocrine clinic is assessing an 8-year-old girl who has not yet started menstruating and is Tanner stage II. Which statement by the nurse to the parent is most appropriate?
A. "Bring her back when she starts menstruating." B. "She may have a deficiency of luteinizing hormone." C. "Your child's development is appropriate for her age." D. "We will test her for levels of the female hormones."
During the interview component of the health assessment, the nurse conveys to the client that the information is important by
A) Nodding frequently during the interview B) Sitting at eye level with the client C) Standing next to the client while interviewing D) Limiting questions to those with yes or no answers
The nurse is planning discharge teaching for a client taking clozapine (Clozaril). Which of the following is essential to include?
a. Caution the client not to be outdoors in the sunshine without protective clothing. b. Remind the client to go to the lab to have blood drawn for a white blood cell count. c. Instruct the client about dietary restrictions. d. Give the client a chart to record the daily pulse rate.