A client that experienced head trauma asks the nurse why they cannot have an opioid analgesic. Which response should the nurse provide?

A. "The use of an opioid analgesic can significantly decrease blood pressure."
B. "You may not be able to notice any changes you are experiencing."
C. "Opioids are not effective for the management of pain associated with head trauma."
D. "Opioids can mask changes in the level of consciousness."


Answer: D

Nursing

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A highly suspicious patient tells the nurse, "When I sit in the dayroom I can see other people whispering about me and laughing. It makes me want to punch them." The direction that the nurse should give staff is

a. "Gently and frequently touch the patient while conversing." b. "Stop laughing immediately when the patient enters the room." c. "Be direct. Do not whisper, laugh, or look sideways at the patient." d. "Engage the patient in conversation by leaning close to speak softly."

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The nurse manager is working on strategies to turn conflict into collaboration by creating a climate in which participants view negotiation as a collaborative effort. In order to accomplish this goal, the nurse manager works to promote

a. offering of feedback on an infrequent basis. b. clarification of role expectations. c. minimal participation in organizational interdisciplinary groups. d. absence of role-modeling behaviors related to communication.

Nursing

There are two categories of patient care that comprise the smallest number of questions on the NCLEX-RN exam. They are:

a. safe, effective care environment and health promotion and maintenance b. physiological integrity and psychosocial integrity c. psychosocial integrity and health promotion and maintenance d. physiological integrity and safe, effective care environment

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Home care nursing is a fast-growing sector of the healthcare system. Which of the following factors have contributed to the growth of home health care?

1. The need for custodial care. 2. Third-party payers who support cost-control measures. 3. The increase in the older adult population. 4. The decreasing need for acute care. 5. A decrease in hospital-based services.

Nursing