Care
Help Questions
NCLEX-PN › Care
The nurse is caring for a patient with severe agoraphobia. What area of the hospital should the nurse avoid with the patient?
Wide-open spaces
Areas with lots of needles
Areas with lots of people
Enclosed areas
Explanation
A patient with agoraphobia has a fear of wide-open spaces.
A client calls the clinic and tells the nurse that her daughter has just been stung by a bee on the arm. She is worried that her daughter will have a severe reaction. What should the nurse do?
Tell the client to call back if the condition worsens
Ask the client if her daughter has ever been stung by a bee in the past
Instruct the client to keep the arm elevated until swelling goes away
Advise the client to bring her daughter to the emergency room
Explanation
The nurse does not have reason to suspect that the child will have an allergic reaction before symptoms are present. Thus, the patient should call back or come to the emergency room if symptoms present.
A 4-year-old child is admitted to the hospital after his family was in a car crash, where his parents died. The child keeps asking you to bring his parents back to life. The nurse knows that:
This is a normal reaction
The child is delusional and may have suffered a concussion as a result of the crash
The child is depressed
The child has not seen a person die before
Explanation
This is a normal reaction for a young child, who may not fully understand death. These requests are not necessarily indicative of delusion or depression.
The nurse is caring for a patient with severe agoraphobia. What area of the hospital should the nurse avoid with the patient?
Wide-open spaces
Areas with lots of needles
Areas with lots of people
Enclosed areas
Explanation
A patient with agoraphobia has a fear of wide-open spaces.
A client calls the clinic and tells the nurse that her daughter has just been stung by a bee on the arm. She is worried that her daughter will have a severe reaction. What should the nurse do?
Tell the client to call back if the condition worsens
Ask the client if her daughter has ever been stung by a bee in the past
Instruct the client to keep the arm elevated until swelling goes away
Advise the client to bring her daughter to the emergency room
Explanation
The nurse does not have reason to suspect that the child will have an allergic reaction before symptoms are present. Thus, the patient should call back or come to the emergency room if symptoms present.
A client calls the clinic and tells the nurse that her daughter has just been stung by a bee on the arm. She is worried that her daughter will have a severe reaction. What should the nurse do?
Tell the client to call back if the condition worsens
Ask the client if her daughter has ever been stung by a bee in the past
Instruct the client to keep the arm elevated until swelling goes away
Advise the client to bring her daughter to the emergency room
Explanation
The nurse does not have reason to suspect that the child will have an allergic reaction before symptoms are present. Thus, the patient should call back or come to the emergency room if symptoms present.
A 4-year-old child is admitted to the hospital after his family was in a car crash, where his parents died. The child keeps asking you to bring his parents back to life. The nurse knows that:
This is a normal reaction
The child is delusional and may have suffered a concussion as a result of the crash
The child is depressed
The child has not seen a person die before
Explanation
This is a normal reaction for a young child, who may not fully understand death. These requests are not necessarily indicative of delusion or depression.
The nurse is caring for a patient with severe agoraphobia. What area of the hospital should the nurse avoid with the patient?
Wide-open spaces
Areas with lots of needles
Areas with lots of people
Enclosed areas
Explanation
A patient with agoraphobia has a fear of wide-open spaces.
A 4-year-old child is admitted to the hospital after his family was in a car crash, where his parents died. The child keeps asking you to bring his parents back to life. The nurse knows that:
This is a normal reaction
The child is delusional and may have suffered a concussion as a result of the crash
The child is depressed
The child has not seen a person die before
Explanation
This is a normal reaction for a young child, who may not fully understand death. These requests are not necessarily indicative of delusion or depression.
The nurse is in the orientation phase of the nurse-client relationship where the client has been sexually assaulted. During this phase, the nurse should:
Establish acceptance, trust, and boundaries
Explore personal ideas, stereotypes, and biases that my affect the nurse-client relationship
Actively listen to the client express his thoughts and feelings
Identify themes of patterns of patient behavior and possible coping mechanisms
Explanation
During the orientation phase the nurse should establish acceptance, trust, and boundaries with the client, which will be built upon in later phases.