NUR 1211C Chapter Notes - Chapter 1: Donepezil, Dsm-5, Countertransference

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Published on 8 Jun 2020
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SARAH QUIZ 4
1. The nurse is interviewing a newly admitted psychiatric client. Which is an example of offering a
"general lead?"
a. "Yes, I see. Go on."
i. The nurses' statement, "Yes, I see. Go on," is an example of a general lead. Offering
general leads encourages the client to continue sharing information.
2. What is a nurse's purpose in providing appropriate feedback?
a. To give the client critical information.
i. Feedback should be descriptive, specific, and directed toward a behavior that the
person has the capacity to modify and should impart information rather than offer
advice.
3. Counter-transference refers to a nurse's behavioral and emotional response to a client. These
responses may be related to unresolved feelings toward significant others from the nurse's past.
a. True
i. This is the definition of counter-transference.
4. A client diagnosed with vascular neurocognitive disorder (NCD) is discharged to home under the care
of his wife. Which information should cause the nurse to question the client's safety?
a. The client smokes one pack of cigarettes per day.
i. The nurse should question the client's safety at home if the client smokes cigarettes.
Patients with this disorder become confused and are at risk for injury,
5. A client diagnosed with Alzheimer's Disease (AD) is prescribed donepezil (Aricept). The client's spouse
inquires, "How does this work? Will this cure him?" Which is the appropriate nursing response?
a. "This medication delays the destruction of acetycholine, a chemical in the brain necessary for
memory processes. Although most effective in the early stages, it serves to delay, but not stop,
the progression of the disease."
i. The most appropriate response by the nurse is to explain that donepezil (Aricept) delays
the destruction of acetylcholine, a chemical in the brain necessary for memory
processes. Although most effective in the early stages, it serves to delay, but not stop,
the progression of the AD. Some side effects include dizziness, headache,
gastrointestinal upset.
6. A client exhibiting dependent behavior says," Do you think I should move from my parent's house and
get a job?" Which nursing response is most appropriate?
a. "Let's discuss and explore all of your options."
i. The most appropriate response by the nurse is, "Let's discuss and explore all of your
options." In this example, the nurse is encouraging the client to formulate ideas and
decide independently the appropriate course of action.
7. The following outcome was developed for a client: "Client will list 5 personal strengths by the end of
day one." Which correctly written diagnostic statement most likely generated the development of this
outcome?
a. Altered self esteem R/T years of emotional abuse AEB self-deprecating statements
i. The nurse should determine that altered self-esteem and self-deprecating statements
would generate the outcome to list personal strengths by the end of day one.
8. A student nurse asks an instructor how best to develop nursing outcomes for clients. Which response
by the instructor most accurately answers the student's question?
a. "With client collaboration, outcomes should be based on client problems."
i. Client outcomes are most realistic and achievable when there is collaboration among
the interdisciplinary team members, the client, and significant others.
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