Answer to Question 1
D
When a client's speech is loosely associated, confused, and disorganized, pretending to understand is
useless. The nurse should tell the client that she is having difficulty understanding what the client is
saying. If a theme is discernable, ask the client to talk about the theme. The other options tend to
place blame for the poor communication with the client. Option D places the difficulty with the
nurse rather than being accusatory.
Answer to Question 2
ANS: B
The anticonvulsants mentioned alter electrical conductivity in membranes, slowing the firing rate of
brain neurons. This membrane-stabilizing effect probably accounts for the reduction in mood swings
seen in bipolar clients. Option A is the action of SSRIs. Option C is the action of soporific
benzodiazepines such as flurazepam (Dalmane). Option D: Psychostimulation is produced by drugs
such as methylphenidate (Ritalin), which are used to treat attention deficit hyperactivity disorder.
Hair Tells a Tale
Nurse examining and measuring hematuria sample from client with a UTI
A client is having an endoscopy performed by a physician who views the upper gastrointestinal intern
Building a Client Base Cont.
Testing the client’s ability to feel vibrations, the knee
The Adolescent Brain and Schizophrenia