Question

The occupational health nurse is working with an employee who was just notified that their child was involved in a motor vehicle collision and taken to the hospital. The employee states, "I can't believe this. What should I do?" Which response is best for the nurse to provide in this crisis?

Answer 1

Correct Answers:

Call for transportation to the hospital.

Rationale :

🧠In a crisis, individuals often experience overwhelming emotions and impaired judgment.

🚑Providing concrete assistance, such as arranging transportation, reduces immediate anxiety and promotes safety.

📞Open-ended questions may increase distress by requiring complex thinking during a time of emotional shock.

💁‍♂️The best nursing response in a crisis is to offer direct, supportive action to restore control and reduce chaos.

📌Core Message

In a crisis, the nurse should offer direct, supportive interventions that help the client take immediate action.

Answer 2

Correct Answers:

A sense of loss.

Rationale :

💔Depression often results from cumulative losses, especially when multiple major life events occur in close succession.

📉The client’s experiences of divorce, job loss, and relationship breakup represent profound emotional losses.

🧩Each event contributes to feelings of grief and helplessness, which are common triggers for depressive episodes.

🧠Understanding the role of unresolved loss helps guide the plan of care and appropriate therapeutic support.

📌Core Message

Depression is often triggered by a cumulative sense of loss that overwhelms coping mechanisms.

Answer 3

Correct Answers:

Altruism.

Rationale :

💁‍♂️Altruism is a mature defense mechanism where a person copes with internal conflict by helping others.

👵The client caring for her ex-husband’s parents reflects self-sacrificing behavior despite the end of the marriage.

🧠This can be adaptive, but it may also indicate avoidance of personal healing or guilt over the divorce.

🩺Addressing altruism as a coping strategy allows the nurse to explore healthy emotional boundaries.

📌Core Message

Altruism can reflect a coping mechanism for unresolved emotional conflict.

Answer 4

Correct Answers:

Walt for the client to respond.

Rationale :

🤫Therapeutic silence is appropriate when clients are emotionally overwhelmed or withdrawn.

🧍‍♀️Clients with depression often have slowed thought processes and need extra time to respond.

🧠Interrupting or asking new questions can increase pressure and inhibit trust.

💬Using silence and presence fosters a safe environment for the client to engage at their own pace.

📌Core Message

Therapeutic silence allows clients with depression to process and respond without pressure.

Answer 5

Correct Answers:

Assess and report the client's electrolyte status to the healthcare provider.

Rationale :

🧪Electrolyte imbalances are life-threatening complications of bulimia nervosa due to purging behaviors.

🩺Monitoring and reporting these imbalances helps prevent cardiac arrhythmias and neurological issues.

📉This is a priority over therapy or observation because it addresses immediate physical risk.

⚠️Prompt identification and correction of electrolyte abnormalities is essential for client safety.

📌Core Message

Electrolyte monitoring takes priority due to the medical instability seen in bulimia.

Answer 6

Correct Answers:

Thiamine.

Rationale :

🧠Wernicke-Korsakoff syndrome results from thiamine (vitamin B1) deficiency, especially in clients with alcohol dependence.

💉Administering thiamine prevents further neurological deterioration such as confusion, ataxia, and memory loss.

🍷Alcohol interferes with thiamine metabolism, increasing the risk for this syndrome.

⚕️Early intervention with thiamine can improve outcomes and prevent permanent brain damage.

📌Core Message

Thiamine is critical for treating neurological symptoms of alcohol-related brain injury.

Answer 7

Correct Answers:

Educate the client about the purpose and side effects of the medication.

Rationale :

📘Client education is essential to promote adherence to a new medication regimen.

💊Understanding the purpose of the medication empowers clients and increases motivation to stay on treatment.

⚠️Knowledge about potential side effects prepares the client to manage them safely.

🧠Education enhances engagement in recovery and helps prevent relapse or misuse.

📌Core Message

Medication education supports adherence and reduces relapse in substance use treatment.

Answer 8

Correct Answers:

Give concise and firm directions for hygiene and dressing.
Assign the client to a single room.
Invite the client for a walk when client's energy is high.

Rationale :

📋Clients in manic states benefit from structure and firm, simple guidance to reduce overstimulation.

🚪Assigning a private room limits environmental triggers and promotes emotional regulation.

🗣️Clear directions for hygiene help manage disorganization and reinforce boundaries.

🚶Redirecting energy through safe, non-competitive activities like walking prevents escalation.

📌Core Message

Managing bipolar mania requires a structured environment and clear, supportive redirection.

Answer 9

Correct Answers:

Insert peripheral intravenous catheter.

Rationale :

💉Establishing IV access is crucial for rehydration, lab draws, and medication administration in unstable clients.

🚨The client is confused, refusing oral meds, and experiencing GI symptoms with occult bleeding, indicating risk for shock.

💩Immediate IV therapy ensures fluid and electrolyte correction while further assessments are performed.

🧠This step takes priority over other interventions because it supports hemodynamic stability.

📌Core Message

IV access ensures urgent medication and fluid support in acutely ill, noncompliant clients.

Answer 10

Correct Answers:

Remain calm and use a matter-of-fact approach.

Rationale :

😌A calm and factual demeanor de-escalates anxiety by providing emotional stability.

🗣️Clients who are highly anxious may feel more secure when nurses remain emotionally neutral.

🧠Challenging or analyzing their fears too soon may increase distress or withdrawal.

💬Grounded communication helps form a therapeutic connection and reduce irrational worries.

📌Core Message

A calm, matter-of-fact tone helps stabilize anxious clients during assessment.

1 :
The occupational health nurse is working with an employee who was just notified that their child was involved in a motor vehicle collision and taken to the hospital. The employee states, "I can't believe this. What should I do?" Which response is best for the nurse to provide in this crisis?

3 :
A woman who attends a stress management group reveals to group members that though she recently divorced, she continues to care for her husband's aging parents. Which psychological mechanism should the nurse address in the plan of care?

4 :
The nurse interacts with a client who is very depressed and slow to respond to questions. The nurse asks the client to describe current feelings, but the client looks down at the table. Which action is best for the nurse to implement?

5 :
A young adult client is admitted to a psychiatric facility with a diagnosis of bulimia nervosa. Which nursing intervention has the highest priority?

6 :
A client with chronic alcohol dependence is diagnosed with Wernicke-Korsakoff syndrome. The client is experiencing memory loss and confusion. Which medication should the nurse administer to help alleviate the client's symptoms?

7 :
The nurse is preparing a client for discharge after treatment for cocaine abuse. The client is taking home a prescription for a new medication to control cocaine cravings. Which intervention is most important for the nurse to implement?

8 :
The nurse is planning the care for a client who is hospitalized with a bipolar disorder. The client wanders the hallways, talks excessively, and makes sexual comments about the staff. Which intervention(s) should the nurse include in the plan of care? Select all that apply.

9 :
Two days after being admitted with alcohol withdrawal, a client has constant liquid stools and abdominal cramping. The emesis and stool are hemoccult positive. The client is confused and refusing to take oral medication. Which action should the nurse implement first?

10 :
During admission to the psychiatric unit, a client is extremely anxious and reports being worried about the sun coming up the next day. Which intervention is most important for the nurse to implement during the admission process?

1 : The occupational health nurse is working with an employee who was just notified that their child was involved in a motor vehicle collision and taken to the hospital. The employee states, "I can't believe this. What should I do?" Which response is best for the nurse to provide in this crisis?

3 : A woman who attends a stress management group reveals to group members that though she recently divorced, she continues to care for her husband's aging parents. Which psychological mechanism should the nurse address in the plan of care?

4 : The nurse interacts with a client who is very depressed and slow to respond to questions. The nurse asks the client to describe current feelings, but the client looks down at the table. Which action is best for the nurse to implement?

5 : A young adult client is admitted to a psychiatric facility with a diagnosis of bulimia nervosa. Which nursing intervention has the highest priority?

6 : A client with chronic alcohol dependence is diagnosed with Wernicke-Korsakoff syndrome. The client is experiencing memory loss and confusion. Which medication should the nurse administer to help alleviate the client's symptoms?

7 : The nurse is preparing a client for discharge after treatment for cocaine abuse. The client is taking home a prescription for a new medication to control cocaine cravings. Which intervention is most important for the nurse to implement?

8 : The nurse is planning the care for a client who is hospitalized with a bipolar disorder. The client wanders the hallways, talks excessively, and makes sexual comments about the staff. Which intervention(s) should the nurse include in the plan of care? Select all that apply.

9 : Two days after being admitted with alcohol withdrawal, a client has constant liquid stools and abdominal cramping. The emesis and stool are hemoccult positive. The client is confused and refusing to take oral medication. Which action should the nurse implement first?

10 : During admission to the psychiatric unit, a client is extremely anxious and reports being worried about the sun coming up the next day. Which intervention is most important for the nurse to implement during the admission process?

1 :
The occupational health nurse is working with an employee who was just notified that their child was involved in a motor vehicle collision and taken to the hospital. The employee states, "I can't believe this. What should I do?" Which response is best for the nurse to provide in this crisis?

3 :
A woman who attends a stress management group reveals to group members that though she recently divorced, she continues to care for her husband's aging parents. Which psychological mechanism should the nurse address in the plan of care?

4 :
The nurse interacts with a client who is very depressed and slow to respond to questions. The nurse asks the client to describe current feelings, but the client looks down at the table. Which action is best for the nurse to implement?

5 :
A young adult client is admitted to a psychiatric facility with a diagnosis of bulimia nervosa. Which nursing intervention has the highest priority?

6 :
A client with chronic alcohol dependence is diagnosed with Wernicke-Korsakoff syndrome. The client is experiencing memory loss and confusion. Which medication should the nurse administer to help alleviate the client's symptoms?

7 :
The nurse is preparing a client for discharge after treatment for cocaine abuse. The client is taking home a prescription for a new medication to control cocaine cravings. Which intervention is most important for the nurse to implement?

8 :
The nurse is planning the care for a client who is hospitalized with a bipolar disorder. The client wanders the hallways, talks excessively, and makes sexual comments about the staff. Which intervention(s) should the nurse include in the plan of care? Select all that apply.

9 :
Two days after being admitted with alcohol withdrawal, a client has constant liquid stools and abdominal cramping. The emesis and stool are hemoccult positive. The client is confused and refusing to take oral medication. Which action should the nurse implement first?

10 :
During admission to the psychiatric unit, a client is extremely anxious and reports being worried about the sun coming up the next day. Which intervention is most important for the nurse to implement during the admission process?