A client is being treated for depression with phenelzine (Nardil). Which statement by the client indicates that the goal for the client to understand the potential side effects of the antidepressant has been achieved?
a. I should wear sturdy and supportive shoes when I'm outside.
b. My legs should be elevated when I'm sitting.
c. I must avoid eating at Chinese restau-rants.
d. Colognes and perfumed soaps can cause allergic reactions.
Identify the statement made by a psychiatric clinical nurse specialist to a client with anorexia nervosa that best demonstrates the use of cognitive therapy.
a. You seem to feel much better about yourself when you eat something.
b. Being thin doesn't seem to solve your problems, since you're thin now and still unhappy.
c. It must be difficult to talk about private matters with someone you just met.
d. What are your feelings about not eating the food that you prepare?
Which statement by a nurse working with a client who is suffering from paranoid delusions and who is not very talkative would block therapeutic communication?
a. You seem to be more suspicious of the other clients today.
b. I feel you have made progress by speak-ing about your fears.
c. I know just how you feel. I often see the head nurse waiting for me to make a mis-take.
d. You mentioned that you see them look-ing through the window. Please tell me more about that.
A 1-day-postoperative client has both morphine sulfate (MS) and meperidine (Demerol) prescribed for pain. Upon which assessment would the nurse decide to give the meperidine rather than the morphine sulfate?
a. Pain has increased from a 2/10 to a 6/10
b. B/P 110/58, pulse 62 BPM
c. Temperature 99.2F, respirations 10/min
d. Awake, alert, and oriented 3
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