Nursing Elites

1. Which intervention should be prioritized for a client experiencing panic-level anxiety?

• A. Postpone health teaching until anxiety subsides
• B. Encourage participation in group therapy
• C. Monitor vital signs every 5 minutes
• D. Provide reassurance and remain with the client

Correct answer: D

Rationale: During panic-level anxiety, the priority is to provide reassurance and remain with the client. This intervention helps to offer immediate support, comfort, and a sense of safety to the client. Postponing health teaching until anxiety subsides (Choice A) is not appropriate as the client's immediate emotional needs are more critical. Encouraging participation in group therapy (Choice B) may be beneficial in the long term but is not the priority during a panic attack. While monitoring vital signs (Choice C) is important, providing reassurance and support take precedence in managing panic-level anxiety.

2. Which therapeutic technique is recommended for clients with somatic symptom disorder?

• A. Encourage complete bed rest
• B. Limit the amount of time the client spends discussing symptoms
• C. Monitor the client's food intake
• D. Educate the client on lifestyle changes to reduce symptoms

Correct answer: B

Rationale: The correct therapeutic technique recommended for clients with somatic symptom disorder is to limit the amount of time the client spends discussing symptoms. By doing so, the focus can be shifted away from the illness, helping the client to manage their condition better. Encouraging complete bed rest (Choice A) is not typically recommended as it may reinforce illness behaviors. Monitoring the client's food intake (Choice C) may not directly address the psychological aspects of somatic symptom disorder. Educating the client on lifestyle changes (Choice D) is important but may not be as effective initially as limiting symptom-focused discussions.

3. A nurse sees a healthcare provider administer an incorrect medication dose but does not report the error. What should the nurse do first?

• A. Ignore the situation and continue with patient care.
• B. Report the error to the nurse manager immediately.
• C. Speak to the healthcare provider directly about the error.
• D. File an anonymous report to avoid conflict.

Correct answer: B

Rationale: When a nurse witnesses a healthcare provider administering an incorrect medication dose, the first step should be to report the error to the nurse manager immediately. Reporting medication errors is crucial for patient safety as it allows prompt intervention to prevent harm. Choice A is incorrect as ignoring the situation can jeopardize patient safety. Choice C, while addressing the error directly, may not ensure proper documentation and follow-up. Choice D, filing an anonymous report, is not as effective as directly informing the nurse manager who can take appropriate action and follow-up on the incident.

4. After surgery, a patient is experiencing pain. What is the nurse's priority action?

• A. Administer pain medication as prescribed.
• B. Assess the patient's pain using a pain scale.
• C. Offer the patient non-pharmacological pain relief methods.
• D. Reassess the patient's pain level after 30 minutes.

Correct answer: B

Rationale: The correct answer is to assess the patient's pain using a pain scale. This is the priority action because it allows the nurse to obtain an objective measure of the patient's pain intensity. By accurately assessing the pain level, the nurse can determine the appropriate intervention, which may include administering pain medication as prescribed (choice A) or offering non-pharmacological pain relief methods (choice C). Reassessing the patient's pain level after 30 minutes (choice D) is important but comes after the initial assessment to evaluate the effectiveness of the interventions implemented.

5. A client with a new prescription for levothyroxine is receiving teaching from a nurse. Which statement indicates understanding of the teaching?

• A. I should take this with food
• B. I will see immediate results
• C. I might not realize the full effect of the medication for several weeks
• D. I should stop if I feel better

Correct answer: C

Rationale: The correct answer is C: 'I might not realize the full effect of the medication for several weeks.' Levothyroxine is a medication that may take several weeks for the full effect to be evident. Choice A is incorrect because levothyroxine should be taken on an empty stomach. Choice B is incorrect because immediate results are not expected with levothyroxine. Choice D is incorrect because stopping the medication without consulting a healthcare provider can be harmful, even if the client feels better.

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