Free NCLEX-RN Exam Braindumps (page: 248)

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A client is a depressed, 48-year-old salesman. A serious concern for the nurse working with depressed clients is the potential of suicide. The time that suicide is most likely to occur is:

  1. In the acutely depressed state
  2. When the depression starts to lift
  3. In the denial phase
  4. During a manic episode

Answer(s): B

Explanation:

(A) The client may be too disorganized in the acute phase to make a workable plan. (B) When the depression starts to lift, the client is able to make a workable plan. (C) There usually is not a significant denial phase related to depression. Suicide occurs in a state of despair and hopelessness. (D) Suicide is uncommon in the manic state. In this state, clients do not feel hopeless, but euphoric and overly confident.



A client is a depressed, 48-year-old salesman. A serious concern for the nurse working with depressed clients is the potential of suicide. The time that suicide is most likely to occur is:

  1. In the acutely depressed state
  2. When the depression starts to lift
  3. In the denial phase
  4. During a manic episode

Answer(s): B

Explanation:

(A) The client may be too disorganized in the acute phase to make a workable plan. (B) When the depression starts to lift, the client is able to make a workable plan. (C) There usually is not a significant denial phase related to depression. Suicide occurs in a state of despair and hopelessness. (D) Suicide is uncommon in the manic state. In this state, clients do not feel hopeless, but euphoric and overly confident.



A client had a right below-the-knee amputation 4 days ago. He is complaining of pain in his right lower leg.
The nurse should:

  1. Remind the client that he no longer has that part of his leg and assure him he will be OK
  2. Call the physician to request a psychological consultation for the client
  3. Turn on the television to distract the client's attention from his amputated leg
  4. Give the client his order of Demerol 50 mg IM prn

Answer(s): D

Explanation:

(A) The nurse is ignoring the client's pain. Telling the client that he will be OK will not relieve his phantom pain. (B) The client does not need a psychological consultation. Phantom pain is a normal sensation experienced by clients with amputations. (C) Using the television as a distractor will not relieve the client's phantom pain. (D) Phantom pain is a normal, very real experience for an amputee and should be treated with pain medication.



A client had a right below-the-knee amputation 4 days ago. He is complaining of pain in his right lower leg.
The nurse should:

  1. Remind the client that he no longer has that part of his leg and assure him he will be OK
  2. Call the physician to request a psychological consultation for the client
  3. Turn on the television to distract the client's attention from his amputated leg
  4. Give the client his order of Demerol 50 mg IM prn

Answer(s): D

Explanation:

(A) The nurse is ignoring the client's pain. Telling the client that he will be OK will not relieve his phantom pain. (B) The client does not need a psychological consultation. Phantom pain is a normal sensation experienced by clients with amputations. (C) Using the television as a distractor will not relieve the client's phantom pain. (D) Phantom pain is a normal, very real experience for an amputee and should be treated with pain medication.



Page 248 of 431



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