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NEW QUESTION 26
The nurse provides a male client with diet teaching so that he can help prevent constipation in the future. Which food choices indicate that this teaching has been understood?

• A. Bagel with cream cheese
• B. Cooked oatmeal and grapefruit half
• C. Omelette and hash browns
• D. Pancakes and syrup

Answer: B

Explanation:
(A)
Eggs and hash browns do not provide much fiber and bulk, so they do not effectively prevent constipation. (B) Pancakes and syrup also have little fiber and bulk, so they do not effectively prevent constipation. (C) Bagel and cream cheese do not provide intestinal bulk.
(D)
A combination of oatmeal and fresh fruit will provide fiber and intestinal bulk.

NEW QUESTION 27
A client experiencing delusions states, "I came here because there were people surrounding my house that wanted to take me away and use my body for science." The best response by the nurse would be:

• A. "Describe the people surrounding your house that want to take you away."
• B. "I need more information on why you think others want to use your body for science."
• C. "There were no people surrounding your house, your relatives brought you here, and no one really wants your body for science."
• D. "I know that must be frightening for you; let the staff know when you are having thoughts that trouble you."

Answer: D

Explanation:
(A) Focusing on the delusional content does not reinforce reality. (B) Pursuing details or more information on the delusion reinforces the false belief and further distances the client from reality. (C) Challenging the client's delusional system may force the client to defend it, and you cannot change the delusion through logic. (D) Focusing on the feeling can reinforce reality and discourage the false belief. Seeking out staff when thoughts are troublesome can help to decrease anxiety.

NEW QUESTION 28
Clients receiving antipsychotic drug therapy will often exhibit extrapyramidal side effects that are reversible with which of the following agents ordered by the physician?

• A. Anti-Parkinsonian drugs
• B. Anticholinergics
• C. Tricyclic agents
• D. Phenothiazines

Answer: B

Explanation:
(A) This answer is incorrect. Phenothiazines are antipsychotic drugs and produce the symptoms. (B) This answer is correct. Anticholinergic agents are often used prophylactically for extrapyramidal symptoms. They balance cholinergic activity in the basal ganglia of the brain. (C) This answer is incorrect. Anti- Parkinsonian drugs would increase the symptoms. (D) This answer is incorrect. Tricyclic agents are used for symptoms of depression.

NEW QUESTION 29
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