Kaplan NCLEX-PN

Kaplan NCLEX-PN Namaste Save Exam Cram NCLEX-PN PRACTICE Q...103 terms summer3266Preview Kaplan PN Test 1 Study Set 50 terms Annamarie_Rose9 Preview NCLEX-PN Review Questions 75 terms awithem240Preview NCLEX 83 terms cut The LPN/LVN is gathering data from a client who is being treated for obsessive compulsive disorder. Which of the following is the most important question the LPN/LVN should ask this client?

• "DO you find yourself forgetting simple things?"
• "Do you find it hard to stay on track?"
• "Do you have trouble controlling upsetting feelings?"
• "Do you experience feelings of panic in a closed area?"
• "Do you have trouble controlling upsetting feelings?"

Rationale: OCD is characterized by a history of obsessions and compulsions. Obsessions are recurrent and persistent thoughts, ideas, impulses, or images that are experienced as intrusive and senseless. The client knows that the thoughts are ridiculous or morbid but cannot stop, forget, or control them. Compulsions are repetitive behaviors performed in a certain way to prevent discomfort and neutralize anxiety.The LPN/LVN is caring for a client who states, "I just want to die." The LPN/LVN should examine the client's medical record for which of the following documents?"

• Advance directives
• Power of attorney
• "Do not resuscitate" order
• Living will
• Advance directives

Rationale: Advance directives: specific instructions by the client that are legally binding. Clients with advance directives must provide them in written form to the healthcare provider. Advance directives include: "do not resuscitate." living will, durable power of attorney/healthcare surrogate. Terms (3)

A newly admitted client with a history of convulsions suddenly says to the LPN/LVN, "I hear drums." Which of the following should the LPN/LVN do first?

• Tell the client to ignore the drums
• Place the client in a darkened room away from the nurse's station
• Continue to question the client
• Insert an oral airway into the client
• Insert an oral airway into the client

Rationale: Aura; brief sensory alteration often preceding seizure or migraine, likely for client with history of convulsions. Petit mal seizures: usually occur in children, not associated with an aura. Grand mal seizures: involve loss of consciousness and convulsions. Hide definitions