A nurse is teaching a client who has schizophrenia about her new prescription for
risperidone. Which of the following statements should the nurse include
... [Show More] in the
teaching? - "You should continue this medication if you develop muscle rigidity".
A nurse is admitting a client who has a generalized anxiety disorder. Which of the
following actions should the nurse plan to take first? - Provide the client with a
quiet environment
A nurse is conducting an admission interview with a client who is experiencing
mania. Which of the following should the nurse report to the provider? - Reports
eating twice in the past two weeks.
A nurse is planning care for a client who has obsessive-compulsive disorder.
Which of the following recommendation should the nurse include in the clients
plan of care? - Thought stopping
A nurse is caring for a client who has bipolar disorder and is experiencing a manic
episode. Which of the following actions should the nurse take? - Dim the lights in
the clients room
A nurse is leading a crisis intervention group for adolescents who witnessed the
suicide of a classmate. Which of the following actions should the nurse take first. -
Identify prior coping skills
A nurse overhears a client saying, "I am a spy, a spy for the FBI. I am an I, an eye
for an eye in the sky. Sky is up high." The nurse should document the client's
statement as which of the following speech alterations? - Clang association
An older adult client is brought to the mental health clinic by her daughter. The
daughter reports that her mother is not eating and seems uninterested in routine
activities. The daughter states "I'm so worried that my mother is depressed" which
of the following responses should the nurse make? - Tell me the reasons you think
your mother is depressed.A nurse is planning care for an adolescent who has autism spectrum disorder.
Which of the following outcomes should the nurse include in the plan care? -
Initiates social interactions with caregivers.
A nurse is providing behavior therapy for a client who has obsessive-compulsive
disorder. The client repeatedly checks that the doors are locked at night. Which of
the following instructions should the nurse give the client when using thoughtstopping technique? - -Snap a rubber band on your wrist when you think about
checking the locks. -Focus on abdominal breathing whenever you go to check the
locks.
A nurse is caring for a client who is starting treatment for substance use disorder.
Which of the following actions indicate the nurse is practicing the ethical principle
of nonmaleficence? - Withholding the prescribed medication that is causing
adverse effects for the client.
A nurse in a group home facility is caring for a client who is developmentally
disabled. The client has been stealing belongings from other clients. Which of the
following techniques should the nurse use? - Positive reinforcement to increase
desired behavior.
A nurse is caring for a client who is experiencing a panic attack. Which of the
following actions should the nurse take? - Have the client breathe into a paper bag.
The nurse is caring for a client following a physical assault. The client states "I
don't remember what happened to me." The nurse should recognize that the client
is using which of the following defense mechanisms? - Repression
A nurse is caring for a client who has anorexia nervosa. Which of the following
findings require immediate intervention by the nurse? - Blood pH 7.60
A nurse is caring for a client in a mental health facility. The client is agitated and
threatens to harm herself and others. Which of the following is the priority
intervention? - Set limits on the client's behavior
A nurse is caring for a client who was involuntarily committed and is scheduled to
receive electroconvulsive therapy (ECT). The client refuses the treatment and will
not discuss why with the health care team. Which of the following actions should
the nurse take? - Document the client's refusal of the treatment in the medical
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