1) A nurse is planning care for a client who has borderline personality disorder who self-mutilates. Which of the following treatment approaches should
... [Show More] the nurse plan to take?
Maintain close observation of the client.
2) A nurse is assessing a client who has Stage 4 Alzheimer's disease. Which of the following findings should the nurse expect?
The client is able to identify the names of family members.
3) A nurse is caring for a client who reports that the television set in the room is really a two-way radio and states, "voices are coming from the TV and everything we say in this room is being recorded." Which of the following responses should the nurse make?
"That must be very frightening."
4) A nurse is planning care for a newly admitted client who has bipolar disorder and is experiencing acute mania. Which of the following client goals should the nurse identify as the priority?
Maintaining adequate hydration
5) A nurse is preparing to administer a benzodiazepine to a client who has generalized anxiety disorder. The nurse should tell the client to expect which of the following adverse effects?
Sedation
6) A nurse in a mental health unit is planning care for a client who is receiving treatment for self-inflicted injuries. The nurse should identify which of the following interventions as the priority when planning care for this client?
Promoting and maintaining client safety
7) A nurse is providing teaching to a client who has a new prescription for disulfiram for the management of alcohol dependence. Which of the following dietary choices should the nurse instruct the client to avoid?
Pure vanilla extract
8) A nurse is planning care for a client who has a physical dependence to alprazolam and must discontinue the medication. Which of the following actions should the nurse include in the plan?
Taper the medication gradually over several weeks.
9) A nurse is caring for a newly admitted client who is receiving treatment for alcohol use disorder. The client tells the nurse, "I have not had anything to drink for 6 hours." Which of the following findings should the nurse expect during alcohol withdrawal?
Insomnia
10) A nurse is caring for a client who is receiving treatment for alcohol detoxification. Which of the following medications should the nurse expect to administer during this phase of the client's care?
Diazepam
11) A nurse is speaking to a community group about the diagnosis and treatment of clients who have Alzheimer's disease. The nurse should conclude that member of the group requires further teaching when she identifies which of the following findings as a manifestation of Alzheimer's disease?
Sudden confusion
12) A nurse is providing teaching to a client who has generalized anxiety disorder and a new prescription for buspirone. The nurse should inform the client that which of the following manifestations is a common adverse effect of this medication?
Dizziness
13) A nurse is reviewing the medications of a client who has bipolar disorder and a new prescription for lithium. The nurse should identify that it is safe to administer which of the following medications while the client is taking lithium?
Valproic acid
14) A nurse in the emergency department is caring for a toddler who has a fractured arm. Which of the following findings should the nurse identify as a possible indication of physical abuse?
The parent provides a history that is inconsistent with the child's injury.
15) A nurse is evaluating the plan of care for a client who has antisocial personality disorder. Which of the following client actions indicates that he is making progress with the treatment? (Select all that apply.)
Assisting another client who has depression to fill out a menu Requesting a weekend pass to go home
16) A nurse is providing teaching to a client who is to start taking valproic acid. Which of the following instructions should the nurse include?
"You should have your liver function levels monitored regularly while taking valproic acid"
17) A nurse is teaching a client who has agoraphobia about systematic desensitization. Which of the following comments should the nurse include in the teaching?
"You will slowly be exposed to increasing levels of public spaces."
18) A nurse is planning a staff education session about the administration of antidepressant medications to older adult clients. Which of the following information should the nurse include in the teaching?
Older adult clients require a lower initial dose of antidepressant medication than adult clients.
19) A nurse in an acute mental health facility is reviewing the medication records for a group of clients. The nurse should expect a prescription for memantine for a client who has which of the following diagnoses?
Severe Alzheimer's disease
20) A nurse is assessing a client who has binge-eating disorder. Which of the following findings should the nurse expect?
Abdominal pain
21) A nurse on an acute care unit is providing postoperative care to an older adult client who develops delirium. Which of the following actions should the nurse take?
Request a prescription for an antianxiety medication.
22) A nurse is assessing a client who has conduct disorder. Which of the following findings should the nurse expect?
Aggressive behavior toward others
23) A nurse in an acute mental health facility is leading a nursing staff discussion about the legal aspects of involuntary admissions. Which of the following information should the nurse include?
An involuntary admission is justified if the client is a danger to others.
24) A nurse is caring for a client who has schizophrenia. The nurse notices that the client is pacing up and down the hall very rapidly and muttering in an angry manner. Which of the following actions should the nurse take first?
Approach the client in a nonthreatening manner.
25) A nurse is reviewing the medical record of a client who has a new prescription for a benzodiazepine. For which of the following findings should the nurse question the provider's prescription?
Hypotension
26) A nurse is providing teaching to the parents of a school-age child who has attention deficit hyperactivity disorder (ADHD). Which of the following instructions should the nurse include in the teaching?
"Ignore your child's attention-seeking behaviors that are not dangerous."
27) A nurse is interviewing a client who has anorexia nervosa. Which of the following findings should the nurse expect?
Strenuous exercise regimen
28) A nurse is caring for a client who has depression. The client states, "I am too tired and depressed to attend group therapy today." Which of the following responses should the nurse make?
"Attending group therapy, even if you're tired, is an important part of your treatment."
29) A nurse is performing an admission assessment for a client who has restricting type anorexia nervosa. The nurse should expect which of the following findings?
Decreased caloric intake [Show Less]