1. A nurse is caring for a client who has cirrhosis of the liver due to alcohol use disorder. Which of the following findings should the nurse
... [Show More] suspect?
- Acrocyanosis
- Arrhythmias
- Ascites
- Weight gain
2. A nurse is collecting data from a client who has binge-eating disorder. Which of the following findings should the nurse expect?
- Amenorrhea
- Abdominal pain
- Restricted caloric intake
- Frequent use of laxatives
3. A nurse is assisting with the collection of admission data for a client who has anorexia nervosa. The client has lost 11.4 kg (25 lb) over the past month and currently weighs
38.6 kg (85 lb). The nurse should expect which of the following findings?
- Flushed extremities
- Hyperkalemia
- Loose stools
- Amenorrhea
4. A nurse is caring for a client who has alcohol use disorder. Following withdrawal, which of the following medications should the nurse expect to administer to the client during maintenance?
- Methadone
- Disulfiram
- Chlordiazepoxide
- Naloxone
5. A nurse is collecting data from a client who has post-traumatic stress disorder (PTSD) due to a sexual assault that occurred 3 months ago. Which of the following findings should the nurse expect?
- Increased hours of sleep each day
- Repeatedly talking about the assault
- Dreams about the assault
- Decreased responsiveness to stimuli
6. A nurse in an acute mental health facility is participating in a nursing staff discussion about the legal aspects of involuntary admissions. Which of the following information should the nurse include?
- A client who is involuntarily admitted must take prescribed medications
- An involuntary admission of a client is limited to 2 weeks
- A client who is involuntarily admitted can leave the facility against medical advice
- An involuntary admission is justified if the client is a danger to others
7. A nurse in a mental health unit is contributing to the plan of care for a client who is receiving treatment for self-inflicted injuries. The nurse should identify which of the following interventions as the priority for this client.
- Promoting and maintaining the client safety
- Discussing reasons for the client’s behavior
- Assisting the client to recognize feelings
- Reinforcing teaching with the client about alternative coping strategies
8. A nurse in an acute mental health facility is assisting with the plan of care for a client who has obsessive-compulsive disorder (OCD). Which of the following actions should the nurse recommend?
- Encourage the client to focus on personal hygiene
- Limit the hours the client sleeps each day
- Instruct the client to practice thought stopping
- Make negative statements about the client’s behavior
9. A nurse is reinforcing teaching with a client who has bipolar disorder and a new prescription for valproic acid. The nurse should explain that the provider will routinely prescribe which of the following tests while the client is taking valproic acid?
- Electrocardiogram
- Chest X-ray
- Thyroid function tests
- Liver function levels
10. A nurse in the emergency room is collecting data from a client who has heroin intoxication. Which of the following findings should the nurse expect?
- Seizure activity
- Respiratory depression
- Hypersensitivity to pain
- Increased mental alertness
11. A nurse is assisting with a community presentation about Alzheimer’s disease. The nurse should conclude that a member of the group requires further reinforcement of teaching when she identifies which of the following findings as a manifestation of Alzheimer’s disease?
- Impaired judgment
- Sudden confusion
- Decreased attention span
- Short-term memory loss
12. A nurse is collecting data from a client who has cocaine intoxication. Which of the following findings should the nurse expect?
- Low blood pressure
- Increased mental alertness
- Flat affect
- Decreased body temp
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