1. A nurse is contributing to the plan of care for a client who has borderline personality disorder and exhibits manipulative behaviors. which of the
... [Show More] following interventions should the nurse include in the plan of care? - Establish and explain consequences for the clients behavior
2. A nurse is assisting with screening for a group of client for major depressive disorder (MDD). The nurse should identify that which of the following clients is at an increased risk for development of MDD? - A client who just gave birth.
3. A nurse in a mental health facility is collecting data from a client who has schizophrenia. The nurse should identify that which of the following findings is referred to as a negative symptom of schizophrenia? - Apathy
4. A nurse is monitoring the nutritional status of a client who has bulimia nervosa. The nurse should monitor the client for which of the following complications? - Hyponatremia
5. A nurse is reinforcing teaching with the parent of a child who has ADHD and is exhibiting disruptive behavior at home. which of the following actions should the nurse instruct the parent to take? - initiate a point system for the child.
6. A nurse is collecting data from a client who has major depressive disorder. which of the following findings is the priority for the nurse to report to the provider? - feelings of hopelessness.
7. A nurse in a mental health facility is caring for a client who is becoming agitated. which of the following actions should the nurse take first? - offer diversionary activities.
8. a nurse is reinforcing teaching about expected withdrawal manifestations with a client who has enrolled in a smoking cessation course. which of the following client statements indicates an understanding of the information? - "I will probably feel irritable within 24 hours of my last cigarette."
9. A nurse is caring for a client who has anxiety disorder and is refusing to take a medication. which of the following responses should the nurse make? - "you have the right to refuse this medication"
10. A nurse is caring for a client who has schizophrenia. which of the following actions by the nurse is a violation of the client's confidentiality? - the nurse places the client's diagnosis on the whiteboard in the clients room. (this is a HIPAA violation)
11. A nurse is assisting with the planning of an interprofessional care conference for a newly admitted client who is in the acute stage of anorexia nervosa. which of the following members of the interprofessional team should the nurse include? - Dietician
12. A nurse is caring for a client who is 2 days postoperative following a hip arthroplasty. when a news report about military action appears on the television, the client says to the nurse, "my youngest child died 6 months ago while serving in the military." which of the following responses should the nurse make? (SATA) - "This must be a very difficult time for you"
"your child's death must be a terrible loss."
"tell me something you remember about your child."
13. a nurse in an inpatient unit is assisting with a group therapy session. during the session, a client begins to shout and use aggressive language. which of the following statements should the nurse make to the client? - "when you raise your voice, it makes me feel uncomfortable and unsafe."
14. a nurse is caring for a client who takes naltrexone for the treatment of alcohol use disorder. the nurse should identify that which of the following statements indicates the medication is effective? - "I drink less alcohol in a day while taking naltrexone."
15. A nurse is caring for a client in a day treatment program. which of the following actions should the nurse take? ( click on the exhibit tabs for additional information about the client. There are three tabs that contain separate categories of data). - Request transport for the client to an emergency department.
16. a nurse in an urgent care clinic is collecting data from a client whose friend reports a suspicion of cocaine use. The nurse should identify that which of the following findings is an indicator of the clients use of this substance? - Hypertension
17. a nurse is contributing to the plan of care for a client who has bipolar disorder. which of the following actions should the nurse include to promote a therapeutic environment during the working phase of the nurse client relationship? - Reinforce teaching about medication
18. a nurse is assisting with the admission of a client who has schizophrenia. which of the following actions should the nurse take first? - conduct an abnormal involuntary movement scale test. [Show Less]