A nurse is collecting data from a client who has a history of cocaine use. Which of
the following manifestations is an indication that the client is
... [Show More] experiencing cocaine
toxicity? - Seizures
*The nurse should expect a client who is experiencing cocaine toxicity to
experience seizures. Other manifestations include severe anxiety, hallucinations,
and paranoid thoughts.
A nurse is reinforcing teaching with an adolescent client who has a history of
aggressive behavior. Which of the following statements should the nurse make? -
"Have you considered playing a sport, to help control your aggression?"
A nurse is participating in group therapy for clients who have major depressive
disorder. Which of the following topics should the nurse include in the orientation
phase of group therapy? - Confidentiality
A nurse is caring for a client who has schizophrenia and a prescription for
haloperidol. The nurse should identify that which of the following findings
indicates a potential need for a PRN dose of benztropine? - Shuffling gait
*The nurse should identify that a shuffling gait can be indicative of the presence of
pseudoparkinsonism, which can be treated with a PRN dose of benztropine.
A nurse on a mental health unit is reinforcing teaching about informed consent
with a newly licensed nurse. Which of the following statements indicates an
understanding of the teaching? - "The consent form should have the name of the
provider who is performing the procedure on the form."
A nurse is assisting with the admission of a client to an acute care mental health
facility. Which of the following activities should the nurse plan for the working
phase of the therapeutic relationship? - Evaluate the client's progress toward
meeting his goals.
A nurse is collecting data from a client who has delirium. The nurse should
identify which of the following conditions as a predisposing factor for delirium? -
Hepatic failure
*Hepatic failure can be a predisposing factor for the development of delirium.
Other potential predisposing factors include febrile illness, hypoxia, head trauma,
and stroke.A nurse is caring for a group of clients on mental health unit. Which of the
following client behaviors should the nurse report to the charge nurse? - A client
who is manic has been pacing the unit for several hours
*The nurse should identify that excessive physical activity in a client who is
experiencing a manic episode places the client at risk for physical exhaustion and
possible death. The nurse should report this client's behavior to the charge nurse.
A nurse is reinforcing teaching about stress management techniques with a client
who has mild anxiety. Which of the following statements should the nurse make? -
"You should listen to music when you feel stress."
A nurse is caring for a client who is undergoing behavioral therapy for post
traumatic stress disorder (PTSD). The nurse should identify that which of the
following findings indicates an improvement in the client's condition? - The client
reports about techniques she uses to promote sleep.
A nurse is caring for a client who has psychiatric somatic symptom disorder.
Which of the following actions should the nurse take? - Encourage the client to
examine how his illness behavior affects his family.
*The nurse should recognize that secondary gains the client might receive are a
reprieve from performing duties related to care of the family. The nurse should
encourage the client to gain insight into how his illness behavior affects his family,
which can help restore family function.
A nurse is collecting data from a client who uses alcohol "to cope with stress."
Which of the following questions should the nurse ask? - "What daily activities are
disrupted because of your alcohol consumption?"
A nurse is caring for a client who has antisocial personality disorder. Which of the
following actions should the nurse take when caring for this client? - Remind the
client of consequences for unacceptable behavior.
*Clients who have an antisocial personality disorder do not respect the rights of
others. Therefore, the nurse should remind the client about which behaviors are
acceptable and unacceptable and be prepared to administer consequences for
unacceptable behavior. [Show Less]