1. A nurse is conducting a counseling session with a client who has a substance use disorder. The client repeatedly ask personal questions about the nurse.
... [Show More] Which of the following actions should the nurse take? - Explain that this time is designated to focus on the client.
2. A nurse is preparing to apply restaurants on a client who is threatening to harm others and has not responded to lessen case of interventions. Which of the following actions should the nurse plan to take? - Document the clients behavior every 15 minutes while restraints are in place.
3. Community mental health nurse is planning strategies to address substance use my adolescence. Which of the following intervention should the nurse plan as a method of primary prevention?Community mental health nurse is planning strategies to address substance use my adolescence. Which of the following intervention should the nurse plan as a method of primary prevention? - Provide a presentation at area high school's and resisting peer pressure for substance use.
4. A nurse in an emergency department is caring for an 18 month old toddler who has a fractured left femur. What is the long statement by the toddler's parent should cause the nurse to suspect child abuse? - "My child was riding a bicycle and fell off."
5. A nurse is administering an oral sedative to a client who is receiving careful and involuntary admission. The client states, " I'm not taking any more medication." Which of the following actions should the nurse take? - Document the client refusal of the medication in the medical record.
6. A nurse is caring for a school age client who begins wetting the bed after finding out her parents are getting a divorce. The nurse should identify the client is exhibiting which is a fine defense mechanisms? - Regression
7. A nurse is caring for a client who is brought to the clinic by her adult son who states that his father recently died. The client repeatedly yells at her son stating, " Quit lying about your father!" The nurse should recognize that the client is demonstrating which of the following defense mechanisms? - Denial
8. A nurse is caring for a client called mental health counseling center. The client received a failing grade in the course and spends entire counseling session blaming the teacher. The nurse should recognize this behavior as example of which of the following defense mechanisms? - Projection
9. A nurse at a college campus health clinic is caring for a client who reports manifestations of bulimia nervosa. The client tells the nurse, " I know my eating binges and vomiting are not normal, but I cannot control it." Which of the following responses should the nurse make? - " You are feeling helpless about changing this behavior?"
10. A nurse is preparing to administer fluphenazine decanoate 12.5 mg subcutaneous. available is fluphenazine decanoate 25 mg/mL. How many mL should the nurse administer per dose? - 0.5
11. A nurse is providing support for the parents of a child has a new diagnosis of a terminal brain tumor. The nurse should expect the parents to experience which of the following stages of grief? - Denial
12. A nurse is caring for a client who has depression. The nurse observes that the client has not come to breakfast and is still in bed. The client states, " I'm not worth your time. Leave me alone and go help someone else." which of the following responses should the nurse make? - " In other words, you seem to be saying that you feel unworthy of help."
13. A nurse is caring for a client has schizophrenia. The client states, " My internal organs have turned to stone." The nurse should document this finding as which of the following types of delusions? - Somatic
14. A nurse is establishing a therapeutic relationship with a client who has hallucinations. Which of the following actions should the nurse take during the orientation phase? - Identify the clients perception of the reason for therapy.
15. A nurse is assessing a client who has anorexia nervosa. The nurse should expect the client to display which of the following characteristics? - Possesses feelings of decreased self-worth
16. A nurse is planning reminiscence therapy for an older adult client. The nurse should identify which of the following goals for the client's therapy? [Show Less]