. Disturbed thought process.
2. A nurse is explaining a fire drill routine to a group of clients. A
client becomes disruptive and continually interrupts
... [Show More] the group.
What is the nurse's best response?
3. When you interrupt, I cannot explain what to do to the group.
4. When performing a MSE on a client which assessment
intervention would best assist the nurse?
5. Ask the client to interpret the proverb a stitch in time saves nine.
6. A client comes in after being in a car accident and is experiencing
alcohol withdrawal, magnesium level of 1.1, cardiac
dysthrythmias. What would you give first?
7. Magnesium.
8. A woman is just told of her husband's dx of terminal cancer.
What would the nurse offer for the spouse (wife)?
9. How would you like to be involved with your husband's care?
10. A nurse is to remove staples from an abdominal incision, the
client is very anxious. What is the most important intervention?
11. Attempt to distract the client with general conversation.
12. A man who was stranded on the roof of his house for two days
after a natural disaster, months later ...
13. Implement anxiety control strategies
14. A man dx with bipolar disorder states, "I don't understand, I
believe in God and have not done anything to deserve this". What
is the nurse's best response?
15. You didn't do anything wrong. You have a chemical imbalance in
your brain.
16. A client becomes upset when the nurse he requests is not
assigned to him, what is the nurse's best response?
17. Advise the client that nursing assignments are not based on client
requests.
18. A client needs to wash her hands for two hours before able to
go on with her morning. She doesn't want to sit on the chairs in
the dayroom for fear of getting dirty. What is this mechanism?
19. Compulsion.
20. A client in group is talking about her prostitution, the nurse
asks her if she was abused by her parents. She states "my mother
ran my father out when I was young". What defense mechanism
was used?
21. Repression. [Show Less]