1. A nurse in a community health center is working with a group of clients who have posttraumatic stress disorder. Which of the following interventions
... [Show More] should the nurse include to
reduce anxiety among the group members?
- Response prevention
- Guided imagery *
- Aversion therapy
- Light therapy
2. A client who has a recent diagnosis of bipolar disorder is placed in a room with a client who
has severe depression. The client who has depression reports to the nurse, “My roommate
never sleeps and keeps me up too.” Which of the following actions should the nurse take?
- Move the client who has bipolar disorder to a private room *
- Administer sleep medication to the client who has bipolar disorder
- Move the client who has severe depression to a private room
- Administer sleep medication to the client who has severe depression
3. A nurse is reviewing laboratory results for a client who has schizophrenia and is taking
clozapine. Which of the following values should the nurse identify as a contraindication for
receiving clozapine.
A. WBC 2500/mm3 *
B. Hbg 11.5 mg/dL
C. Platelets 150,000/mm3
D. RBC 3.5 million/mm3
4. A nurse is caring for four clients in an emergency department. The nurse should identify that
which of the following clients can give informed consent?
- 17 yr old who lives with friends
- 50 yr old who has a blood alcohol level of 80 mg/dL
- 65 yr old who just received a dose of morphine
- 35 yr old who has major depressive disorder*
5. A nurse is facilitating a community meeting for acute care clients. One client is constantly
talking and using the majority of the group’s time. Which of the following interventions should
the nurse implement?
- Tell the client to talk less or risk being removed from the meeting
- Ask the group members to discuss their feelings about the client’s monopolizing behavior *
- End the group meeting and take the client aside to discuss the disruptive behavior
- Focus on other group members and ignore the client who is doing all the talking
6. A nurse in a community health center is teaching families of clients who has post-traumatic
stress disorder (PTSD) about expected clinical manifestations. Which of the following
manifestations should the nurse include?
- Repeatedly talks about the traumatic event
- Sleeps excessively- Experiences feelings of isolation *
- Uses repetitive speech
7. A nurse is preparing to administer diazepam 7.5 mg IV bolus to a client for alcohol
withdrawal. Available is diazepam injection 5 mg/mL. How many mL should the nurse
administer?
1.5 mL
8. A nurse is planning prevention strategies for partner violence in the community. Which of the
following strategies should the nurse include as a method of secondary prevention?
- Provide teaching about the use of positive coping mechanisms
- Establish screening programs to identify at risk clients *
- Refer survivors of intimate partner abuse to a legal advocacy program
- Organize rehab therapy for clients who have experiences intimate partner abuse
9. A nurse is assessing a client for risk factors for the development of depression. The nurse
should identify that which of the following factors places the client at an increased risk for
depression?
- The client is married
- Recent promotion at work
- COPD *
- Male
10. A nurse is preparing to discharge to home an older adult client who attempted suicide. The
client lives alone and has difficulty performing ADL’s. Which of the following referrals should the
nurse initiate? Select all that apply [Show Less]