A nurse is caring for a client whose child has a terminal illness. The client requests information about how to deal with the upcoming
loss. Which of the
... [Show More] following statements should the nurse make
"It is not uncommon to feel angry toward yourself or others
Reason: Feelings of blame and anger towards oneself or others are an expected reaction when a client is experiencing a loss.
A nurse is teaching a client who has bipolar disorder and a prescription for lithium. Which of the following instructions should the
nurse include in the teaching
"Take this medication with food
Reason: Lithium can cause GI distress and should be taken with food. Recommended sodium intake 1500mg/day.
Recommended 2000-3000ml/day fluids.
A nurse is planning care for four clients in a mental health facility. Which of the following clients is at the greatest risk for injury when
performing ADLs
A client who has severe Alzheimer's disease
Reason: Alzheimer's clients are typically confused with memory difficulties, tend to wander and need ADL assistance.
A nurse is updating the plan of care for a client who has bulimia nervosa and is 5% above his ideal body weight. Which of the
following interventions should the nurse include in the plan
Identify the client's trigger foods
Reason: Nurse should identify trigger foods that initiate the client's binge and assist the client to understand his thoughts
and behavior that relate to the foood
A nurse who works with newborns is assessing the potential for abuse or neglect. Which of the following family groups should the
nurse identify as the highest potential for future child abuse
A family where one or both parents witnessed intimate partner violence in the home as children
Reason: Parents who witnessed intimate partner violence as a child are more likely to become abusive.
A nurse is performing an admission assessment on a client and notices that the client appears withdrawn and fearful. To establish a
trusting nurse-client relationship, which of the following actions should the nurse take first?
Inform the client that her admission is confidential
Reason: According to EBP, Nurse should inform client about confidentiality during orientation phase of nurse-client
relationship
A nurse is caring for four clients in an inpatient mental health facility. Which of the following clients can give informed consent
A 35-year-old client who has major depressive disorderReason; Client who has major depressive disorder is capable of making health care decisions unless determined legally
incompetent
A nurse is admitting a client who has schizophrenia to an acute care setting. When the nurse questions the client regarding his
admission, the client states, "I'm red, in the head, and I'm going to bed!" The nurse should document the client's speech pattern as
which of the following [Show Less]