1. A nurse is planning overall strategies to address problems for a client who has
borderline personality disorder. Which of the following strategies is
... [Show More] the priority for
the nurse to incorporate in the plan of care? - d. implement measures to prevent
intentional self-inflicted injury
2) A nurse is admitting a client who has generalized anxiety disorder. Which of the
following actions should the nurse plan to take first? - a. Provide the client with a
quiet environment
3) A nurse is conducting an admission interview with a client who is experiencing
mania. Which of the following should the nurse report to the provider? - a. States
that he hasn't bathed in 2 days
4) A nurse is planning care for a client who has obsessive-compulsive disorder.
Which of the following recommendation should the nurse include in the clients
plan of care? - b. Thought stopping
5) A nurse is caring for a client who has bipolar disorder and is experiencing a
manic episode. Which of the following actions should the nurse take? - b. Dim the
lights in the clients room
6) A nurse is leading a crisis intervention group for adolescents who witnessed the
suicide of a classmate. Which of the following actions should the nurse take first. -
c. Identify prior coping skills
7) A nurse overhears a client saying"I am a spy, a spy for the FBI I am an I,an eye
for an eye in the sky.
Sky is up high." The nurse should document the clients statement as which of the
following speech alterations? - d. Clang association
8) An older adult client is brought to the mental health clinic by her daughter. The
daughter reports that her mother is not eating and seems uninterested in routine
activities. The daughter states "Im so worried that my mother is depressed" which
of the following responses should the nurse make? - d. Tell me the reasons you
think your mother is depressed.9) A nurse is planning care for an adolescent who has autism spectrum disorder.
Which of the following outcomes should the nurse include in the plan care? - b.
Initiates social interactions with caregivers.
A nurse is providing behavior therapy for a client who has obsessive-compulsive
disorder. The client repeatedly checks that the doors are locked at night. Which of
the following instructions should the nurse give the client when using thought
stopping technique? - a. Snap a rubber band on your wrist when you think about
checking the locks.
11) A nurse is caring for a client who is starting treatment for substance use
disorder. Which of the following actions indicate the nurse is practicing the ethical
principle of nonmaleficence? - c. Withholding the prescribed medication that is
causing adverse effects for the client.
12) A nurse in a group home facility is caring for a client who is developmentally
disabled. The client has been stealing belongings from other clients. Which of the
following techniques should the nurse use? - c. Positive reinforcement to increase
desired behavior.
13) A nurse is caring for a client who is experiencing a panic attack. Which of the
following actions should the nurse take? - d. Have the client breathe into a paper
bag.
14) The nurse is caring for a client following a physical assault. The client states "
don't remember what happened to me." The nurse should recognize that the client
is using which of the following defense mechanisms? - a. Repression
15) A nurse is caring for a client who has anorexia nervosa. Which of the
following findings require immediate intervention by the nurse? - d. Blood pH 7.60
16) A nurse is caring for a client in a mental health facility. The client is agitated
and threatens to harm herself and others. Which of the following is the priority
intervention? - d. Set limits on the clients behavior [Show Less]