A child is diagnosed as being on the autistic spectrum. Which clinical
manifestations should the nurse expect? (Select all that apply) –
A. Inability
... [Show More] to express themselves
B. Repetitive body movements
C. Inability to maintain eye contact
A nurse is providing care for a client who has anorexia nervosa. Which of the
following nursing interventions should the nurse take?
- Schedule regular weigh in times
A nurse reports an incident of suspected child abuse. One of the child's parents
becomes upset and demands to know the reason for the nurse's action. Which of
the following responses by the nurse is appropriate?
- "As a nurse, I am required by law to report suspected child abuse."
A child diagnosed on the autism spectrum may experience repetitive behaviors.
Which of the following are examples of repetitive behavior which could be
observed? (Select all that apply) –
Language Delays
Spinning Circles
Flapping their hands
The nurse is caring for a client who has just been injured by her male partner. The
client states this is the first time he has been physically abusive, but he apologized
and has since sent her flowers. What is the intervention by the nurse?
- Teach the client the cycle of battering
A client is admitted with a diagnosis of dependent personality disorder. Which
question by the nurse indicates an understanding of the essential features of the
disorder?
- "Are you afraid of being alone"
Which statement by the nurse in the emergency department indicates a firm
knowledge base regarding intimate partner violence?
- "Power can control are the central dynamics of abuse"
A nurse is assessing a parent who lost a 12-year-old child in a car crash two years
ago. Which of the following findings indicates the client is exhibiting
manifestations of prolonged grieving?
- Leaves the child's room exactly as it was before the loss
The nurse has determined that systematic desensitization is the therapy being used
to treat the client with acrophobia. How is this demonstrated?
- Gradual exposure to higher areas
A 28-year-old male client has poor relationship and is suspicious of others.
According to Erikson's Theory of Psychological Adjustments, at what stage were
tasks unmet?
- Trust vs. Mistrust
Which of the following is a therapeutic approach to setting limits with clients
diagnosed with antisocial personality disorder?
- Clarify the rues for all and make expectations clear
A client is diagnosed with antisocial personality disorder. She has a violent verbal,
physical threatening outburst in the unit day room when the nurse explains she
cannot smoke in the hospital. What is the priority action the nurse should take?
- Call for help to restrain the client
A terminal client expresses concern that his spouse seems distant and continues the
activities always carried out with him, now without him. This situation is an
example of what type of grief?
- Anticipatory grief
The nurse is caring for a 12-year-old client diagnosed with oppositional defiant
disorder. The client's mother asks what type of medication is usually prescribed for
this diagnosis. Which of the following is the most appropriate response by the
nurse?
- "Though medications may be used to treat symptoms, the focus will be on
behavioural therapy"
A client has blindness related to conversion disorder. to assist the client with
eating, which of the following interventions should the nurse implement?
- Address the needs of other clients in the dining room, then feed this client [Show Less]