A nurse is educating the parent of a child who has a new diagnosis of autism spectrum disorder. Which of the following manifestations of this disorder shou
... [Show More] ld the nurse include in the teaching a. Lan guage delay 10. A nurse in a mental health unit is admitting a client who is anxious because he often hears voices telling him what to do. Which of the following actions should the nurse take a. Ask the client what the voices are saying 11. A nurse is caring for an older adult client who begins to cry and states, "I knew God would punish me and I deserve this horrible sickness!" Which of the following responses should the nurse make a. "Let's talk about what is upsetting you Reason: The nurse us acknowledging the client's concerns and is showing a desire to understand what the client is thinking and feeling 12. A nurse is talking with a client who is beginning chemotherapy. The client tells the nurse that she is mourning the loss of her hair. Which of the following actions should the nurse take first a. Discuss the importance of hair with the client Reason: anticipatory grieving begins with acknowledging the importance of the expected loss 13. A nurse is providing care for a client who has bipolar disorder and is experiencing acute mania. The client's morning lithium level is 1.5 mEq/L. Which of the following laboratory findings should the nurse report to the provider? (Click on the "Exhibit" button below for additional client information. There are three tabs that contain separate categories of data a. Sodium level 125 mEq/l Reason: In the presence of low sodium levels, renal excretion of lithium is reduces and the client is at risk for lithium toxicity. 14. A school nurse is assessing a school-age child who experienced the traumatic loss of a parent 8 months ago. Which of the following findings should the nurse identify as an indication that the child is experiencing post traumatic stress disorder (PTSD) a. Lack of interest in an upcoming holiday Reason: Child with PTSD will have negative moods and difficulty remembering aspects of the traumatic event. Child can also have a loss of interest or lack of participation in significant activities and events such as holidays. 15. A nurse in the emergency department is caring for a client who has alcohol toxicity and is unresponsive. Which of the following interventions should the nurse take a. Gather supplies for endotracheal intubation Reason: alcohol toxicity findings is respiratory depression [Show Less]