RASMUSSEN MENTAL HEALTH EXAM 3{3 VERSIONS} LATEST 2023-2024 REAL EXAM
a nurse in the emergency department is caring for a client who has alcohol
... [Show More] toxicity and is unresponsive. Which of the following interventions should the nurse take?
Gather supplies for endotracheal intubation
Which of the following interventions are included as part of milleu management in the plan of care for a client with anorexia admitted for inpatient treatment?
Monitoring during bathroom trips
Observation during and after meals
Adherence to a selected men
The provider has ordered valproate 750mg PO for a client who has mood disturbance with a personality disorder. The client reports that they will only take liquid medication. Available is valproate elixir 250 mg/ 5. How many will the nurse administer with each dose? Whole number
15
a client diagnosed with dependent personality disorder states; do you think I should move from my parents' house and a job? Which nursing response is most appropriate?
Lets discuss and explore all of your options
a nurse is caring for a 12-year-old client diagnosed with opposition defiant disorder. The client mother asks what type of medication is usually prescribed for this diagnosis. Which if the following is the most appropriate response by the nurse?
Though medications may be used to treat symptoms. The focus will be on behavioral therapy.
a nurse is teaching a client's family about delirium. Which of the following statements are correct regarding delirium? SATA
It is characterized by a sudden onset of confusion.
when describing clients with a cluster b personality disorder. Which of the following best describes behavior characteristics?
Erratic, dramatic, and emotional
the nurse preparing to care for a female client victimized by physical abuse. The nurses should plan to perform which action first?
Support the client and facilitate access to a safe environment.
a nurse is caring for an adolescent female who has an eating disorder. The client is 64 inches tall and weighs 38.50 kg (85lbs). upon assessment which of the following manifestations should the nurse expect? SATA
Altered body image, Bradycardia, Amenorrhea
which scenario best predicts the highest risk for client who may direct violent behavior toward others
A client diagnosed with paranoid delusions of being followed by a member of the mafia
on discharge, a client is receiving a new prescription for donepezil hydrochloride. What would the nurse include in a teaching plan for client's family?
Donepezil is a cholinesterase inhibitor used in mild to moderate Alzheimer's disease
a nurse is assessing a client who recently used cocaine. Which of the following findings should the nurse expect?
hypertension
a nurse is assessing a client who has a history od alcohol use disorder and is experiencing alcohol withdrawal. Which of the following findings should the identify as a manifestation of severe alcohol withdrawal?
Hallucinations
After evaluating the newly admitted client who was trouble sleeping, the provider has ordered trazodone 150 mg PO. Available is trazodone 75 mg tablets. How many tablets will the nurse administer per dose? Whole number
2
a client with a history of alcohol use disorder has been prescribed disulfiram. Which physical effects supports the suspicion that the client relapse?
Intense nausea
a client receiving therapy at a mental health clinic says to the nurse, "when I have a stressful day at work and is my case all day I go home and take my frustrations out on my children. what is the most appropriate response to the client?
Let's talk about some other ways you can handle your frustrations
the nurse is caring for an elderly client admitted to the hospital, During the nursing admission assessment the nurse inquires client has designated someone to make decisions for them in the event of serious illness. The purpose of this questioning is to determine which of the following?
Advanced directive
a nurse is planning care for a 7-year-old child who has attention deficit/hyperactivity disorder ADHD. Which of the following interventions should the nurse use to identify as the priority?
Provide positive feedback when the child completes a task
The nurse is performing an admission interview for a newly admitted client diagnosed with body dysmorphic disorder. Which nursing diagnosis would be priority for the plan of care?
Disturbed body image
a client transferred to the mental health center their health care gourmet meals do not eats only tiny portions of the food. The client weigh loss from 130 59 85 pounds and amenorrhea. Which mental diagnosis are the history and?
Anorexia nervosa
a nursing student is learning about personality disorders. Which statement by the nursing student shows an understanding of personality disorders?
Clients with personality disorders have difficulty with relationships and adapting to changes in their lives
while caring for a teenage client with attention deficit hyperactivity disorder who is at highest risk for self-harm due to prior judgment. Risk taking behavior and impulsivity. Which of the following is the priority nursing interventions?
Have a staff member assigned for one-on-one observation at all times.
a home health nurse is speaking with the caregiver of a client who has Alzheimer's disease. The caregiver asks the nurse why the client becomes disoriented, confused, and often combative later in the day. Which of the following conditions should the nurse to report to the provider?
Sundowning
an older adult client in the intensive care unit has visual auditory illusion. Which interventions will be most helpful to in managing these illusions?
Have the client wear their glasses and hearing aids.
a nurse is caring for a client with delirium who is experiencing illusions. What environment conditions should the nurse for the client?
Provide a well-lit room without glares or shallows with minimal noise.
an older adult client is experiencing delirium caused by fever and dehydration. Which of the following is the most appropriate desired outcome for the client?
The client will return to premorbid levels of functioning.
a client is being seen and during the session constantly talks about their successes, and how no one understands her: she feels very entitled believing she is the most important person at her job and irreplaceable. She shows no empathy for others?
Narcissistic personality disorder
a client diagnosed with illness anxiety disorder states I have so many symptoms, and yet no one can find out what is wrong with me. I can't do this anymore. Which of the following would be the priority nursing concern?
The possibility of suicidal thinking [Show Less]