1. A child is diagnosed as being on the autistic spectrum. Which clinical manifestations should the nurse expect? (Select all that apply)
A. Inability to express themselves
B. Repetitive body movements
C. Inability to maintain eye contact
D. Appropriate nonverbal communication
...
RASMUSSEN
MENTAL HEALTH
FINAL EXAM -with
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, lOMoARcPSD|12263423
RASMUSSEN MENTAL HEALTH
1. A child is diagnosed as being on the autistic spectrum. Which clinical manifestations should
the nurse expect? (Select all that apply)
A. Inability to express themselves
B. Repetitive body movements
C. Inability to maintain eye contact
D. Appropriate nonverbal communication
E. Hallucinations
2. A client is prescribed lorazepam 0.5mg PO four times a day (QID) and 1 mg PO every 8
hours PRN. The maximum daily dose of lorazepam should not exceed 4 mg daily. This
client would be able to receive PRN doses as the maximum number of PRN lorazepam
doses.
2
3. A nurse is providing care for a client who has anorexia nervosa. Which of the following
nursing interventions should the nurse take?
A. Compliment the client for weight gain
B. Provide privacy when friends visit
C. Allow the client to eat at any time
D. Schedule regular weigh in times
, lOMoARcPSD|12263423
4. 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?
A. “As a nurse, I am required by law to report suspected child abuse.”
B. “I am unable to discuss this, but I can contact my supervisor to speak with you.”
C. “The provider will be coming to explain the situation.”
D. “I reported the incident to my supervisor, who decided to contact the authorities.”
5. A client weighs 215 lb. What is the client's weight in kg?
97.7
6. A child diagnosed on the autism spectrum may experience repetitive behaviors. Which of
thefollowing are examples of repetitive behavior which could be observed? (Select all that
apply)
A. Language delays
B. Limited function play
C. Spinning in circles
D. Avoiding body contact
E. Flapping their hands
7. 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?
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