1. A nurse is collecting data from a newly admitted client who has anorexia nervosa. Which of the following manifestations should the nurse expect?
Peripheral edema
2. a nurse in an urgent care clinic is collecting data from a client whos friend reports a suspicion of cocaine use. The nurse shoul...
1. A nurse is collecting data from a newly admitted client who has anorexia nervosa. Which
of the following manifestations should the nurse expect?
Peripheral edema
2. a nurse in an urgent care clinic is collecting data from a client whos friend reports a
suspicion of cocaine use. The nurse should identify that which of the following
manifestations is an indicator of the client’s use of this substance?
Hypertension
3. Collecting data on a client who has bullmia nervosa.
Dental caries
4. A nurse is contributing to the plan of care for a client who has bipolar disorder and is
exhibiting mania. Which of the following interventions should the nurse include to
improve the nutritional status of the client?
Have a client’s favorite snacks available at all times.
5. A nurse is collecting data from a client who has bipolar disorder and history of mania.
Which of the following findings should the nurse identify as an indication that the client
is relapsing?
Pressured speech
6. Client has limited community and financial support. who would the nurse recommend for
inclusion in the discharge plan?
Social worker
7. A nurse is collecting data from a client who has paranoid personality disorder. Which of
the following manifestations should the nurse expect?
PROJECTS BLAME ON TO OTHERS
8. A nurse if collecting data on a patient who is having difficulty coping with the death of
their child. which question is the priority
Do you think about harming yourself?
9. pt who has phobia of riding in vehicles. What indications instructs client understands?
I will snap a rubber band on my wrist when I feel anxious about riding in a car
10. a nurse reinforcing teaching with a client who has schizophrenia and a new prescription
for chlorpromazine
The voices you have been hearing should decrease
11. patient who is experiencing opioid withdraw
Pupillary dilation
12. Mental examination for client who has schizophrenia. which one has the client think
abstractly
How is an orange similar to an apple?
13. A nurse if caring for a client who has schizophrenia. Which of the following actions by
the nurse is a violation of clients confindentalitly?
The nurse places the clients diagnosis on the white board in the clients room.
, 14. A nurse in a mental health facility is collecting data from a client who has schizophrenia.
The nurse should identify that which of the following findings is referred to as a negative
symptom of schizophrenia?
Apathy
15. A nurse is contributing to the plan of care for a client who has obsessive compulsive
disorder and continually washes her hands. Which of the following interventions should
the nurse include?
Schedule times for the client to wash her hands during the day
16. a nurse is caring for a client who gave birth to a still born fetus one week ago. "I'm so
angry my doctor didn't take better care of me and my baby.”
It is important to share what you are feeling, even if it is anger.
17. a nurse if reinforcing teaching for a client who has ADHD
Initiate a point system
18. A nurse is speaking with a client who is expressing an intense disapproval for the current
social worker. The client states, "now, where is my favorite social worker.". the nurse
should identify the client is using which of the following defense mechanism?
Reaction formation
19. A nurse is reinforcing discharge teaching with a client who has a new prescription of
alprazolam. Which of the following instructions is priority for the nurse to include?
Do not drive until your reaction to the meds is determined
20. A nurse is organizing care for a group of client. According to maslows hierchy of needs,
which of the following interventions should the nurse plan to perform first.
Offer finger foods to a client who is in the maniv phase
21. A nurse caring for an adult who has visible injuries as a result of intimate partner
violence. Which of the following actions should the nurse take?
Encourage the client to develop a safety plan
22. A nurse if developing countertransference toward a client during the working phase of
the nurse-client relationship. To correct the situation, which of the following actions
should the nurse take?
Identify personal response to the client
23. A nurse is caring for a client who has bipolar disorder and experiencing manic episode.
Which of the following intervention should the nurse take first?
Remove harmful objects from the client's room
25. A nurse on an inpatient unit is assisting with a group therapy session. During the session,
a client begins to shout, using aggressive language. Which of the following statements
should the nurse make to the client?
When you raise your voice it makes me uncomfortable and safe
26. A nurse is reinforcing teaching with the family of a client who has histrionic personality
disorder. Which of the following should the nurse instruct the family to observe for in the
client?
Seductive behavior
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