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VATI comprehensive study quiz Questions and Answers Graded A+
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VATI comprehensive study quiz
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VATI comprehensive study quizA nurse is caring for a newly admitted client who has post-traumatic stress disorder (PTSD). The client appears withdrawn and reports feeling of worthlessness and increased alcohol use. Which of the following actions should the nurse take first. 1. Refer the client to an alcohol use disorder support grop
2. Initiate continuous observation of the client 3. Administer fluoxetine to the client
4. Arrange a visit from the client's spiritual advisory - answer 2. Initiate continuous observation of the client Rational:
The greatest risk for client who has PTSD along with indicators of depression and feeling of worthlessness is the potential risk of suicide. Thereore, the fire action the nurse should take is to implement suicide precaution, which include continuous observation of the client. -PTSD along with manifestation of depression and feeling of worthlessness indicate that
the client might benefit from administration of an SSRI : Fluoxetine, and paroxetine.
A nurse is an urgent care clinic is collecting data from an adolescent who has spiral fracture of the arm. The client's guardian refused to allow the adolescent to answer question. Which of the following actions should the nurse take?
1. Disregard the guardian's remarks while continuing with data collection.
2. Request that the guardian go to the waiting room.
3. Bring a second nurse into the examination room
4.Press the adolescent the implicate the guardian as the perpetrator of the maltreatment. - answer 2. Request that the guardian go to the waiting room.
Rational: If the nurse suspects physical maltreatment of the child, they should conduct the interview in private to provide the adolescent with a safe and secure enviroment.
A nurse in a long -term care facility is caring for a client who has Alzhemier's disease and suddenly becomes aggressive. Which of the following actions should the nurse take
first?
1. Administer a PRN antipsychotic medication to the client.
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