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RN Mental Health Online Practice 2019 B with NGN With Questions And 100% SURE ANSWERS
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JACKLINERN Mental Health Online Practice 2019 B with NGN With Questions And 100% SURE
ANSWERS
Terms in this set (60)
A nurse is performing a cognitive assessment to Easily distracted
distinguish delirium from dementia in a client
whose family reports episodes of confusion.
Which of the following assessment findings
supports the nurse's suspicion of delirium?
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"I'll stay with you just in case you want to talk."
A nurse is caring for a client who gave birth to a
stillborn baby. Which of the following statements
This response demonstrates the therapeutic communication techniques of offering self and
should the nurse make?
indicates the nurse's interest in the client and a desire to understand the client's feelings.
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,A nurse is caring for four clients in an emergency A 35-year-old client who has major depressive disorder
department. The nurse should identify that which
of the following clients can give informed A client who has major depressive disorder is capable of making health care decisions unless the
consent? client is determined to be legally incompetent.
RN Mental Health Online Practice 2019 B with NGN
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, A nurse is teaching a newly licensed nurse about "I will update the plan of care as a client's manifestations of depression change."
nursing care plans for clients who have depressive
disorders. Which of the following statements by The nurse should update the plan of care as a client's status and needs change.
the newly licensed nurse indicates an
understanding of the teaching?
A nurse on a medical-surgical unit is assessing a Blood pressure 154/96 mm Hg
client who sustained injuries 12 hr ago following a
motor-vehicle crash. The client's admission blood Physical manifestations of alcohol withdrawal occur in addition to psychological effects. A client
alcohol level was 325 mg/dL. Which of the who is experiencing alcohol withdrawal is expected to have hypertension, tachycardia, and fever
following findings should indicate to the nurse that greater than 38.3° C (101° F). It will be important for the nurse to rule out infection in the client
the client is experiencing alcohol withdrawal? who has a fever.
A nurse is planning care for a client who has made Nonmaleficence
repeated physical threats toward others on the
unit. Although the client does not want to leave It is the responsibility of the nurse to do no harm to clients. The nurse is applying the ethical
the unit, the nurse requests the provider to principle of nonmaleficence by requesting to transfer this client to a unit better able to manage
transfer the client to a unit that is equipped to their behavior and thereby prevent injury to others on the unit.
manage violent behavior. Which of the following
ethical principles should the nurse apply in this
situation?
A nurse is discussing a 12-step program with a The client should obtain a sponsor before discharge for an increased chance of recovery.
client who has alcohol use disorder and is in an
acute care facility undergoing detoxification. The nurse should teach the client that peer support has been shown to increase program
Which of the following information should the attendance and the chances of recovery. If the client does not have a sponsor, they can be
nurse include in the teaching? assigned one when they begin attending the program.
A nurse is creating a plan of care for a client who Renew the prescription for the client every 4 hr.
has been placed in seclusion after threatening to
harm others on the unit. Which of the following The nurse should assess the client's behavior frequently during seclusion and should renew the
interventions should the nurse include in the plan? prescription for seclusion for an adult client every 4 hr, for a maximum of 24 hr.
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A nurse is performing an admission assessment on Inform the client that this admission is confidential.
a client and notices that the client appears
withdrawn and fearful. To establish a trusting According to evidence-based practice, the nurse should first inform the client about
nurse-client relationship, which of the following confidentiality during the orientation phase of the nurse-client relationship.
actions should the nurse take first?
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