Mashtactics98

1. Hematological Disorders: Determining Priority Client A. Acute vs. chronic, urgent vs. nonurgent, stable vs. unstable -A client who has an acute problem takes priority over a client who has a chronic problem. -A client who has an urgent need takes priority over a client who has a nonurgent need. -A client who has unstable findings take priority over a client who has stable findings. B. Sickle Cell Anemia- Vaso-occlusive crisis (painful episode) -Acute (related to dehydration and decrease...

A charge nurse is discussing mental status exams with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? (Select all that apply) A. "To assess cognitive ability, I should ask the client to count backward by sevens." B. "To assess affect, I should observe the client's facial expression." C. "To assess language ability, I should instruct the client to write a sentence." D. "To assess remote memory, I should...

1. What are the phases of the cycle of violence that can occur between domestic partners and what may take place during each of these phases? -Tension-building phase: The abuser has minor episodes of anger and can be verbally abusive and responsible for some minor physical violence. The vulnerable person is tense during this stage and tends to accept the blame for what is happening. -Acute battering phase: The tension becomes too much to bear, and serious abuse takes place. The vulnerable pers...

DETAILED SOLUTIONS FOR BEST SCORES WITH RATIONALES. 1.A nurse is assessing a client who is 12hr postoperative following a colon resection. Which of the following findings should the nurse report to the surgeon? 1. Heart rate 90/min 2. Absent bowel sounds → normal findings after major bowel surgery; takes several days to return to normal. 3. Hgb 8.2 g/dl 4. Gastric pH of 3.0 Rationale: Normal Hgb is 13-18M g/dl, 12-16 g/dl. This may indicate a possible hemorrhaging. 2. A nurse is car...

1) A nurse is teaching a client who has schizophrenia about her new prescription for risperidone. Which of the following statements should the nurse include in the teaching? a. “You should continue this medication if you develop muscle rigidity”. b. “You will experience weight loss while taking this medication.” c. “You will notice your symptoms improve within 24 hours of taking this medication.” d. “You should increase your consumption of complex carbohydrates.” 2) A nurse ...

Mental Status • Mental status is a person’s emotional and cognitive functioning o Optimal functioning aims toward simultaneous life satisfaction in work, caring relationships, and within the self o Usually, mental status strikes a balance between good and bad days, allowing person to function socially and occupationally Question The nurse understands that all of the following are components of the mental status assessment except? 1. Known illness or health problem 2. Current medic...

1. A nurse is reviewing the medication administration record of a client who has major depressive disorder and a new prescription for selegiline. The nurse should recognize that which of the following client medications is contraindicated when taken with selegiline? a. Wafarin b. Fluoxetine c. Calcium carbonate d. Acetaminophen 2. A nurse in a long-term care facility is assessing a client who has dementia. Which of the following findings should the nurse identify as a risk for this client? ...

The nurse is caring for a client with schizophrenia. Which of the following outcomes is the least desirable? A) The client spends more time by himself B) The client doesn't engage in delusional thinking C) The client doesn't harm himself or others D) The client demonstrates ability to meet his own self-care needs The client with schizophrenia is commonly socially isolated and withdrawn; therefore, having the client spend more time by himself wouldn't be a desirable outcome. Rather,...

ATI MENTAL HEALTH PROCTORED EXAM FOCUSED REVIEW LOC • Alert: responsive, answer questions appropriately, opens eyes spontaneously. • Lethargic: open their eyes, can answer questions but easily falls asleep. • Stupor: barely responds to painful stimuli (like rubbing the patients’ sternum) • Comatose: unconscious/does not respond to painful stimuli • Decorticate: flexion/ internal rotation of upper extremities, joints and legs • Decerebrate: neck/elbows extension, wrist and...

1) A nurse is contributing the plan of care for a client admitted with a paranoid personality disorder. What are important recommendations to make during this time? • When contributing to the plan of care, safety is priority. Some clients with PD are at risk for violence or self-injury. • Clients with personality disorder often have the comorbidity of substance abuse and/or a history of violent and nonviolent crimes. • The nurse should set limits, be consistent, and firm, yet supportiv...