–Proctored Exam Q&A
A nurse is caring for a client who gave birth to a stillborn baby. Which of the
following statements should the nurse make? - ANSWERS-"I'll stay with you
just in case you want to talk."
A nurse is caring for four clients in an emergency department. The nurse
should identify that which of the following clients can give informed consent?
- ANSWERS-A 35-year-old client who has major depressive disorder
A nurse is teaching a newly licensed nurse about nursing care plans for
clients who have depressive disorders. Which of the following statements by
the newly licensed nurse indicates an understanding of the teaching? -
ANSWERS-"I will update the plan of care as a client's manifestations of
depression change."
A nurse is performing a cognitive assessment to 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? -
ANSWERS-Easily distracted
A nurse on a medical-surgical unit is assessing a client who sustained
injuriesterm-0 12 hr ago following a motor-vehicle crash. The client's
admission blood alcohol level was 325 mg/dL. Which of the following findings
should indicate to the nurse that the client is experiencing alcohol
withdrawal? - ANSWERS-Blood pressure 154/96 mm Hg
A nurse is planning care for a client who has made repeated physical threats
toward others on the unit. Although the client does not want to leave the
unit, the nurse requests the provider to transfer the client to a unit that is
, equipped to manage violent behavior. Which of the following ethical
principles should the nurse apply in this situation? - ANSWERS-
Nonmaleficence
A nurse is discussing a 12-step program with a client who has alcohol use
disorder and is in an acute care facility undergoing detoxification. Which of
the following information should the nurse include in the teaching? -
ANSWERS-The client should obtain a sponsor before discharge for an
increased chance of recovery.
A nurse is creating a plan of care for a client who has been placed in
seclusion after threatening to harm others on the unit. Which of the following
interventions should the nurse include in the plan? - ANSWERS-Renew the
prescription for the client every 4 hr.
A nurse is performing an admission assessment on a client and notices that
the client appears withdrawn and fearful. To establish a trusting nurse-client
relationship, which of the following actions should the nurse take first? -
ANSWERS-Inform the client that this admission is confidential.
A nurse is planning discharge teaching for a client who has severe
schizoaffective disorder. The nurse should identify that which of the following
treatment options can offer interdisciplinary services for the client at home? -
ANSWERS-Assertive community treatment
A nurse on a mental health unit is caring for a group of clients. Which of the
following actions by the nurse is an example of the ethical principle of
justice? - ANSWERS-Spending adequate time with a client who is verbally
abusive.
A nurse is teaching the guardians of a client about their adolescent child's
diagnosis of bulimia nervosa. Which of the following statements made by the
guardians indicates an understanding of their child's illness? - ANSWERS-"It
is important for our child to have regular dental checkups."