NUR 2488 mental health nursing EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS LATEST UPDATE!!!!

EXAM

Exam Solution
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Developmental stages 2026 A+ GRADE ASSURED COMP zm zm zm zm zm zm




LETE SOLUTIONS AND VERIFIED ANSWERS (5209F)
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QUESTION 1 zm




A client has died, and the nurse asks a family member about the funeral arrangement
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s. The family member refuses to discuss the issue. Which is the appropriate nursing a
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ction?
ANSWER

Remain with the family member without discussing funeral arrangements.
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QUESTION 2 zm




The nurse is assisting to perform a focused data collection process on a client who is
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complaining of symptoms of a cold, a cough, and lung congestion. Which should the n
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urse include for this type of data collection? Select all that apply.
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ANSWER

Listening to lung sounds 2.Obtaining the client's temperature Obtaining information about the client'
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s respirations
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QUESTION 3 zm




A client with a diagnosis of asthma is admitted to the hospital with respiratory distres
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s. Which signs should the nurse expect to note in the health record when collecting da
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ta related to the respiratory system for this client?
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ANSWER

Wheezes and use of accessory muscles
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QUESTION 4 zm

,The nurse is reviewing the client's health record and notes that the client elicited a p
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ositive Romberg sign. Based on this finding, the nurse should institute which intervent
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ion? Select all that apply.
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ANSWER

Collect data to determine factors for fall risk. Instruct the client to ask for assistance when getting u
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p to walk.
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QUESTION 5 zm




The nurse learns in report that a client is exhibiting Cheyne-
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Stokes respirations. Based on this data, which action is most appropriate for the nurs
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e to take initially?
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ANSWER

Determine the client's ability to follow verbal commands.
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QUESTION 6 zm




The nurse notes documentation that a client has conductive hearing loss. The nurse pl
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ans care knowing that this kind of hearing loss can be caused by which circumstances
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? Select all that apply.
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ANSWER

Acute otitis media with effusion A physical obstruction to the transmission of sound waves
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QUESTION 7 zm




While collecting data related to the cardiac system on a client, the nurse hears a mur
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mur. Which best describes the sound of a heart murmur?
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ANSWER

Gentle, blowing or swooshing noise
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QUESTION 8 zm




The nurse is preparing to assist the health care provider to test the extraocular move
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ments in a client and muscle weakness in the eyes. The nurse anticipates that which p
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hysical assessment technique will be done?
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ANSWER

Testing the six cardinal positions of gaze
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, QUESTION 9 zm




The nurse is reinforcing instructions for a client in how to perform a testicular self-
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examination (TSE). Which instructions should the nurse include? Select all that apply.
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ANSWER

Perform TSE after a shower or bath. Perform TSE on the same day each month. Perform TSE by roll
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ing each testicle between the thumb and fingers.
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QUESTION 10 zm




The nurse notes the physical assessment findings for a client with a diagnosis of possi
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ble meningitis. Which findings should the nurse expect to observe because of meninge
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al irritation? Select all that apply.
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ANSWER

The client reports stiffness and soreness in the neck area. 3.The client reports pain in the vertebral
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column and passively flexes the hip and knee in response to neck flexion. 4.The client flexes a leg at
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the hip and knee and reports pain in the vertebral column when the leg is extended.
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QUESTION 11 zm




Which statement by a nursing student about Kohlberg's theory of moral development
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indicates the need for further teaching about the theory?
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ANSWER

"Individuals move through all six stages in a sequential fashion."
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QUESTION 12 zm




The parents of an 8-year-
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old child tell the nurse that they are concerned about the child because the child see
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ms to be more attentive to friends than anyone else. Which is the appropriate nursing
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response?
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ANSWER

"At this age, the child is developing his or her own personality."
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QUESTION 13 zm




The nurse notes that a 6-year-
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old child does not recognize that objects exist even when the objects are outside of th
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e visual field. Based on this observation, which action should the nurse take?
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ANSWER