Exam (elaborations) NURSING ATI

1. A nurse is caring for a client whose child has a terminal illness. The client requests information about how to deal with the upcoming loss. Which of the following statements should the nurse make a. "It is not uncommon to feel angry toward yourself or others Reason: Feelings of blame and anger towards oneself or others are an expected reaction when a client is experiencing a loss. 2. A nurse is teaching a client who has bipolar disorder and a prescription for lithium. Which of the following instructions should the nurse include in the teaching a. "Take this medication with food Reason: Lithium can cause GI distress and should be taken with food. Recommended sodium intake 1500mg/day. Recommended ml/day fluids. 3. A nurse is planning care for four clients in a mental health facility. Which of the following clients is at the greatest risk for injury when performing ADLs a. A client who has severe Alzheimer's disease Reason: Alzheimer's clients are typically confused with memory difficulties, tend to wander and need ADL assistance. 4. A nurse is updating the plan of care for a client who has bulimia nervosa and is 5% above his ideal body weight. Which of the following interventions should the nurse include in the plan a. Identify the client's trigger foods Reason: Nurse should identify trigger foods that initiate the client's binge and assist the client to understand his thoughts and behavior that relate to the food 5. A nurse who works with newborns is assessing the potential for abuse or neglect. Which of the following family groups should the nurse identify as the highest potential for future child abuse .................................CONTINUED...........................