QUESTIONS AND ANSWERS SURE A+
✔✔child w conduct disorder behaving in destructive manor, therapeutic nursing
interventions - ✔✔reduce environmental stimuli
✔✔i deserve this horrible sickness, responses should nurse make - ✔✔let's talk about
what is upsetting you
✔✔cognitive assessment to distinguish delirium w dementia, assessment findings
support this suspicion - ✔✔easily distracted
✔✔sustained injuries 12 hrs after MVC, BAL was 325, s/s of withdrawal - ✔✔blood
pressure 154/96
✔✔bipolar disorder identify manifestations of acute mania, partner reports to the
provider - ✔✔inability to sleep
✔✔example of ethical principle of justice - ✔✔spending adequate time w a client who is
verbally abusive
, ✔✔repeated physical threats towards other, ethical principle nurse applies to situation -
✔✔nonmaleficience
✔✔abusive relationship, assisting development safety plan, first component -
✔✔identify signs of escalation of violence
✔✔alcoholic cardiomyopathy, lab values expected - ✔✔increased CPK
✔✔major depressive, amitriptyline, expected outcomes - ✔✔greater risk of attempting
suicide as affect and energy improve
✔✔teaching ab major depressive disorders, understanding of teaching by nurse - ✔✔i
will update the plan of care as a client's manifestations change
✔✔change of shift, 4 clients, nurse should assess who first - ✔✔experiencing delusions
of persecution
✔✔bulimia nervosa, 5% about ideal weight, intervention included in plan - ✔✔identify
the client's trigger foods
✔✔interdisciplinary conference who has bipolar disorder, priority for nurse to report -
✔✔giving away possessions
✔✔interviewing older adult client, action should nurse take - ✔✔use screening tool to
evaluate client for depression
✔✔undergo ECT, what should be included in plan - ✔✔monitor client's cardiac rhythm
✔✔client appears withdrawn and fearful, action to establish trusting nurse- client
relationship - ✔✔inform client that admission is confidential
✔✔group of parents who recently experienced death of child, action should nurse take -
✔✔suggest forming a weekly support group for parents
✔✔rehab program for alcohol use disorder, indicates teaching by partner - ✔✔i will not
take change of my partner's work responsibilities
✔✔bulimia nervosa, expect following findings - ✔✔tooth erosion
✔✔experiencing panic attack, action nurse should take - ✔✔assist the client with deep
breathing exercises