RASMUSSEN MENTAL HEALTH EXAM 3{3 VERSIONS} LATEST REAL EXAM GRADED A!!

a nurse in the emergency department is caring for a client who has alcohol toxicity and is unresponsive. Which of the following interventions should the nurse take? Gather supplies for endotracheal intubation Which of the following interventions are included as part of milleu management in the plan of care for a client with anorexia admitted for inpatient treatment? Monitoring during bathroom trips Observation during and after meals Adherence to a selected men The provider has ordered valproate 750mg PO for a client who has mood disturbance with a personality disorder. The client reports that they will only take liquid medication. Available is valproate elixir 250 mg/ 5. How many will the nurse administer with each dose? Whole number 15 a client diagnosed with dependent personality disorder states; do you think I should move from my parents' house and a job? Which nursing response is most appropriate? Lets discuss and explore all of your options a nurse is caring for a 12-year-old client diagnosed with opposition defiant disorder. The client mother asks what type of medication is usually prescribed for this diagnosis. Which if the following is the most appropriate response by the nurse? Though medications may be used to treat symptoms. The focus will be on behavioral therapy. a nurse is teaching a client's family about delirium. Which of the following statements are correct regarding delirium? SATA It is characterized by a sudden onset of confusion. when describing clients with a cluster b personality disorder. Which of the following best describes behavior characteristics? Erratic, dramatic, and emotional the nurse preparing to care for a female client victimized by physical abuse. The nurses should plan to perform which action first? Support the client and facilitate access to a safe environment. a nurse is caring for an adolescent female who has an eating disorder. The client is 64 inches tall and weighs 38.50 kg (85lbs). upon assessment which of the following manifestations should the nurse expect? SATA Altered body image, Bradycardia, Amenorrhea which scenario best predicts the highest risk for client who may direct violent behavior toward others A client diagnosed with paranoid delusions of being followed by a member of the mafia on discharge, a client is receiving a new prescription for donepezil hydrochloride. What would the nurse include in a teaching plan for client's family? Donepezil is a cholinesterase inhibitor used in mild to moderate Alzheimer's disease a nurse is assessing a client who recently used cocaine. Which of the following findings should the nurse expect? hypertension a nurse is assessing a client who has a history od alcohol use disorder and is experiencing alcohol withdrawal. Which of the following findings should the identify as a manifestation of severe alcohol withdrawal? Hallucinations After evaluating the newly admitted client who was trouble sleeping, the provider has ordered trazodone 150 mg PO. Available is trazodone 75 mg tablets. How many tablets will the nurse administer per dose? Whole number 2 a client with a history of alcohol use disorder has been prescribed disulfiram. Which physical effects supports the suspicion that the client relapse? Intense nausea a client receiving therapy at a mental health clinic says to the nurse, "when I have a stressful day at work and is my case all day I go home and take my frustrations out on my children. what is the most appropriate response to the client? Let's talk about some other ways you can handle your frustrations the nurse is caring for an elderly client admitted to the hospital, During the nursing admission assessment the nurse inquires client has designated someone to make decisions for them in the event of serious illness. The purpose of this questioning is to determine which of the following? Advanced directive a nurse is planning care for a 7-year-old child who has attention deficit/hyperactivity disorder ADHD. Which of the following interventions should the nurse use to identify as the priority? Provide positive feedback when the child completes a task The nurse is performing an admission interview for a newly admitted client diagnosed with body dysmorphic disorder. Which nursing diagnosis would be priority for the plan of care? Disturbed body image a client transferred to the mental health center their health care gourmet meals do not eats only tiny portions of the food. The client weigh loss from 130 59 85 pounds and amenorrhea. Which mental diagnosis are the history and? Anorexia nervosa a nursing student is learning about personality disorders. Which statement by the nursing student shows an understanding of personality disorders? Clients with personality disorders have difficulty with relationships and adapting to changes in their lives while caring for a teenage client with attention deficit hyperactivity disorder who is at highest risk for self-harm due to prior judgment. Risk taking behavior and impulsivity. Which of the following is the priority nursing interventions? Have a staff member assigned for one-on-one observation at all times. a home health nurse is speaking with the caregiver of a client who has Alzheimer's disease. The caregiver asks the nurse why the client becomes disoriented, confused, and often combative later in the day. Which of the following conditions should the nurse to report to the provider? Sundowning an older adult client in the intensive care unit has visual auditory illusion. Which interventions will be most helpful to in managing these illusions? Have the client wear their glasses and hearing aids. a nurse is caring for a client with delirium who is experiencing illusions. What environment conditions should the nurse for the client? Provide a well-lit room without glares or shallows with minimal noise. an older adult client is experiencing delirium caused by fever and dehydration. Which of the following is the most appropriate desired outcome for the client? The client will return to premorbid levels of functioning. a client is being seen and during the session constantly talks about their successes, and how no one understands her: she feels very entitled believing she is the most important person at her job and irreplaceable. She shows no empathy for others? Narcissistic personality disorder a client diagnosed with illness anxiety disorder states I have so many symptoms, and yet no one can find out what is wrong with me. I can't do this anymore. Which of the following would be the priority nursing concern? The possibility of suicidal thinking a nurse is planning care for a client who has a physical dependence of alprazolam and must discontinue the medication the following actions should the nurse include in the plan of care? Taper the medication gradually over several weeks a client admitted for acute alcohol withdrawal. Which of the following clinical manifestations indicate the acute withdrawal? Tachycardia, paranoid delusions, hypertensin a nurse is assessing a school age child who has conduct disorder. Which of the following characteristic should the nurse except the child to demonstrate? Aggression towards animals a nurse is planning acre for a client who has completed detoxification from opioid disorder. the nurse plan to teach about which of the following medications? Naltrexone the provider has ordered diazepam 3 mg IM for an anxious client. Available is 5mg/ml. 0.6 the nurse is performing an admission interview on a client being admitted to the mental health unit and discovers that the client experienced a severe emotional trauma one month ago and is now experiencing paralysis od the right arm. The nurse should for which priority intervention? Assess the client for physiology causes of the paralysis while providing health teaching for a client with binge purge bulimia. What information for the nurse? Symptoms of hypokalemia the nurse is preparing to care for a client admitted to the mental health unit with a diagnosis of dementia and has difficulty carrying out activities of daily living effectively. The nurse should plan for which outcome in caring for the? The client will feed self with verbal prompting within 24 hours a client admitted yesterday for injuries sustained as the driver of a vehicle in an accident while intoxicated. The client is seeing spiders on the wall. The client is anxious, agitated, and diaphoretic. Which medication can the nurse anticipate the care provider will prescribe? Lorazepam A client with vascular dementia is experiencing agnosia the sits at her dining table looking at her food but doesn't pick and try to eat, which intervention is most appropriate for the nurse to try first? State to client its time to start eating. Those potatoes look good A nurse is caring for a client who has antisocial personality disorder and is receiving behavioral therapy. Which of the following client behaviors indicate effectiveness of the therapy? The client refrains from manipulating others to earn dining room privileges A nurse is interviewing an older adult client about possible abuse by her caregiver. Which of the following techniques should the nurse use? Maintain a nonjudgmental tone A client who has been raped arrives at the emergency department. Which of these statements would be most important for the nurse to consider when planning immediate care for the client? I feel numb a nurse in a long-term mental health facility is caring for a client who has a personality disorder. The client has broken a and phone privileges are being consequently? no you can't you have broken rules that apply to everyone A nurse is assessing a client who is at risk for cognitive impairment. Which of the following findings should the nurse early indication of cognitive disease? Impaired recent memory a nurse is admitting an older client who has a suspected cognitive disorder, which of the following tools should be included of the admission assessment? Mental status examination MSE which nursing approach should be used to maintain a thera