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AiclientiwithiBulimiaiandidepressioniwhoiisitakingiphenelzinei(Nardil)i90imgidailyiisiadmitteditoiania
cuteicareihospitaliforiuncontrolledihypertension.iWhatidietaryichoicesishoulditheiRNiinstructitheiclie
ntitoiavoid?
A. Pan-searedicatfish.
B. Peperoniipizza.
C. Deepifriedishrimp.
D. Beefitripsiwithigravy.
Aimentalihealthiworkeriisicaringiforiaiclientiwithiescalatingiaggressiveibehavior.iWhichiactionibyithe
imentalihealthiworkeriwarrantsiimmediateiinterventionibyitheiRN?
A. Isiattemptingitheiphysicallyirestrainitheipatient.
B. Remainsiatiaidistanceiofi4ifeetifromitheiclient.
C. Tellsitheiclientitoigoitoitheiquietiareaiofitheiunit.
D. Isiusingiailoadivoiceitoitalkitoitheiclient.
Aiclientiwhoirecentlyiexperienceditheideathiofiaisignificantiotheriarrivesiatitheimentalihealthicenter.i
Theiclientireportsilossiofiinterestiiniusualiactivities,iexpressesiaiwishitoibeiwithitheidecreasedisignific
antiother,ihasibeenieatingiveryilittle,iandihasinotisleptiiniseveralidays.iWhichiclientistatementiisimostii
mportantiforitheiRNitoiexploreiatithisitime?
A. Notisleepingiforiseveralidays.
B. Wishingitoibeiwithispouse.
C. Lackiofiinterestiiniusualiactivities.
D. Eatingiveryilittle.
Aimiddleiagediadultiwithimajoridepressiveidisorderisuffersifromipsychomotoriretardation,ihyperso
mnia,iandimotivation.iWhichiinterventioniisilikelyitoibeimostieffectiveiinireturningithisiclientitoiainor
malileveliofifunctioning?
A. Provideieducationionimethodsitoienhanceisleep.
B. Teachitheiclientitoidevelopiaiplaniforidailyistructurediactivities.
C. Suggestithatitheiclientidevelopiailistiofipleasurableiactivities.
D. Encourageitheiclientitoiexercise.
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Whenidevelopingiaiplanioficareiforiaiclientiadmitteditoitheipsychiatriciunitifollowingiaspirationiofiaica
usticimaterialirelateditoiaisuicideiattempt,iwhichinursingiproblemihasitheihighestipriority?
A. Impairedicomfort.
B. Riskiforiinjury.
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C. Ineffectiveibreathingipattern.
D. Ineffectiveicoping.
Aifemaleiclientioniaipsychiatriciunitiisisweatingiprofuselyiwhileisheivigorouslyidoesipush-
upsiandithenirunsitheilengthiofitheicorridoriseveralitimesibeforeicrashingiintoifurnitureiinitheisittingiroo
m.iPickingiherselfiup,isheibeginsitoitossichairsiaside,ilookingiforiairedioneitoisitiin.iWhenianothericlienti
objectsitoitheidisturbance,itheiclientishouts,i“Iiamitheibossihere.iIidoiwhatiIiwant.”iWhichinursingiprobl
emibestisupportsitheseiobservations?
A.iDeficientidiversionaliactivityirelateditoiexcessienergyilevel.iB.i Riskif
oriotherirelatediviolenceirelateditoidisruptiveibehavior.
C.i Riskiforiactivityiintoleranceirelateditoihyperactivity.
D.i Disturbedipersonaliidentityirelateditoigrandiosity.
AiRNiisipreparingitheiphysicalienvironmentitoiinterviewiainewiclientiforiadmissionitoitheimentalihe
althiunit.iWhichienvironmentalisettingifacilitatesitheibestioutcomeiofitheiinterview?
A. Dimitheilightsiinitheiroomitoihelpitheipatientifeelicalm.
B. Sitiwithinitwoifeetiofitheiclientitoienhanceileveliofisafetyiandisecurity.
C. Reduceitheinoiseileveliinitheiroomibyiturningioffitheitelevisioniandiradio.
D. PositionitableibetweenitheiclientianditheiRNiforiextraipersonalispace.
Aniolderihomelessiclientivisitsitheipsychiatriciclinicitoiobtainiaiprescriptionirenewaliforialprazola
mi(Xanax).iDuringitheihealthiassessment,itheiclienticomplainsiofichestipain.iWhichiactionishouldit
heiRNitakeifirst?
A. Referitheiclientitoitheicardiologyiunit.
B. ObtainitheiclientiBloodipressure.
C. Assessitheiclientiforisubstanceiabuse.iD.i
DetermineiifiXanaxiwasitakenirecently.
Theimotheriofiani8-month-
oldiinfantiwithiprofoundimentaliandiphysicalidisabilitiesitellsiheiRNihowidepressedisheiisibecauseish
eirealizedithatiherichildiwillineveriachieveinormaligrowthiandidevelopmentimilestones.iHowishouldit
heiRNiresponditoitheimother?
A. Askitheimotheriifisheihasieverithoughtiaboutiharmingiherselfioriherichild.
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B. Reassureitheimotherithatiherichildiwilliachieveisomeigrowthiandidevelopmentimil
estones.
C. Determineiifitheimotherihasiotherichildreniwhoidoinotihaveidevelopmentalidisabilities.
D. Encourageitheimotheritoiwriteithoughtsiandifeelingsiinijournal.
Severaliclientsiwithichronicimentaliillnessiandimultipleisubstanceiabuseihistoriesiliveiiniaigroupireside
ntialihomeiandiattendidaycareimentalihealthifacilityiwhereigroupiandiindividualitherapiesiareiprovide
d.iTheiRNifindsitheicommonibathroomiatitheifacilityiwithisputumionitheiwalls,iurine
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