FORM A, B & C ACTUAL EXAM EACH FORM
CONTAINS 70 QUESTIONS AND CORRECT
DETAILED ANSWERS
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Terms in this set (78)
A nurse is planning care Provide the client with plastic eating utensils.
for a client following a
suicide attempt. Which of -The client can use glass dishes and metal silverware
the following interventions to cause self harm, therefore, the nurse should
should the nurse include arrange for the client to have only plastic products on
in the plan? their meal tray.
, Inform the client that this admission is confidential.
A nurse is performing an
admission assessment for
-According to evidence-based practice, the nurse
a client who appears
should first inform the client about confidentiality
withdrawn and fearful.
during the orientation phase of the nurse client
Which of the following
relationship. This action establishes trust between the
actions should the nurse
client and the nurse, which in turn decreases the
take first?
client's anxiety level.
A nurse is caring for an You're afraid you have caused physical injury to
adolescent client who has yourself?
anorexia nervosa. The
client states, "Have I done -Repeating the main idea of what the client has said,
any permanent damage to which will allow for clarification of any
my body?" Which of the misunderstanding on the part of the client or the
following responses nurse.
should the nurse make?
A nurse is caring for a Have you thought of harming yourself?
client following a fire that
destroyed her home and -The greatest risk to this client is self harm due to the
killed one of her children. loss of her child and home, therefore, the first
The client is crying and question the nurse should ask a client who is having a
does not make eye personal crisis is to determine if the client has suicidal
contact with the nurse. ideation. If so, the nurse should take action to protect
Which of the following the client from self harm.
questions should the
nurse ask first?
, Serum creatinine 2.1 mg/dL
A nurse is checking
-Reference range of 0.5-1.2 mg/dL.
laboratory values for a
The greatest risk to this client is decreased kidney
hospitalized young adult
function, which can cause an increase in the client's
client who has bipolar
lithium level; therefore, this value is the priority for the
disorder and is taking
nurse to report to the provider. The clients lithium
lithium. Which of the
dosage might need to be modified based on this lab
following values is the
value. The cause of increased serum creatinine
priority for the nurse to
include dehydration as well as renal disorders. Lithium
report to the provider?
is contraindicated for clients who have severe renal
disease, cardiac disease, or severe dehydration.
You will still need to give informed consent for
A nurse is providing
treatment after admission.
information to a client who
is seeking voluntary
-A client who seeks voluntary admission to a mental
admission to a mental
health facility has the same rights as clients receiving
health facility. Which of
any other kind of health care. The client will still need
the following information
to give informed consent for treatment and therapies,
should the nurse include?
such as electroconvulsive therapy.
Initiate a behavioral contract with the client.
A nurse is developing a
plan of care for an -A client who has conduct disorder can demonstrate
adolescent client who has patterns of behavior that are aggressive, disrespectful
conduct disorder. Which of others rights, and can lead to injury of others. A
of the following behavioral contract helps to develop trust between
interventions should the the client and the nurse and emphasizes the client's
nurse include in the plan? responsibility to commit to work on changes in
behavior.