with NGN Questions and Verified Rationalized Answers,
100% A+ Graded PASS
With 50+ multiple choices questions and answers
1. A nurse on a mental health unit is assisting with the plan of care for a newlyadmitted
client who has anorexia nervosa. Which of the following actions should the nurse
include in the plan of care?
a. weigh the client at night prior to bedtime
b. offer liquid supplements to the client
c. encourage the client to gain 2.3 kg (5 lb) per week
d. observe the client for up to 30 min after meals: b. offer liquid supplements tothe
client
-the nurse should offer liquid supplements to the client because the client might beunable
to eat solid foods when he is first admitted.
2. A nurse in a mental health facility is caring for a client who has schizophre-nia. The
client becomes violent in the dayroom and begins throwing objects at staff and other
clients. After calling for assistance, which of the following actions should the nurse
take next?
,a. obtain a prescription for mechanical restraints
b. place the client in a monitored seclusion room
c. tell the client calmy to sit down
d. administer diazepam intramuscularly: c. tell the client calmly to sit down.
-when providing client care, the nurse should first use the least restrictive interven-tion.
Therefore, the nurse should use verbal de-escalation techniques after calling for
assistance for a client who is aggressive.
3. A nurse is caring for a group of clients on a mental health unit. Which of thefollowing
client behaviors should the nurse report to the charge nurse?
a. a client who has schizophrenia is communicating using echolalia
b. a client who has depression is exhibiting anergia
c. a client who is manic has been pacing the unit for several hours
d. a client who has a phobia is using thought stopping: c. a client who is manichas been
pacing the unit for several hours
-the nurse should identify that excessive physical activity in a client who is experi- encing a
manic episode places the client at risk for physical exhausting and possibledeath. The nurse
should report this client's behavior to the charge nurse.
4. A nurse is collecting data from a client who is taking valproic acid for treatment
of bipolar disorder. The nurse should identify that which of thefollowing findings is
priority to report to the provider?
a. drowsiness
b. nausea and vomiting
c. constipation
d. bleeding gums: d. bleeding gums
,-when using the urgent vs non urgent approach to the client care, the nurse
, should determine that the priority finding is bleeding gums because of the risk of
thrombocytopenia.
OR---------
Yellow sclera
Rationale: priority finding is yellow sclera because of risk for hepatotoxicity.
5. A nurse is attempting to resolve an ethical dilemma that involves a client'smedical
decisions and his own personal values. After collecting data and identifying the
problem, which of the following actions should the nurse takenext?
a. discuss information about the dilemma with the client's provider
b. determine the benefits and consequences of respecting the client's medicaldecisions
c. reflect on the effect of ethical theories on the nurse's personal values
d. develop a plan that balances both the nurse's values and the client's medical
decisions: b. determine the benefits and consequences of respecting the client's medical
decisions
-The first action the nurse should take using the nursing process is to collect data from the
client. After the nurse collects the data and identifies the problem, the nurseshould
determine the benefits and consequences of respecting the client's medicaldecisions as
the next step in the ethical decision-making model.
6. A nurse is reinforcing teaching with a client who has obsessive-compulsivedisorder
and performs hand hygiene to decrease anxiety. Which of the follow-ing actions should
the nurse take to demonstrate modeling as a behavioral intervention strategy?