MILESTONE 2 PRACTICE COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)

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MILESTONE 2 PRACTICE COMPLETE QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS)
QUESTION: 1. A male client with schizophrenia is admitted to the

mental health unit after abruptly stopping his prescription for

ziprasidone(Geodon) one month ago. Which question is most

important for the RN to ask?


Ans: - Do you hear sounds or voices that others do not hear



QUESTION: 2. The schizophrenic client insists that he is returning to

his apartment, although the healthcare provider informed him he

will be moving to a boarding home. What is the most important

nursing diagnosis for discharge planning?


Ans: - Ineffective denial related to situational anxiety



QUESTION: 3. The nurse is interviewing a client with schizophrenia.

Which client behavior requires immediate intervention?


Ans: - Muscle twitches in the back and neck



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QUESTION: 4. A 32-year-old male client is admitted with paranoid

schizophrenia


Ans: - Reassure the client that he is safe and should rest



QUESTION: 5. ____________ is a chemical imbalance in the brain

that causes disorganized thinking.


Ans: Schizophrenia



QUESTION: 6. A resident of a long-term care facility who has

moderate dementia is having difficulty eating in the dining room.

The client becomes frustrated when dropping utensils on the floor

and then refuses to eat. What action should the nurse implement?


Ans: - Encourage finger foods

- Distraction

- Speak therapeutically



QUESTION: 7. 2 days after admission from alcohol withdrawal what

should the nurse do?



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Ans: - Monitor Heart rate and blood pressure



QUESTION: 8. Which action should the nurse implement 1st for a

client experiencing alcohol withdrawal?


Ans: - Prepare the environment to prevent self-injury



QUESTION: 9. A patient won't take oral meds that is going through

alcohol withdrawal. The nurse starts giving saline lock per alcohol

protocol and thiamine. What do you them that it will help with

recovery?


Ans: - Thiamine will replenish alcohol effects on the body (something to do with
iron)



QUESTION: 10. A client comes in after being in a car accident and is

experiencing alcohol withdrawal magnesium level of 1.1 cardiac

dysrhythmias. What would you give 1st.


Ans: - Magnesium




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QUESTION: 11. Patient having to get treated for benzodiazepine and

methadone overdose. What do you use.


Ans: - Narcan



QUESTION: 12. When preparing to administer a domestic violence

screening tool to a female client, which statement should the nurse

provide?


Ans: - All clients are screened for domestic abuse because it is common in our
society



QUESTION: 13. A mental healthcare worker caring for a client with

escalating aggressive behavior. What action by the mental

healthcare worker wards immediate interventions?


Ans: - Attempting to physically restrain patient



QUESTION: 14. A 30-year-old sales manager tells the nurse "I am

thinking about a job change. I don't feel like I am living up to my

potential." Which of maslows developmental stages is the sales

manager attempting to achieve?

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