2024 A+ verified.
A school nurse is assessing a school-age child who experienced the traumatic loss
of a parent 8 months ago. Which of the following findings should the nurse identify as
an indication that the child is experiencing post-traumatic stress disorder (PTSD)? -
Lack of interest in an upcoming holiday
A nurse is caring for a group of clients. Which of the following findings should the
nurse report? - A client who is taking lamotrigine and has developed a rash
A nurse is reviewing laboratory results for a client who has schizophrenia and is
taking clozapine. Which of the following values should the nurse identify as a
contraindication for receiving clozapine? - WBC count 2,500/mm3 (5,000-
10,000/mm3)
A nurse is planning care for a client who has depression and has made frequent
suicide attempts. Which of the following statements indicates the client has a
decreased risk for suicide? - "It is easier to talk about my feelings now."
During a client's initial interview in a mental health inpatient setting, a nurse identifies
that the client is maintaining eye contact and leaning forward. Which of the following
assumptions should the nurse make based on the client's nonverbal behaviors? -
The client is interested in what the nurse is saying.
A nurse is planning care for a client who has schizophrenia and reports auditory
hallucinations. Which of the following interventions should the nurse include in the
plan? - Promote the use of music to compete with the client's auditory hallucinations.
A nurse is caring for a client who has impaired cognition.
A nurse is updating the client's plan of care. For each of the following potential
nursing interventions, click to specify if the potential intervention is anticipated,
nonessential, or contraindicated for the client. - Anticipated- approach from front,
give directions to the client, decrease sensory, assign client to a room
contra- use a vest, ensure the bed is kept, keep the lights off
non- provide the client with high
A nurse is planning discharge teaching with a family member of a client who has a
new diagnosis of depression. Which of the following information about relapse
should the nurse include? - Early identification of changes, such as decreased social
involvement, is important.
A nurse is establishing a therapeutic relationship with a client who has antisocial
personality disorder. Which of the following strategies should the nurse use when
communicating with this client? - Set realistic limits on the client's behavior.
, A nurse in a community health center is teaching families of clients who have post-
traumatic stress disorder (PTSD) about expected clinical manifestations. Which of
the following manifestations should the nurse include? - Experiences feelings of
isolation
A nurse in an inpatient mental health facility is caring for a client. The client begins
pacing with their fists clenched and is verbally abusing the staff. Which of the
following actions should the nurse take? - Ensure security personnel are available in
the background to assist if the client's behavior escalates.
A nurse is caring for a group of clients. For which of the following situations should
the nurse complete an incident report? - A client was administered one-half of the
prescribed dose of medication.
A nurse in a community health center is working with a group of clients who have
post-traumatic stress disorder. Which of the following interventions should the nurse
include to reduce anxiety among the group members? - Guided imagery
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.
A nurse is assessing a client who recently used cocaine. Which of the following
findings should the nurse expect? - Hypertension
A client who has a recent diagnosis of bipolar disorder is placed in a room with a
client who has severe depression. The client who has depression reports to the
nurse, "My roommate never sleeps and keeps me up, too." Which of the following
actions should the nurse take? - Move the client who has bipolar disorder to a private
room.
A nurse is planning care for a client who has generalized anxiety disorder. At which
of the following levels of anxiety should the nurse plan to teach the client relaxation
techniques? - Mild
A nurse is caring for a child who is taking methylphenidate. The nurse should
monitor the child for which of the following findings as an adverse effect of
methylphenidate? - Tachycardia
A nurse is discussing a 12-step program with a client who has alcohol use disorder
and is in an acute care facility undergoing detoxification. Which of the following
information should the nurse include in the teaching? - The client should obtain a
sponsor before discharge for an increased chance of recovery.
A nurse is planning care for a client who has bipolar disorder and is experiencing
mania. Which of the following interventions should the nurse include in the plan of
care? - Offer the client high-calorie finger foods frequently.