WITH NGN Questions and answers.
A nurse is performing a cognitive assessment to distinguish delirium from dementia in a client whose f
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amily reports episodes of confusion. Which of the following assessment findings supports the nurse's s
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uspicion of delirium? - (correct answer) - Easily distracted
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A nurse is caring for a client who gave birth to a stillborn baby. Which of the following statements sho
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uld the nurse make? - (correct answer) - "I'll stay with you just in case you want to talk."
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A nurse is caring for four clients in an emergency department. The nurse should identify that which of
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the following clients can give informed consent? - (correct answer) - A 35-year-
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old client who has major depressive disorder
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A nurse is teaching a newly licensed nurse about nursing care plans for clients who have depressive dis
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orders. Which of the following statements by the newly licensed nurse indicates an understanding of t
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he teaching? - (correct answer) -
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"I will update the plan of care as a client's manifestations of depression change."
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A nurse on a medical-
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surgical unit is assessing a client who sustained injuries 12 hr ago following a motor-
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vehicle crash. The client's admission blood alcohol level was 325 mg/
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dL. Which of the following findings should indicate to the nurse that the client is experiencing alcohol
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withdrawal? - (correct answer) - Blood pressure 154/96 mm Hg gh gh gh gh ghgh gh gh gh gh
A nurse is planning care for a client who has made repeated physical threats toward others on the unit
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. Although the client does not want to leave the unit, the nurse requests the provider to transfer the cl
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ient to a unit that is equipped to manage violent behavior. Which of the following ethical principles sh
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ould the nurse apply in this situation? - (correct answer) - Nonmaleficence
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A nurse is discussing a 12-
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step program with a client who has alcohol use disorder and is in an acute care facility undergoing det
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oxification. Which of the following information should the nurse include in the teaching? -
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(correct answer) -
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The client should obtain a sponsor before discharge for an increased chance of recovery.
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A nurse is creating a plan of care for a client who has been placed in seclusion after threatening to har
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m others on the unit. Which of the following interventions should the nurse include in the plan? -
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(correct answer) - Renew the prescription for the client every 4 hr.
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, A nurse is performing an admission assessment on a client and notices that the client appears withdra
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wn and fearful. To establish a trusting nurse-
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client relationship, which of the following actions should the nurse take first? - (correct answer) -
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Inform the client that this admission is confidential.
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A nurse is planning discharge teaching for a client who has severe schizoaffective disorder. The nurse s
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hould identify that which of the following treatment options can offer interdisciplinary services for the
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client at home? - (correct answer) - Assertive community treatment
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A nurse on a mental health unit is caring for a group of clients. Which of the following actions by the n
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urse is an example of the ethical principle of justice? - (correct answer) -
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Spending adequate time with a client who is verbally abusive.
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A nurse is teaching the guardians of a client about their adolescent child's diagnosis of bulimia nervosa
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. Which of the following statements made by the guardians indicates an understanding of their child's i
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llness? - (correct answer) - "It is important for our child to have regular dental checkups."
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A nurse is assessing a client who has major depressive disorder and has been receiving amitriptyline fo
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r 1 week. Which of the following outcomes should the nurse expect? - (correct answer) -
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Greater risk of attempting suicide as affect and energy improve
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A nurse is planning care for a client who has generalized anxiety disorder. At which of the following lev
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els of anxiety should the nurse plan to teach the client relaxation techniques? - (correct answer) -
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Mild
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A nurse is updating the plan of care for a client who has bulimia nervosa and is 5% above their ideal b
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ody weight. Which of the following interventions should the nurse include in the plan? -
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(correct answer) - Identify the client's trigger foods.
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A charge nurse on a mental health unit is discussing client rights with a newly licensed nurse. Which of
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the following statements should the nurse make? - (correct answer) -
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"Clients who are admitted involuntarily maintain the right to give informed consent for procedures."
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A nurse is reviewing the medication administration record for a client who is experiencing adverse effe
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cts of chlorpromazine. The nurse should administer benztropine to relieve which of the following adver
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se effects? - (correct answer) - Acute dystonia
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A nurse is assessing a client who has bulimia nervosa. The nurse should expect which of the following
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findings? - (correct answer) - Tooth erosion gh gh gh gh ghgh gh
A nurse is talking with a group of parents who have recently experienced the death of a child. Which o
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f the following actions should the nurse take? - (correct answer) -
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Suggest forming a weekly support group for parents who have experienced the death of a child.
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