NUR 212 FINAL EXAM GRADED A

A client with Obsessive-Compulsive Disorder washes his hands 20-30 times per day and they are raw and bleeding. What would be an appropriate question for the RN to ask this client? “Do you have any other addictions?” “Can you describe how you feel when you wash your hands?" “What is making you feel so anxious?” “Why do you keep washing your hands so many times a day?” unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 2.0M8EN212 1.25 points possible (graded, results hidden) Which statement made by a client in a mental health clinic demonstrates the use of denial as a coping measure? “It is my doctor’s fault that I am not improving.” “Winter weather always makes me feel more anxious.” “I am going to smoke a pack of cigarettes to make myself feel better.” “I am not going to come in anymore, as I have no problems.” unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 3.0M8EN212 1.25 points possible (graded, results hidden) Which behavior would the RN expect to occur if needs were not met during the latency stage of Freud’s development? Identification with the opposite-gender parent. Inability to develop relationships with other children. Inability to trust others. Disorganization, untidiness and destructiveness. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 4.0M8EN212 1.25 points possible (graded, results hidden) A client who has been diagnosed with dementia asks the RN when his wife is coming to visit. The RN knows the client has been a widow for many years. The most appropriate response by the RN would be: “She will be here later.” “You must miss your wife.” “I think your favorite TV show is on.” “Your wife died 10 years ago.” unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 5.0M8EN212 1.25 points possible (graded, results hidden) Which nursing intervention is the most appropriate use of behavior therapy when caring for a client with Bordorline Personality Disorder? Contract with the client to reinforce positive behaviors with rewards or privileges. Seclude the client when inappropriate behaviors are noted. Encourage the client to keep a journal of feelings to manage mood swings. Education the client on the importance of taking the antianxiety medications regularly. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 6.0M8EN212 1.25 points possible (graded, results hidden) Which assessment findings indicate to the RN that a client is exhibiting symptoms of a moderate anxiety reaction? Dilated pupils, hallucinations, and fear of dying. Increased perspiration, increase in speech rate, and gastric discomfort. Increased perception, irritability, and restlessness. Palpitations, insomnia, and hyperventilation. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 7.0M8EN212 1.25 points possible (graded, results hidden) A client is receiving aripiprazole on the behavioral health unit. Which nursing interventions will the nurse include in the patient’s care plan? Select all that apply. Remain with the patient until the medication is swallowed. Assess the patient for evidence of insomnia. Observe the patient for akathisia. Monitor for orthostatic hypotension. Administer before meals on an empty stomach. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 8.0M8EN212 1.25 points possible (graded, results hidden) The following clients have been assigned to the care of an RN on the in-patient behavioral health unit. Which client should be assessed first on the nurse’s initial rounds? A 51 year old male client with Alcoholism who was admitted yesterday for medical detoxification. A 43 year old male client with bipolar disease who had an angry outburst in group therapy yesterday. A 19 year old female client with bulimia who has been vomiting in the bathroom. A 45 year old female client with depression who was admitted with suicidal thoughts one week ago. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 9.0M8EN212 1.25 points possible (graded, results hidden) The RN is observing several clients watching the evening news, which is featuring a story on a fatal car crash. One client is laughing throughout the news story. How would the RN document this behavior? The client displayed inappropriate affect by laughing during a news story regarding a fatal car crash. The client was laughing during a sad newscast story, which demonstrated circumstantiality. The client is using laughter to hide his true sadness during a newscast of a fatal car crash. The client appeared to be delusional today as evidenced by laughter during a news cast of a fatal car crash. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 10.0M8EN212 1.25 points possible (graded, results hidden) Which is the most effective nursing intervention for a client who feels no remorse for inappropriate behaviors? Explore feelings of entitlement with client. Assign consistent team member to care for client. Provide clear guidelines for behaviors. Provide education regarding anti-anxiety medication. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 11.0M8EN212 1.25 points possible (graded, results hidden) What is the RN’s most appropriate response to a client who is experiencing a Post-Traumatic Stress Disorder (PTSD) reaction? “You probably think you are back in a war zone.” “What you are experiencing is not really taking place.” “Tell me what you are seeing or hearing right now.” “You are safe here and in good hands.” unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 12.0M8EN212 1.25 points possible (graded, results hidden) In which circumstance would it be appropriate for the RN to breach confidentiality? A police officer asks the RN why the patient was admitted. A spouse is requesting protected health information. A newspaper phones the hospital seeking information. A patient is a danger to themselves or others. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 13.0M8EN212 1.25 points possible (graded, results hidden) Which nursing interventions would be appropriate when providing care for a client who is exhibiting symptoms of a panic attack? Select all that apply. Instruct the client to take slow deep breaths. Administer sertraline. Place client alone in a quiet, dark room. Encourage the client to attend group therapy. Loosen any restrictive clothing. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 14.0M8EN212 1.25 points possible (graded, results hidden) Which nursing interventions are important for the RN to incorporate into a care plan for a client who flips the light switch 5 times whenever entering a room? Select all that apply. Orient the client to time, place and date. Administer risperidone as needed. Allow time for client to perform rituals. Provide highly structured schedule of activities. Involve the patient in group therapy activities. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 15.0M8EN212 1.25 points possible (graded, results hidden) A client who lost a leg in a small plane crash is having flashbacks of the accident and has been diagnosed with Post-Traumatic Stress Disorder (PTSD). Which behavior would cause the RN to notify the Health Care Provider that the condition is worsening? Hypersomnia Restless sleep Difficulty concentrating Hypervigilance unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 16.0M8EN212 1.25 points possible (graded, results hidden) A hospitalized, agitated, psychotic client refuses to take their medication. The RN calls a meeting with the healthcare team to discuss strategies to ensure the client’s safety and prevent injury. This action by the RN demonstrates which ethical principle? Nonmaleficence Beneficence Veracity Autonomy unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 17.0M8EN212 1.25 points possible (graded, results hidden) Which statement is the most appropriate response to a client who is highly anxious? “You must be feeling pretty stressed right now.” “You could use some anti-anxiety medication.” “I wouldn’t worry about that if I were you.” “Everything will be all right, so try to relax.” unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 18.0M8EN212 1.25 points possible (graded, results hidden) Which intervention is most effective to minimize self-destructive behaviors when caring for a patient with Borderline Personality Disorder? Administer phenelzine as ordered for agitation. Place the patient under continuous one-on-one observation. Minimize physical activity to discourage violent impulses. Encourage the patient to explore triggers for the behaviors. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 19.0M8EN212 1.25 points possible (graded, results hidden) Which action by the RN best demonstrates the ethical principle of beneficence as applied to a client with severe mental illness? Being honest about the client’s diagnosis, prognosis, and treatment. Contacting a congressional representative to restore funding for community outreach programs. Acting as an advocate for the client to secure essential mental-health services. Determining how to ensure safety when the client refuses their medication. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 20.0M8EN212 1.25 points possible (graded, results hidden) Which topics will the RN include when teaching a client about the side effects associated with the use of Selective Serotonin Reuptake Inhibitors (SSRIs)? Gastrointestinal distress and sexual dysfunction. Cardiac dysrhythmias and seizures. Hypotension and tachycardia. Weight gain and blurry vision. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 21.0M8EN212 1.25 points possible (graded, results hidden) Which is the most appropriate action by the RN when a client treated for depression states, “I am all better now, I feel great?” Perform a drug screen. Observe client for suicidal ideation. Schedule an interprofessional team meeting about plans for discharge. Ask the provider to discontinue anti-anxiety medication. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 22.0M8EN212 1.25 points possible (graded, results hidden) The RN would expect to assess which behavior in a client admitted with a medical diagnosis of Bipolar Disorder, hypomanic episode? Decreased self-esteem. Increased need for sleep. Decrease in conversation. Increase in goal-directed activity. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 23.0M8EN212 1.25 points possible (graded, results hidden) Why would the RN ask a client about her use of St. John's Wort as an alternative treatment for Depression? It can interfere with the action and effectiveness of other medications. Alternative medicines are not effective in the treatment of depression. The cost of the treatment may be more than that of standard therapies. A prescription is required to obtain it from a pharmacy. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 24.0M8EN212 1.25 points possible (graded, results hidden) A client has just been admitted who is diagnosed with Bipolar 1 Disorder, Acute Mania. Which interventions should be included on the initial plan of care for this client? Select all that apply. Medicate with olanzapine. Place client in quiet environment. Assign to group therapy. Administer Lithium. Consult with a dietitian. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 25.0M8EN212 1.25 points possible (graded, results hidden) Which meal selection indicates that the client taking a Selective Serotonin Reuptake Inhibitor needs further education regarding medication safety? Macaroni and cheese, green beans, applesauce Broiled chicken, brown rice, steamed broccoli Sirloin steak, baked potato, chocolate brownie Scrambled eggs, bacon, grapefruit juice, rye toast unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 26.0M8EN212 1.25 points possible (graded, results hidden) The RN has selected Chronic Low Self-Esteem as the priority nursing diagnosis for a client admitted with a medical diagnosis of Depression. Which outcome is appropriate for this nursing diagnosis? The client will not harm self or others during hospitalization. The client will displace anger to meaningful activities. The client will state side effects from prescribed medication by discharge. The client will maintain eye contact and engage in conversations with others within 48 hours. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 27.0M8EN212 1.25 points possible (graded, results hidden) A client is admitted to the mental health unit who has cracked and bleeding hands secondary to their obsessive compulsion disorder. The client refuses to allow the RN to apply antibiotic ointment to their open wounds. Which action is most appropriate for the RN to take next? Set limits on further handwashing so the skin can heal. Do not apply the ointment and document the refusal. Apply the ointment as the client is incompetent to make their own decisions. Notify the health care provider for an order for a sedative. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 28.0M8EN212 1.25 points possible (graded, results hidden) A client is admitted to an inpatient psychiatric unit with the diagnosis of Paranoid Personality Disorder. Which statement made by client to the RN supports the client's diagnosis? “I see the list of rules for the unit, but I know I do not need to follow any of them.” “I could have gone to nursing school like you, but I never had good science teachers who believed in me.” “I know we are going to be best friends by the end of today." “I like group therapy because the other patients can feel my feelings and relate to me.” unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 29.0M8EN212 1.25 points possible (graded, results hidden) After undergoing two of nine ECT procedures, a client states, “I can’t even remember eating breakfast, so I want to stop the ECT.” Which is the most appropriate nursing reply? “Once you begin the course of treatments, you must complete all of them.” “Please speak with your health care provider about your concerns.” “It is within your right to discontinue the treatments, but let’s talk about what is on your mind.” “Memory loss is a rarely a permanent side effect of the treatment. I don’t think it should be a concern.” unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 30.0M8EN212 1.25 points possible (graded, results hidden) A client admitted to the mental health unit for Generalized Anxiety Disorder was prescribed the medication buspirone two weeks ago by his primary-care provider. The RN instructs the client to do which of the following related to this medication? Take at bedtime due to the drug’s sedative properties. Rise slowly from a sitting position. Drink 3-4 liters of water daily to avoid dehydration. Stop the medication when your anxiety has decreased. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 31.0M8EN212 1.25 points possible (graded, results hidden) The RN is conducting a 15-minute mental health assessment for a client in the manic phase of Bipolar Disorder. What is the rationale for limiting the length of the assessment? The client may not give accurate answers while manic The client will feel pressured to keep talking. The client will be unable to answer questions. A longer period of time may overstimulate the client. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 32.0M8EN212 1.25 points possible (graded, results hidden) Which nursing intervention would the RN include in the plan of care for an autistic client with the nursing diagnosis of Self-mutilation? Maintain a structured schedule of daily activities. Administer zolpidem as needed for agitation. Offer sympathy during episodes of self-mutilation. Rotate staff members who care for the client. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 33.0M8EN212 1.25 points possible (graded, results hidden) The RN should include which interventions in the plan of care for a client admitted to the emergency room after an attempted suicide? Select all that apply. Have client sign a no-suicide contract. Orient the patient to reality. Administer medications and watch the patient swallow them. Schedule rounding every 30 minutes. Use direct questioning to assess suicide risk. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 34.0M8EN212 1.25 points possible (graded, results hidden) Which medication is most likely responsible for a client’s sudden onset of symptoms of depression? phenelzine alprazolam paroxetine dextroamphetamine unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 35.0M8EN212 1.25 points possible (graded, results hidden) A patient has been admitted to an inpatient psychiatric facility in a bipolar manic episode with symptoms of poor impulse control, flamboyant affect, and sexual disinhibition. Which patient outcome is the priority for the plan of care? The patient will sleep 8 hours per night without medication. The patient will verbalize that hallucinations have decreased. The patient will not harm self or others. The patient will maintain a stable weight. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 36.0M8EN212 1.25 points possible (graded, results hidden) Jerome, a client with Borderline Personality Disorder, begins to threaten another client who constantly interrupts a group therapy session. Which actions should the RN take? Select all that apply. Ask the other client to leave the group session. Use a calm voice to ask the other clients to leave the room. Ask the social worker and therapist to alert the other staff nurses to the situation. Sternly warn Jerome to stop the behavior or he will be sent to the isolation room. Administer an injectable antipsychotic to calm Jerome. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 37.0M8EN212 1.25 points possible (graded, results hidden) A client with hypertension who takes a beta-blocker has been started on an MAOI after a poor therapeutic response to other antidepressant medications. Which teaching point should be included in the client’s education? Heart palpitations are more common. Gastric distress will be lessened if medication is taken with milk. There is an increased risk of dizziness and lightheadedness. Easy bruising may be noticed. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 38.0M8EN212 1.25 points possible (graded, results hidden) Which statement is accurate about the admission status of a client with a longstanding history of Depression who seeks admission for psychiatric treatment due to thoughts of self-harm? The client relinquishes all rights to have a say in treatment decisions. The client may leave the hospital at any time unless deemed a danger to self or others. The client must have a family member authorize the admission. By law, the maximum duration of this admission may only be 72 hours. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 39.0M8EN212 1.25 points possible (graded, results hidden) A client has been taking haloperidol for a week and begins to exhibit symptoms of tremor and muscular rigidity. Which interventions are appropriate for the RN to perform? Select All that Apply. Assess blood sugar. Medicate client with benztropine. Document that the client is experiencing tardive dyskinesia. Notify the health provider. Hold the next dose of haloperidol. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 40.0M8EN212 1.25 points possible (graded, results hidden) A client who has been taking clozapine for the past two months reports sudden onset of sore throat, fever, and malaise. Which data should be reported to the health care provider immediately? Specific gravity of 1.035 White blood count of 3,000/mm3 Blood pressure of 135/90 mmHg Hematocrit of 46% unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 41.0M8EN212 1.25 points possible (graded, results hidden) What is the RN’s priority action for a client experiencing auditory hallucinations? Inform the health care provider. Maintain a safe environment. Tell the client that the voices are not real. Administer the ordered antipsychotic medication. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 42.0M8EN212 1.25 points possible (graded, results hidden) The RN is caring for a client with Schizophrenia who states, “I am an Olympic gold medalist.” What is the most appropriate response to this statement? “Tell me more about this.” “Are you hearing voices also?” “I am sure that is not true.” “I know you think that, but I do not believe it.” unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 43.0M8EN212 1.25 points possible (graded, results hidden) What is the appropriate RN response when the family of a patient diagnosed with Alzheimer’s Disease asks the RN why it is necessary to have referrals to other types of healthcare providers? “There will be a change in cognition and ability to function.” “The care involves excessive work for one provider.” “Alzheimer’s will impact vital physical functioning.” “Symptoms will get worse and then improve.” unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 44.0M8EN212 1.25 points possible (graded, results hidden) Which intervention would be most effective for a client in Stage 4 of Azheimer’s disease? Providing meals that can be simply reheated. Provide distraction from delusions. Provide a safe, enclosed place for wandering. Ensure living environment is wheelchair friendly. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 45.0M8EN212 1.25 points possible (graded, results hidden) A client experiencing severe panic attacks has been prescribed a short-course of the medication alprazolam, with a maximum daily dose of 0.5 mg three times daily. The pharmacy label reads: How many tablets is the patient permitted to take in a 24-hour period? (in [x] tablets) Record your answer as a whole number. (Round any fractions to the nearest whole number using standard rounding rules.) Do not include words or abbreviations in your answer. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 46.0M8EN212 1.25 points possible (graded, results hidden) Which statement by the patient would support a diagnosis of Somatic Symptom Disorder? “I saw a news report yesterday about people with rare cancers.” “Tell me what the symptoms are and I will tell you if I have them.” “I don’t feel well but I am only here because my husband made me come.” “I keep having headaches; I know it has to be brain cancer and nothing else.” unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 47.0M8EN212 1.25 points possible (graded, results hidden) Which of the following characterizes an inhibited response to grieving? Denial of the emotional pain of the loss. Inability to grieve over the loss of a pet. Twenty years later, a woman talks constantly about her dead daughter. Feeling intensely angry about the loss. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 48.0M8EN212 1.25 points possible (graded, results hidden) Which is the most appropriate nursing intervention for a client newly diagnosed and admitted with an Anxiety disorder? Discourage visitation from family members. Explain the side effects of all medications prescribed. Explain all procedures and activities calmly. Explore the reasons and triggers for the anxiety. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 49.0M8EN212 1.25 points possible (graded, results hidden) Which of the following client statements indicates that teaching about side effects of alprazolam has been effective? “I should take this medication with food or milk.” “I should not drink grapefruit juice while taking this medication.” “I should not consume aged cheese with this medication.” “I should not consume alcohol while taking this medication.” unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 50.0M8EN212 1.25 points possible (graded, results hidden) Which statement made by a family caregiver for a client with Dementia indicates the need for further education? “I have obtained power of attorney for my family member.” “I will give the donepezil dose every morning with breakfast.” “I took away the car keys.” “I have installed grip bars in the shower.” unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 51.0M8EN212 1.25 points possible (graded, results hidden) Which is considered a positive symptom of Schizophrenia? Delusions Deteriorated appearance Apathy Pacing and rocking unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 52.0M8EN212 1.25 points possible (graded, results hidden) What is the appropriate RN response to the adult daughter of a patient with the medical diagnosis of Alzheimer’s Disease who asks the RN when the newly prescribed medication, donepezil, will begin prevention of further degeneration for her mother? "The drug does not alter the progress of the disease but temporarily relieves symptoms.” “It will take at least three months for the medication to take full effect.” “If this drug does not prevent deterioration, others can be prescribed.” “Blood tests will need to be performed periodically to ensure the correct dosage.” unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 53.0M8EN212 1.25 points possible (graded, results hidden) A client with Alzheimer's disease has had recent episodes of confabulation. The client is most likely in which stage of Alzheimer’s? Stage 5 Stage 4 Stage 6 Stage 3 unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 54.0M8EN212 1.25 points possible (graded, results hidden) The client with dementia has been ordered all these medications. Which medication is indicated for agitation and wandering? rivastigmine haloperidol metformin bupropion SR unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 55.0M8EN212 1.25 points possible (graded, results hidden) A student nurse is about to take an exam and develops shortness of breath, palpitations, severe trembling, diaphoresis, dilated pupils, and chest pain. The RN would assess this as which level of anxiety? Panic Moderate Mild Severe unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 56.0M8EN212 1.25 points possible (graded, results hidden) A patient has been discharged home after a miscarriage of a 12-week pregnancy. She is inconsolable and refusing to get out of bed. The husband feels lost and does not know how to help. Which health care professional referrals would be appropriate for this couple? Select all that apply. Nutritionist Home health aide Clergy Psychiatrist Social worker unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 57.0M8EN212 1.25 points possible (graded, results hidden) Which points should be included in the discharge teaching plan for a client with depression who has been prescribed an SSRI? Select all that apply. Once you are feeling better, slowly wean yourself off the antidepressant The phone number for a suicide hotline The medication may cause sexual dysfunction Some common side effects of SSRIs are dry mouth, headache and weight gain. Use sunblock when going outdoors unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 58.0M8EN212 1.25 points possible (graded, results hidden) A client is taking buproprion for smoking cessation. What adverse reaction should the nurse monitor for related to this medication? Seizures Weight gain Anxiety Lethargy unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 59.0M8EN212 1.25 points possible (graded, results hidden) The RN observes a school–aged patient with Autism giggling uncontrollably while slapping her head. What is the RN’s appropriate interpretation of this behavior? The existence of a severe headache. An untoward reaction to a medication. The development of a seizure disorder. A common manifestation seen with autism. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 60.0M8EN212 1.25 points possible (graded, results hidden) A client with schizophrenia has been taking olanzapine. Which assessment is most important to report to the provider? Shouting of obscenities. Smacking of the lips. Echolalia Rocking back and forth. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 61.0M8EN212 1.25 points possible (graded, results hidden) A nurse is teaching a client about taking Lithium for his bipolar disorder. Which teaching topics should be included? Select all that apply. Serum lithium levels can be elevated by use of NSAIDS. Polyuria and thirst occur frequently as side effects of the medication. Lithium is safe to take during pregnancy. Lithium must be monitored regularly by obtaining blood levels of the medication. Lithium has a long half-life and can be taken once a day. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 62.0M8EN212 1.25 points possible (graded, results hidden) A client on the in-patient addictions unit criticizes himself and his family for contributing to his addiction. Which outcome would be appropriate for this client? Client states personal strengths in therapy session. Client discusses how substance abuse behaviors can be harmful to his health during group session. Client lists adaptive coping mechanisms in group therapy. Client will not suffer physical injury while on unit. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 63.0M8EN212 1.25 points possible (graded, results hidden) What is the appropriate nursing action for the RN to take when caring for a patient with Anorexia Nervosa who insists on chewing each bite of food 25 times before swallowing? Consult with the dietitian for other food choices. Ask the patient why she engages in this behavior. Ignore the behavior. Tell the patient it is not necessary to chew that many times. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 64.0M8EN212 1.25 points possible (graded, results hidden) Which is the most appropriate goal for a patient with an eating disorder? A positive body image. Weight gain of ten pounds. Participation in group therapy. Eating three meals per day. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 65.0M8EN212 1.25 points possible (graded, results hidden) The RN who is assigned to telephone triage at the mental health outpatient clinic received all these calls over lunch time. Which call should be returned first? The client with anger management issues who just experienced a trigger. The client with schizophrenia who states they are hearing voices again. The client who takes isocarboxazid and has a severe headache. The client who is taking fluoxetine for 2 weeks and is still depressed. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 66.0M8EN212 1.25 points possible (graded, results hidden) The RN is caring for a client with paranoid delusions. The client states: “That person with the clipboard over there is writing bad things about me.” Which response is the best example of therapeutic communication? “Tell me why you think that? Have you done something bad?” “That person is performing the monthly safety inspection for the unit.” “That must make you feel uncomfortable. Tell me more.” “Don’t pay any attention to that person. Would you like to take a walk with me?” unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 67.0M8EN212 1.25 points possible (graded, results hidden) Which is the priority short-term outcome for the nursing diagnosis Imbalanced nutrition: less than body requirements related to binging and purging? Client will be able to identify foods and situations that are triggers. Client will negotiate a contract for meals eaten. Client will gain a prescribed amount of weight daily. Client will measure all portions carefully. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 68.0M8EN212 1.25 points possible (graded, results hidden) The RN is caring for a woman who experienced interpersonal violence from her spouse of 15 years. Which nursing intervention would assist with empowering this patient? Identify a family member to help solve family problems. Ask the patient if she knows why this happened to her. Teach her how to avoid conflicts with her spouse. Help her recognize ways she is dependent on her abuser. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 69.0M8EN212 1.25 points possible (graded, results hidden) The school RN assesses a child who is complaining of a toothache for the second time this month. The RN notes an unkempt appearance and the presence of multiple dental caries. What is the priority action by the RN? Call the child abuse hotline. Notify the parent that the child needs to see the dentist. Help the child to brush their teeth. Notify the principal of the situation. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 70.0M8EN212 1.25 points possible (graded, results hidden) Which questions should the RN ask of a client who is at risk for suicide? Select all that Apply. Have you made a plan for suicide? Have you given away any of your personal belongings recently? Do you have friends or family that you can rely on? Have you attempted suicide in the past? Are you planning on changing jobs in the near future? unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 71.0M8EN212 1.25 points possible (graded, results hidden) Which behavior would first alert the RN that a co-worker might be impaired due to substance abuse? Missing medications from the medication room. Unexplained disappearances from the nursing unit. Clients reporting unrelieved pain. Preferring to eat alone during lunch. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 72.0M8EN212 1.25 points possible (graded, results hidden) Which nursing intervention is the priority for a verteran with the diagnosis of post-traumatic stress disorder after returning from a military deployment? Have client engage in a regular exercise program. Encourage family participation in group therapy. Assess for changes in mood or cognition. Identify previously used coping strategies. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 73.0M8EN212 1.25 points possible (graded, results hidden) A toddler has been brought to the Emergency Room by the parents. Upon assessment, the RN notices round-shaped burn marks on the upper arms and thighs of the patient. What is the legal responsibility of the RN at this time? Call the police and have the parents arrested. Call for consultation with social services. Identify the marks as cigarette burns and confront the parents. Contact child protective services and detain the child from discharge. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 74.0M8EN212 1.25 points possible (graded, results hidden) Which teaching points should be included in the discharge education for the client who has been prescribed disulfiram? Select All That Apply. Medication is most effective when taken at bedtime. Carry a card indicating use of this medication. The effects of disulfiram may last for 2 weeks after stopping this medication. Do not operate heavy machinery while taking this medication. Do not use hand sanitizer. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 75.0M8EN212 1.25 points possible (graded, results hidden) A client who had been taking low-dose chlordiazepoxide for several years verbalizes their desire to stop taking this medication. Which statement by the RN is the most appropriate? Take acetaminophen for any withdrawal symptoms. Decrease the amount of chlordiazepoxide over time. It may take 2 weeks for withdrawal symptoms to occur. Notify the provider for any muscle twitching that occurs. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 76.0M8EN212 1.25 points possible (graded, results hidden) A client with Borderline Personality Disorder has been exhibiting frequent, violent temper outbursts on the mental health unit. Which outcome would be most appropriate for this client? Client will interact with others on the unit. Client will be able to express his emotions. Client will stop exploiting others on the unit. Client will express anger appropriately. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 77.0M8EN212 1.25 points possible (graded, results hidden) The RN is evaluating a client with Dependent Personality Disorder after several sessions of therapeutic communication. Which recent client behavior indicates that the sessions were beneficial? Client no longer expresses suicidal ideation. Client joins group activities on the unit. Client initiates a project or activity. Client begins to follow the rules of the unit. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 78.0M8EN212 1.25 points possible (graded, results hidden) A hospitalized adolescent who was born anatomically male has the self-perception of being female. Which of the following actions by the RN is most appropriate for this client? Orient the adolescent to reality. Refer to the client using male pronouns. Perform a suicide risk assessment. Arrange for an Endocrine consultation. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 79.0M8EN212 1.25 points possible (graded, results hidden) Which of the following observations should make the RN suspect possible parental child abuse when assessing an 12-year-old child that was brought to the emergency room after an injury sustained in gym class? Child complains that his teammates are “mean.” Child ‘s drug screen for opioids is positive. Child refuses an examination by the RN. Child recoils when the parent enters the exam room. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 80.0M8EN212 1.25 points possible (graded, results hidden) A client in alcohol withdrawal has been prescribed lorazepam (Ativan) 2 mg IM, one stat dose. The pharmacy label reads: Instructions This is a timed exam. You have 130 minutes to complete this exam. Monitor the timer as you progress so you do not run out of time. You must work independently on the exam. Use of references (textbooks, notes, other individuals, internet sources, etc.) is not allowed. • You must submit your response to each question, by clicking the "Submit" button on the left side below each question. • It is important to note that there is no 'Submit' button for the exam as a whole. Each response must be submitted individually. How many mL will the RN administer? ([x] mL) Record your answer as a number using decimals if necessary (for example, write 0.75 instead of 3/4). Do not include words or abbreviations in your answer. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. M8.5 Final Exam 1.0M8EN212 1.25 points possible (graded, results hidden) A client with Obsessive-Compulsive Disorder washes his hands 20-30 times per day and they are raw and bleeding. What would be an appropriate question for the RN to ask this client? “Do you have any other addictions?” “Can you describe how you feel when you wash your hands?" “What is making you feel so anxious?” “Why do you keep washing your hands so many times a day?” submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. 2.0M8EN212 1.25 points possible (graded, results hidden) Which statement made by a client in a mental health clinic demonstrates the use of denial as a coping measure? “It is my doctor’s fault that I am not improving.” “Winter weather always makes me feel more anxious.” “I am going to smoke a pack of cigarettes to make myself feel better.” “I am not going to come in anymore, as I have no problems.” submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. • To exit the exam, click on the "End My Exam" button next to the timer in the top right hand corner of your screen. 3.0M8EN212 1.25 points possible (graded, results hidden) Which behavior would the RN expect to occur if needs were not met during the latency stage of Freud’s development? Identification with the opposite-gender parent. submitted Inability to develop relationships with other children. Inability to trust others. Disorganization, untidiness and destructiveness. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. 4.0M8EN212 1.25 points possible (graded, results hidden) A client who has been diagnosed with dementia asks the RN when his wife is coming to visit. The RN knows the client has been a widow for many years. The most appropriate response by the RN would be: “She will be here later.” “You must miss your wife.” submitted “I think your favorite TV show is on.” “Your wife died 10 years ago.” You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. 5.0M8EN212 1.25 points possible (graded, results hidden) Which nursing intervention is the most appropriate use of behavior therapy when caring for a client with Bordorline Personality Disorder? Contract with the client to reinforce positive behaviors with rewards or privileges. Seclude the client when inappropriate behaviors are noted. Encourage the client to keep a journal of feelings to manage mood swings. submitted Education the client on the importance of taking the antianxiety medications regularly. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. 6.0M8EN212 1.25 points possible (graded, results hidden) Which assessment findings indicate to the RN that a client is exhibiting symptoms of a moderate anxiety reaction? Dilated pupils, hallucinations, and fear of dying. Increased perspiration, increase in speech rate, and gastric discomfort. Increased perception, irritability, and restlessness. submitted Palpitations, insomnia, and hyperventilation. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. 7.0M8EN212 1.25 points possible (graded, results hidden) A client is receiving aripiprazole on the behavioral health unit. Which nursing interventions will the nurse include in the patient’s care plan? Select all that apply. Remain with the patient until the medication is swallowed. Assess the patient for evidence of insomnia. Observe the patient for akathisia. Monitor for orthostatic hypotension. Administer before meals on an empty stomach. submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. 8.0M8EN212 1.25 points possible (graded, results hidden) The following clients have been assigned to the care of an RN on the in-patient behavioral health unit. Which client should be assessed first on the nurse’s initial rounds? A 51 year old male client with Alcoholism who was admitted yesterday for medical detoxification. A 43 year old male client with bipolar disease who had an angry outburst in group therapy yesterday. A 19 year old female client with bulimia who has been vomiting in the bathroom. A 45 year old female client with depression who was admitted with suicidal thoughts one week ago. submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. 9.0M8EN212 1.25 points possible (graded, results hidden) The RN is observing several clients watching the evening news, which is featuring a story on a fatal car crash. One client is laughing throughout the news story. How would the RN document this behavior? The client displayed inappropriate affect by laughing during a news story regarding a fatal car crash. submitted The client was laughing during a sad newscast story, which demonstrated circumstantiality. The client is using laughter to hide his true sadness during a newscast of a fatal car crash. The client appeared to be delusional today as evidenced by laughter during a news cast of a fatal car crash. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. 10.0M8EN212 1.25 points possible (graded, results hidden) Which is the most effective nursing intervention for a client who feels no remorse for inappropriate behaviors? Explore feelings of entitlement with client. Assign consistent team member to care for client. Provide clear guidelines for behaviors. submitted Provide education regarding anti-anxiety medication. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted.