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, A client is admitted to the mental health unit with the diagnosis of major depressive disorder. Which
statement alerts the nurse to the possibility of a suicide attempt?
1 -"I don't feel too good today."
2- "I feel much better; today is a lovely day."
3 -"I feel a little better, but it probably won't last."
4-I'm really tired today, so I'll take things a little slower "I feel much better; today is a lovely day."
During a group discussion it is learned that a group member hid suicidal urges and committed suicide
several days ago. What should the nurse leading the group be prepared to manage? Fear by some
members that their own suicidal urges may go unnoticed and that they may
Which screening report will help the nurse determine skeletal growth in a child? Radiographs of the
hand and wris
A client describes his delusions in minute detail to the nurse. How should the nurse respond?
1 Changing the topic to reality-based events
2 Continuing to discuss the delusion with the client
3 Getting the client involved in a social project with peers
4 Disputing the perceptions with the use of logical thinking Changing the topic to reality-based
events
A nurse working on a mental health unit is caring for several clients who are at risk for suicide. Which
client is at the greatest risk for successful suicide?
1 -Young adult who is acutely psychotic 2 -Adolescent who was recently sexually abused
3- Older single man just found to have pancreatic cancer
4 -middle-aged woman experiencing dysfunctional grieving Older single man just found to have
pancreatic cancer
A nurse is caring for a client who is addicted to opioids and who has undergone major surgery. The client
is receiving methadone. What is the purpose of this medication?
1 Allows symptom-free termination of opioid addiction
2 Switches the user from illicit opioid use to use of a legal drug
3 Provides postoperative pain control without causing opioid dependence
4 Counteracts the depressive effects of long-term opioid use on thoracic muscles Switches the
user from illicit opioid use to use of a legal drug
A nurse is counseling the spouse of a client who has a history of alcohol abuse. What does the nurse
explain is the main reason for drinking alcohol in people with a long history of alcohol abuse They
are dependent on it.
, How do adolescents establish family identity during psychosocial development?
Select all that apply.
1 By acting independently to make his or her own decisions
2 By evaluating his or her own health with a feeling of well-being
3 By fostering his or her own development within a balanced family structure
4 By building close peer relationships to achieve acceptance in the society
5 By achieving marked physical changes 1-By acting independently to make his or her own decisions
3-By fostering his or her own development within a balanced family structure
A clinic nurse observes a 2-year-old client sitting alone, rocking and staring at a small, shiny top that she
is spinning. Later the father relates his concerns, stating, "She pushes me away. She doesn't speak, and
she only shows feelings when I take her top away. Is it something I've done?" What is the most
therapeutic initial response by the nurse? 3- Telling the father that it is nothing he has done and
sharing the nurse's observations of the child
What is most appropriate for a nurse to say when interviewing a newly admitted depressed client whose
thoughts are focused on feelings of worthlessness and failure?
1 "Tell me how you feel about yourself." 2 "Tell me what has been bothering you."
3 "Why do you feel so bad about yourself?"
4 "What can we do to help you while you're here? "Tell me how you feel about yourself."
Which stages would the nurse explain that a toddler goes through, according to Freud's theory? Select
all that apply.
1 Oral
2 Anal
3 Phallic
4 Genital
5 Latency 1 Oral
2 Anal
A client is found to have a borderline personality disorder. What behavior does the nurse consider is
most typical of these clients?
1-Inept
2- Eccentric
3- Impulsive