VERSIONS !!! REAL COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS ) ALREADY GRADED A+
A nurse is planning overall strategies to address problems for a client
who
has a borderline personality disorder. Which of the following
strategies is the priority for the nurse to incorporate into the
plan of care?
a. discuss the appropriate use of assertive behavior with the client
b. encourage the client to attend weekly support group meetings
c. assist the client to maintain awareness of her thoughts and feelings
d. implement measures to prevent intentional self-inflicted injury -
ANSWER -d. implement measures to prevent intentional self-
inflicted injury
A nurse is admitting a client who has a generalized anxiety disorder.
Which of the following actions should the nurse plan to take first?
a. Provide the client with a quiet environment
b. Determine how the client handles stress.
c. Teach the client to use guided imagery.
d. Ask the client to identify her strengths - ANSWER -a. Provide the
client with a quiet environment
,A nurse is conducting an admission interview with a client who is
experiencing mania. Which of the following should the nurse report to
the provider?
a. States that he hasn't bathed in 2 days
b. Reports eating twice in the past two weeks.
c. Makes inappropriate sexual comments.
d. Speaks in rhyming sentences. - ANSWER -b. Reports eating twice
in the past two weeks.
A nurse is planning care for a client who has obsessive-compulsive
disorder. Which of the following recommendation should the nurse
include in the client's plan of care?
a. Validation therapy
b. Thought stopping
c. Operant conditioning
d. Reality orientation therapy - ANSWER -b. Thought stopping
A nurse is caring for a client who has bipolar disorder and is
experiencing a manic episode. Which of the following actions should
the nurse take?
a. Encourage the client to join group activities
b. Dim the lights in the client's room
c. Provide detailed explanations to the client
, d. Administer methylphenidate - ANSWER -b. Dim the lights in the
client's room
A nurse is leading a crisis intervention group for adolescents who
witnessed the suicide of a classmate. Which of the following actions
should the nurse take first?
a. Initiate referrals
b. Review community resources
c. Identify prior coping skills
d. Discuss the importance of confidentiality - ANSWER -c. Identify
prior coping skills
A nurse overhears a client saying"I am a spy, a spy for the FBI .I am
an I,an eye for an eye in the sky. Sky is up high." The nurse should
document the client's statement as which of the following speech
alterations?
a. Echolalia
b. Word salad
c. Neologism
d. Clang association - ANSWER -d. Clang association
An older adult client is brought to the mental health clinic by her
daughter. The daughter reports that her mother is not eating and
seems uninterested in routine activities. The daughter states "Im so