VERSION With COMPLETE SOLUTION 100%
VERIFIED ANSWERS A+
,A nurse is caring for a client who has anorexia nervosa. Which of the following findings
require immediate intervention by the nurse?
a. +2 edema of the lower extremities
b. BUN 21 mg dL
c. Lanugo covering the body
d. Blood pH 7.60 - correct answer-d. Blood pH 7.60
A nurse is caring for a client in a mental health facility. The client is agitated and
threatens to harm herself and others. Which of the following is the priority intervention?
a. Place the client in restraints
b. Administer an anti-anxiety medication to the client
c. Put the client in seclusion
d. Set limits on the client's behavior - correct answer-d. Set limits on the client's
behavior
Dosage Calculation: A nurse is preparing to administer Haloperidol 7mg IM to a client
who is severely agitated. Available is Haloperidol injection 5mg/mL. How many mL
should the nurse administer? - correct answer-1.4 mL
18) A nurse is caring for a client who was involuntarily committed and is scheduled to
receive electroconvulsive therapy (ECT). The client refuses the treatment and will not
discuss why with the healthcare team. Which of the following actions should the nurse
take?
a. Ask the clients family to encourage the client to receive ECT
b. Inform the client that ECT does not require a consent.
c. Document the client's refusal of the treatment in the medical record.
d. Tell the client he cannot refuse the treatment because he was
involuntarily committed. - correct answer-c. Document the client's refusal of the
treatment in the medical record.
A nurse in the emergency department is caring for a client who reports feeling sad,
worthless, and hopeless 9 months after the death of her son. Which of the following
actions should the nurse take first?
a. Request a mental health consult for the client.
b. Ask the client if she has thought about harming herself.
c. Encourage the client to attend a grief support group.
d. Discuss the clients coping skills. - correct answer-c. Encourage the client to attend a
grief support group.
A nurse is caring for a client who has borderline personality disorder and has been
engaging in self- mutilation. The nurse should encourage the client to participate in
which of the following groups.
, a. Dual diagnosis treatment group
b. Dialectical Behavior treatment group
c. Desensitization therapy - correct answer-b. Dialectical Behavior treatment group
The nurse is reviewing the medication administration record of a client who has
schizophrenia. The nurse should plan to initiate the Abnormal Involuntary Movement
Scale to monitor for adverse effects of which of the following medications.?
a. Amantadine
b. Diphenhydramine
c. Benztropine
d. Haloperidol - correct answer-d. Haloperidol
A nurse is counseling a client following the death of a client's partner 8 months ago.
Which of the following client statements indicates maladaptive grieving?
a. I am so sorry for the times I was angry with my partner.
b. I find myself thinking about my partner often.
c. I still don't feel up to returning to work.
d. I like looking at his personal items in the closet. - correct answer-c. I still don't feel up
to returning to work.
A nurse is caring for a client who has borderline personality disorder. Which of the
following outcomes should the nurse include in the treatment plan?
a. The client will report a decrease in hallucinations.
b. The client will communicate needs
c. The client will verbalize improved mood
d. The client will attend to personal hygiene. - correct answer-c. The client will verbalize
improved mood
A nurse is caring for a client who is prescribed massage therapy to treat panic disorder.
The client states "I can't stand to be touched by another person." Which of the following
responses should the nurse make?
a. Why don't you like to be touched by others
b. Don't worry about it. Your anxiety will lessen once the massage begins.
C. I will tell your provider you would like a treatment other than a massage.
d. I will request that the massage therapist wear gloves during your treatment. - correct
answer-C. I will tell your provider you would like a treatment other than a massage.
A nurse is creating a plan of care for a client who has a major depressive disorder.
Which of the following interventions should the nurse include in the plan?
a. Encourage physical activity for the client during the day