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A client with depression remains in bed most of the day, and declines
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activities. Which nursingproblem has the greatest priority for this clie
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nt?
A. Loss of interest in diversional activity.
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B. Social isolation. !!
C. Refusal to address nutritional needs.!! !! !! !!
D. Low self-esteem. !!
The RN is preparing medications for a client with bipolar disorder an
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d notices that the clientdiscontinued antipsychotic medication for sev
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eral days. Which medication should also be discontinued?
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a. Lithium. (Lithotabs) !!
, b. Benzotropine (Cogentin). !!
c. Alprazolam (Xanax). !!
d. Magnesium (Milk of Magnesia). !! !! !!
The RN is teaching a client about the initiation of the prescribed abst
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inence therapy usingdisulfiram (Antabuse). What information should
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the client acknowledge understanding?
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A. Completely abstain from heroin or cocaine use.
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B. Remain alcohol free for 12 hours prior to the first dose.
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C. Attend monthly meetings of alcoholics anonymous.
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D. Admit to others that he is a substance user.
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A male client with schizophrenia is admitted to the mental health unit
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after abruptly stopping hisprescription for ziprasidone (Geodon) one
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month ago. Which question is most important for the RN to ask the c
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lient?
, A.! ! Have!!you!!lost!!interest!!in!!the!!things!!that!!you!!used!!to!!enjoy?
B.! ! Is your ability to think or concentrate decreased?
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C.! ! How many continuous hours do you sle
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ep at night? D. Do you hear sounds or voice
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s that others do not hear?
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A female client requests that her husband be allowed to stay in the roo
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m during the admissionassessment. When interviewing the client, the
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RN notes a discrepancy between the client’s verbal and nonverbal com
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munication. What action does the RN take?
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A. Pay close attention and document the nonverbal messages.
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