questions and verified answers with grade A+!!!
A charge nurse is discussing mental status exams with a
newly licensed nurse. Which of the following statements
by the newly licensed nurse indicates an understanding of
the teaching? (Select all that apply). - ANSWERA. "To
assess cognitive ability, I should ask the client to count
backward by sevens."
B. "To assess affect, I should observe the client's facial
expression.
C. "To assess language ability, I should instruct the client
to write a sentence."
A nurse is planning care for a client who has a mental
health disorder. Which of the following actions should the
,nurse include as a psychobiological intervention? -
ANSWERD. Monitor the client for adverse effects of the
medications.
A nurse decides to put a client who has a psychotic
disorder in seclusion overnight because the unit is very
short-staffed, and the client frequently fights with other
clients. The nurse's actions are an example of which of the
following torts? - ANSWERB. False imprisonment
A client tells a nurse, "Don't tell anyone but I hid a sharp
knife under my mattress in order to protect myself from my
roommate, who is always yelling at me and threatening
me." Which of the following actions should the nurse take?
,- ANSWERD. Report the incident to the health care team,
but do not inform the client of the intention to do so.
A nurse is caring for a client who is in mechanical
restraints. Which of the following statements should the
nurse include in the documentation? (Select all that apply)
- ANSWERB. "Client was offered 8 oz of water every hr."
C. "Client shouted obscenities at assistive personnel."
D. "Client received chlorpromazine 15 mg by mouth at
1000.
A nurse hears a newly licensed nurse discussing a client's
hallucinations in the hallway with another nurse. Which of
, the following actions should the nurse take first? -
ANSWERB. Tell the nurse to stop discussing the behavior
A nurse is caring for the parents of a child who has
demonstrated changes in behavior and mood. When the
mother of the child asks the nurse for reassurance about
her son's condition, which of the following responses
should the nurse make? - ANSWERD. "I understand
you're concerned. Let's discuss what concerns you
specifically."
A nurse is caring for a client who smokes and has lung
cancer. The client reports, "I'm coughing because I have
that cold that everyone has been getting." The nurse