assessment level 3 practice b
Exam Study Guide – Practice
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the client asks others for money to compensate for gambling losses. - Ans✔✔-a
nurse in a mental health clinic is assessing a client who states, "I don't think my
gambling is as big of a problem as my friends think it is." which of the following
findings should the nurse identify as meeting the diagnostic criteria of gambling
disorder?
a. the client makes no attempts to stop gambling.
b. the client gambles when feeling happy or enthusiastic.
c. the client gambles the same amount of money each week.
d. the client asks others for money to compensate for gambling losses.
gambling disorder - Ans✔✔-one of the diagnostic criteria for this is a reliance
on others to provide money to help with negative financial situations that are a
direct result of gambling losses. according to the american psychiatric
,association, a diagnosis of this requires that the client's behavior meets four of
the defined criteria over the period of the past 12 months.
magical thinking.
clang association.
auditory hallucinations. - Ans✔✔-a nurse is assessing a client who has
schizophrenia. which of the following manifestations should the nurse identify
as positive symptoms of schizophrenia? select all that apply.
a. magical thinking.
b. clang association.
c. auditory hallucinations.
d. flat affect.
e. emotional ambivalence.
schizophrenia manifestation - Ans✔✔-the nurse should identify that magical
thinking, or the belief that one's thoughts affect others, is a positive symptom
of this disorder.
schizophrenia manifestation - Ans✔✔-the nurse should identify that clang
association, or choosing words based on their sounds, is a positive symptom of
this disorder.
schizophrenia manifestation - Ans✔✔-the nurse should identify that
experiencing auditory hallucinations, or hearing voices or sounds that do not
exist, is a positive symptom of this disorder.
,digital clubbing - Ans✔✔-the nurse is assessing a client who has end stage
COPD. which of the following images should the nurse identify as a late
manifestation of this terminal illness?
a. flexion or contraction of the joints.
b. swan neck deformation.
c. tophi, related to chronic gout.
d. digital clubbing.
late manifestation of COPD - Ans✔✔-the nurse should identify digital clubbing
when assessing a client who has this disorder.
digital clubbing - Ans✔✔-evidence of decreased arterial oxygen levels, which
occurs over time and is evident as a late manifestation of COPD.
agitation - Ans✔✔-a nurse in an ED is assessing a newly admitted client. the
nurse should identify that which of the following findings is a manifestation of
acute cocaine toxicity?
a. hypotension.
b. pinpoint pupils.
c. agitation.
d. hypothermia.
acute cocaine toxicity s/s - Ans✔✔-agitation, dizziness, and tremor.
severe cocaine toxicity - Ans✔✔-can cause convulsions and myocardial
infarction.
, cocaine - Ans✔✔-a CNS stimulant
use a side lying position when resting in bed or on the couch. - Ans✔✔-a nurse
is providing teaching to a client who has preeclampsia without severe
symptoms. which of the following instructions should the nurse include?
a. monitor temperature twice each day.
b. restrict fluid intake to four 245 mL glasses a day.
c. maintain a dark, quiet environment as much as possible.
d. use a side lying position when resting in bed or on the couch.
side lying position - Ans✔✔-increases blood flow to the uterus and placenta
optimizing the delivery of nutrients and oxygen to the fetus.
supine positioning - Ans✔✔-can result in hypotension, which diminishes blood
flow to the uterus and placenta.
recommend joining a self help group. - Ans✔✔-a nurse is planning care for a
client who has a gambling disorder. which of the following interventions should
the nurse include in the plan?
a. recommend joining a self help group.
b. administer antipsychotic medications.
c. begin disulfiram therapy.
d. initiate aversion therapy.
effective treatment for gambling disorder - Ans✔✔-self help groups such as
gambler's anonymous.