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1. A nurse is caring for a school-aged child who has a. Place the child in seclusion
conduct disorder and is being physically aggressive
toward other children in the unit. Which of the following
actions should the nurse take first?
a. Place the child in seclusion
b. Use therapeutic hold technique
c. Apply wrist restraints
d. Administer risperidone
2• A nurse is caring for a client who has a new diagnosis b. ECG
of bulimia nervosa. Which of the following diagnosis
procedures should the nurse anticipate the provider
should describe during the medical evaluation?
a. Chest x-ray
b. ECG
c. Coagulation studies
d. Liver function test
3. A nurse is caring for a client who exhibits excessive a. Dependent
compliance, passivity, and self-denial. The nurse should
recognize that these findings are associated with which
of the following personality disorders?
a. Dependent
b. Paranoid
c. Borderline
d. Histrionic
, 4. A nurse is caring for a client who is involuntarily c. Offer the client the medication at the next scheduled dose time
admitted for major depressive disorder and refuses to
take prescribed antianxiety medication. Which of the
following actions should the nurse take?
a. Inform the client that he does not have the right to
refuse medication
b. Administer the medication to the client via IM injection
c. Offer the client the medication at the next scheduled
dose time
d. Implement consequences until the client take the
medication
5. A nurse is caring for a client in the emergency d. Offer prophylactic medication to prevent STI's
department who states she was beaten and sexually
assaultby her partner. After a rapid assessment, which of
the following actions should the nurse plan to take next?
a. Conduct a pregnancy test
b. Requests mental health consultation for the client
c. Provide a trained advocate to stay with the clientd.
d. Offer prophylactic medication to prevent STI's
6. A nurse is caring for a client who has major depressive b. Cancel the scheduled ECT procedure
disorder. After discussing the treatment with his partner,
the client verbally agrees to electroconvulsive therapy
(ECT) but will not sign the consent form. Which of the
following actions should the nurse take?
a. Request that the client's partner sign the consent
formb.
b. Cancel the scheduled ECT procedure
c. Proceed with the preparation for ECT based on implied
consent
d. Inform the client about the risks of refusing the ECT
7. A nurse is caring for a client who reports that he is d. Displacement
angry with his partner because she thinks he is just trying
to gain attention. When the nurse attempts to talk to the
client, he becomes angry and tells her to leave. Which of
the following defense mechanisms is the client
demonstrating?
a. Rationalization
b. Denial
c. Compensationd.
d. Displacement