NUR 213 - Exam 3
Study online at https://quizlet.com/_79t7fw
1. A moderately depressed client who was hospi- 3
talized 2 days ago suddenly begins smiling and
reporting that the crisis is over. The client says (pt who is moderately depressed and
to the nurse, "I'm finally cured." How should has only been in the hospital 2 days is
the nurse interpret this behavior as a cue to unlikely to have such a dramatic cure.
modify the treatment plan? When a depression suddenly lifts, it is
likely that the client may have made
1. the decision to harm himself or herself.
Suggesting a reduction of medication Suicide precautions are necessary to
keep the client safe)
2.
Allowing increased "in-room" activities
3.
Increasing the level of suicide precautions
4.
Allowing the client off-unit privileges as need-
ed
2. The emergency department nurse is caring 1
for an adult client who is a victim of family
violence. Which priority instruction should be
included in the discharge instructions?
1.
Information regarding shelters
2.
Instructions regarding calling the police
3.
Instructions regarding self-defense classes
, NUR 213 - Exam 3
Study online at https://quizlet.com/_79t7fw
4.
Explaining the importance of leaving the vio-
lent situation
3. A female victim of a sexual assault is being 3
seen in the crisis center. The client states that
she still feels "as though the rape just hap- (trash response irl though)
pened yesterday," even though it has been a
few months since the incident. Which is the
most appropriate nursing response?
1.
"You need to try to be realistic. The rape did
not just occur."
2.
"It will take some time to get over these feel-
ings about your rape."
3.
"Tell me more about the incident that causes
you to feel like the rape just occurred."
4.
"What do you think that you can do to alleviate
some of your fears about being raped again?"
4. A client is admitted to the mental health unit 3
after an attempted suicide by hanging. The
nurse can best ensure client safety by which
action?
, NUR 213 - Exam 3
Study online at https://quizlet.com/_79t7fw
1.
Requesting that a peer remain with the client
at all times
2.
Removing the client's clothing and placing the
client in a hospital gown
3.
Assigning to the client a staff member who will
remain with the client at all times
4.
Admitting the client to a seclusion room where
all potentially dangerous articles are removed
5. Which behavior observed by the nurse indi- 1
cates a suspicion that a depressed adolescent
client may be suicidal?
1.
The adolescent gives away a DVD and a cher-
ished autographed picture of a performer.
2.
The adolescent runs out of the therapy group,
swearing at the group leader, and to her
room.
3.
The adolescent becomes angry while speaking
on the telephone and slams down the receiv-
er.
, NUR 213 - Exam 3
Study online at https://quizlet.com/_79t7fw
4.
The adolescent gets angry with her room-
mate when the roommate borrows the client's
clothes without asking.
6. A depressed client on an inpatient unit says to 4
the nurse, "My family would be better off with-
out me." Which is the nurse's best response?
1.
"Have you talked to your family about this?"
2.
"Everyone feels this way when they are de-
pressed."
3.
"You will feel better once your medication be-
gins to work."
4.
"You sound very upset. Are you thinking of
hurting yourself?"
7. A client is admitted with a recent history of 235
severe anxiety following a home invasion and
robbery. During the initial assessment inter- (Reliving an event, experiencing emo-
view, which statement by the client should in- tional numbness (facing possible
dicate to the nurse the possible diagnosis of death), and having flashbacks of the
posttraumatic stress disorder? Select all that event (seeing the same face every-
apply. where) are all common occurrences
with posttraumatic stress disorder. The
Study online at https://quizlet.com/_79t7fw
1. A moderately depressed client who was hospi- 3
talized 2 days ago suddenly begins smiling and
reporting that the crisis is over. The client says (pt who is moderately depressed and
to the nurse, "I'm finally cured." How should has only been in the hospital 2 days is
the nurse interpret this behavior as a cue to unlikely to have such a dramatic cure.
modify the treatment plan? When a depression suddenly lifts, it is
likely that the client may have made
1. the decision to harm himself or herself.
Suggesting a reduction of medication Suicide precautions are necessary to
keep the client safe)
2.
Allowing increased "in-room" activities
3.
Increasing the level of suicide precautions
4.
Allowing the client off-unit privileges as need-
ed
2. The emergency department nurse is caring 1
for an adult client who is a victim of family
violence. Which priority instruction should be
included in the discharge instructions?
1.
Information regarding shelters
2.
Instructions regarding calling the police
3.
Instructions regarding self-defense classes
, NUR 213 - Exam 3
Study online at https://quizlet.com/_79t7fw
4.
Explaining the importance of leaving the vio-
lent situation
3. A female victim of a sexual assault is being 3
seen in the crisis center. The client states that
she still feels "as though the rape just hap- (trash response irl though)
pened yesterday," even though it has been a
few months since the incident. Which is the
most appropriate nursing response?
1.
"You need to try to be realistic. The rape did
not just occur."
2.
"It will take some time to get over these feel-
ings about your rape."
3.
"Tell me more about the incident that causes
you to feel like the rape just occurred."
4.
"What do you think that you can do to alleviate
some of your fears about being raped again?"
4. A client is admitted to the mental health unit 3
after an attempted suicide by hanging. The
nurse can best ensure client safety by which
action?
, NUR 213 - Exam 3
Study online at https://quizlet.com/_79t7fw
1.
Requesting that a peer remain with the client
at all times
2.
Removing the client's clothing and placing the
client in a hospital gown
3.
Assigning to the client a staff member who will
remain with the client at all times
4.
Admitting the client to a seclusion room where
all potentially dangerous articles are removed
5. Which behavior observed by the nurse indi- 1
cates a suspicion that a depressed adolescent
client may be suicidal?
1.
The adolescent gives away a DVD and a cher-
ished autographed picture of a performer.
2.
The adolescent runs out of the therapy group,
swearing at the group leader, and to her
room.
3.
The adolescent becomes angry while speaking
on the telephone and slams down the receiv-
er.
, NUR 213 - Exam 3
Study online at https://quizlet.com/_79t7fw
4.
The adolescent gets angry with her room-
mate when the roommate borrows the client's
clothes without asking.
6. A depressed client on an inpatient unit says to 4
the nurse, "My family would be better off with-
out me." Which is the nurse's best response?
1.
"Have you talked to your family about this?"
2.
"Everyone feels this way when they are de-
pressed."
3.
"You will feel better once your medication be-
gins to work."
4.
"You sound very upset. Are you thinking of
hurting yourself?"
7. A client is admitted with a recent history of 235
severe anxiety following a home invasion and
robbery. During the initial assessment inter- (Reliving an event, experiencing emo-
view, which statement by the client should in- tional numbness (facing possible
dicate to the nurse the possible diagnosis of death), and having flashbacks of the
posttraumatic stress disorder? Select all that event (seeing the same face every-
apply. where) are all common occurrences
with posttraumatic stress disorder. The
