,⩥ A nurse is talking with a group of parents who have recently
experienced the death of a young child. Which of the following actions
should the nurse take? Answer: Suggest forming a weekly support group
for parents who have experienced the death of a child.
Reason: Support groups are a positive resource in the process of
recovery for parents following the death of a child.
⩥ A nurse is admitting a client who has anorexia nervosa and is at 60%
of their ideal body weight. Which of the following interventions should
the nurse include in the plan of care? Answer: Encourage the client to
drink 125 mL of fluid each hour while awake
Reason: The nurse should encourage the client to drink 125 mL of fluid
each waking hour to maintain hydration.
⩥ A nurse on a mental health unit observes a client who has acute mania
hit another client. Which of the following actions should the nurse take
first? Answer: Call for a team of staff members to help with the
situation.
Reason: The greatest risk is injury to the client and others. Therefore, the
first action the nurse should take is to call for assistance to prevent
further injury to themselves or others.
, ⩥ A nurse is teaching a newly licensed nurse about nursing care plans
for clients who have depressive disorders. Which of the following
statements by the newly licensed nurse indicates an understanding of the
teaching? Answer: I will update the plan of care as a client's
manifestations of depression change.
Reason: The nurse should update the plan of care as a client's status and
needs change.
⩥ A nurse is planning care for a client who has bipolar disorder and is
experiencing mania. Which of the following interventions should the
nurse include in the plan of care? Answer: Offer the client high-calorie
finger foods frequently.
Reason: The nurse should frequently offer the client high calorie foods
that can be eaten while the client is on the go. Clients experiencing
mania might be unable to sit down for meals and can experience
weightless and dehydration.
⩥ A nurse is planning care for a client who has depression and has made
frequent suicide attempts. Which of the following statements indicates
the client has a decreased risk for suicide? Answer: It's easier to talk
about my feelings now.
Reason: When clients express their feelings, this indicates a positive
treatment outcome.
experienced the death of a young child. Which of the following actions
should the nurse take? Answer: Suggest forming a weekly support group
for parents who have experienced the death of a child.
Reason: Support groups are a positive resource in the process of
recovery for parents following the death of a child.
⩥ A nurse is admitting a client who has anorexia nervosa and is at 60%
of their ideal body weight. Which of the following interventions should
the nurse include in the plan of care? Answer: Encourage the client to
drink 125 mL of fluid each hour while awake
Reason: The nurse should encourage the client to drink 125 mL of fluid
each waking hour to maintain hydration.
⩥ A nurse on a mental health unit observes a client who has acute mania
hit another client. Which of the following actions should the nurse take
first? Answer: Call for a team of staff members to help with the
situation.
Reason: The greatest risk is injury to the client and others. Therefore, the
first action the nurse should take is to call for assistance to prevent
further injury to themselves or others.
, ⩥ A nurse is teaching a newly licensed nurse about nursing care plans
for clients who have depressive disorders. Which of the following
statements by the newly licensed nurse indicates an understanding of the
teaching? Answer: I will update the plan of care as a client's
manifestations of depression change.
Reason: The nurse should update the plan of care as a client's status and
needs change.
⩥ A nurse is planning care for a client who has bipolar disorder and is
experiencing mania. Which of the following interventions should the
nurse include in the plan of care? Answer: Offer the client high-calorie
finger foods frequently.
Reason: The nurse should frequently offer the client high calorie foods
that can be eaten while the client is on the go. Clients experiencing
mania might be unable to sit down for meals and can experience
weightless and dehydration.
⩥ A nurse is planning care for a client who has depression and has made
frequent suicide attempts. Which of the following statements indicates
the client has a decreased risk for suicide? Answer: It's easier to talk
about my feelings now.
Reason: When clients express their feelings, this indicates a positive
treatment outcome.
