PN mental health online practice 2017 B

PN mental health online practice 2017 B 1. A nurse on a mental health unit is assisting with the plan of care for a newly admitted client who has anorexia nervosa. Which of the following actions should the nurse include in the plan of care? a. weigh the client at night prior to bedtime b. offer liquid supplements to the client c. encourage the client to gain 2.3 kg (5 lb) per week d. observe the client for up to 30 min after meals - offer liquid supplements to the client. 2. A nurse in a mental health facility is caring for a client who has schizophrenia. The client becomes violent in the dayroom and begins throwing objects at staff and other clients. After calling for assistance, which of the following actions should the nurse take next? a. obtain a prescription for mechanical restraints b. place the client in a monitored seclusion room c. tell the client calmy to sit down d. administer diazepam intramuscularly - tell the client calmly to sit down. 3. A nurse is caring for a group of clients on a mental health unit. Which of the following client behaviors should the nurse report to the charge nurse? a. a client who has schizophrenia is communicating using echolalia b. a client who has depression is exhibiting anergia c. a client who is manic has been pacing the unit for several hours d. a client who has a phobia is using thought stopping - a client who is manic has been pacing the unit for several hours. 4. A nurse is collecting data from a client who is taking valproic acid for treatment of bipolar disorder. The nurse should identify that which of the following findings is priority to report to the provider? a. drowsiness b. nausea and vomiting c. constipation d. bleeding gums - bleeding gums. 5. A nurse is attempting to resolve an ethical dilemma that involves a client's medical decisions and his own personal values. After collecting data and identifying the problem, which of the following actions should the nurse take next? a. discuss information about the dilemma with the client's provider b. determine the benefits and consequences of respecting the client's medical decisions c. reflect on the effect of ethical theories on the nurse's personal values d. develop a plan that balances both the nurse's values and the client's medical decisions - determine the benefits and consequences of respecting the client's medical decisions. 6. A nurse is reinforcing teaching with a client who has obsessive-compulsive disorder and performs hand hygiene to decrease anxiety. Which of the following actions should the nurse take to demonstrate modeling as a behavioral intervention strategy? a. setting a time limit between episodes of hand hygiene b. reminding the client to shout "stop" each time she has an urge to perform hand hygiene c. demonstrating performing hand hygiene at appropriate times d. instructing the client to practice muscle relaxation when she has the urge to perform hand hygiene - demonstrating performing hand hygiene at appropriate times. 7. A nurse is caring for a client who has antisocial personality disorder. Which of the following actions should the nurse take when caring for this client? a. persuade the client to demonstrate acceptable behavior b. avoid talking about the client's past display of unacceptable behavior c. use countertransference to develop the therapeutic relationship d. remind the client of consequences for unacceptable behavior - remind the client of consequences for unacceptable behavior. 8. A nurse is assisting with the plan of care for a client who is malnourished due to alcohol use disorder. Which of the following interventions should the nurse include in the plan? a. restrict the client's sodium intake b. encourage the client to eat three large meals per day c. weigh the client weekly d. observe the client for 1 hr after he eats - restrict the client's sodium intake. 9. A nurse is collecting data from a client whose home was destroyed by a fire. Which of the following responses should the nurse make first? a. "Are you experiencing feeling of hopelessness?" b. "Is there someone I can call for you?" c. "It might be helpful for you to attend a support group?" d. "Now is a good time for you to use relaxation breathing." - "are you experiencing feelings of hopelessness." 10. A nurse is reinforcing teaching with the parent of an adolescent who has amphetamine use disorder. Which of the following statements by the parent should the nurse identify as indicating an understanding of the teaching? a. "I should be alert for weight gain in my child." b. "I can tell my child is using amphetamines because he is drowsy." c. "Dilated pupils are a sign my child is using amphetamines." d. "Memory loss can indicate that my child is using amphetamines." - "dilated pupils are a sign my child is using amphetamines."