NUR 212 FINAL EXAM GRADED A

1.0M8EN212 1.25 points possible (graded, results hidden) A client with Obsessive-Compulsive Disorder washes his hands 20-30 times per day and they are raw and bleeding. What would be an appropriate question for the RN to ask this client? “Do you have any other addictions?” “Can you describe how you feel when you wash your hands?" “What is making you feel so anxious?” “Why do you keep washing your hands so many times a day?” unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 2.0M8EN212 1.25 points possible (graded, results hidden) Which statement made by a client in a mental health clinic demonstrates the use of denial as a coping measure? “It is my doctor’s fault that I am not improving.” “Winter weather always makes me feel more anxious.” “I am going to smoke a pack of cigarettes to make myself feel better.” “I am not going to come in anymore, as I have no problems.” unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 3.0M8EN212 1.25 points possible (graded, results hidden) Which behavior would the RN expect to occur if needs were not met during the latency stage of Freud’s development? Identification with the opposite-gender parent. Inability to develop relationships with other children. Inability to trust others. Disorganization, untidiness and destructiveness. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 4.0M8EN212 1.25 points possible (graded, results hidden) A client who has been diagnosed with dementia asks the RN when his wife is coming to visit. The RN knows the client has been a widow for many years. The most appropriate response by the RN would be: “She will be here later.” “You must miss your wife.” “I think your favorite TV show is on.” “Your wife died 10 years ago.” unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 5.0M8EN212 1.25 points possible (graded, results hidden) Which nursing intervention is the most appropriate use of behavior therapy when caring for a client with Bordorline Personality Disorder? Contract with the client to reinforce positive behaviors with rewards or privileges. Seclude the client when inappropriate behaviors are noted. Encourage the client to keep a journal of feelings to manage mood swings. Education the client on the importance of taking the antianxiety medications regularly. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 6.0M8EN212 1.25 points possible (graded, results hidden) Which assessment findings indicate to the RN that a client is exhibiting symptoms of a moderate anxiety reaction? Dilated pupils, hallucinations, and fear of dying. Increased perspiration, increase in speech rate, and gastric discomfort. Increased perception, irritability, and restlessness. Palpitations, insomnia, and hyperventilation. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 7.0M8EN212 1.25 points possible (graded, results hidden) A client is receiving aripiprazole on the behavioral health unit. Which nursing interventions will the nurse include in the patient’s care plan? Select all that apply. Remain with the patient until the medication is swallowed. Assess the patient for evidence of insomnia. Observe the patient for akathisia. Monitor for orthostatic hypotension. Administer before meals on an empty stomach. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 8.0M8EN212 1.25 points possible (graded, results hidden) The following clients have been assigned to the care of an RN on the in-patient behavioral health unit. Which client should be assessed first on the nurse’s initial rounds? A 51 year old male client with Alcoholism who was admitted yesterday for medical detoxification. A 43 year old male client with bipolar disease who had an angry outburst in group therapy yesterday. A 19 year old female client with bulimia who has been vomiting in the bathroom. A 45 year old female client with depression who was admitted with suicidal thoughts one week ago. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 9.0M8EN212 1.25 points possible (graded, results hidden) The RN is observing several clients watching the evening news, which is featuring a story on a fatal car crash. One client is laughing throughout the news story. How would the RN document this behavior? The client displayed inappropriate affect by laughing during a news story regarding a fatal car crash. The client was laughing during a sad newscast story, which demonstrated circumstantiality. The client is using laughter to hide his true sadness during a newscast of a fatal car crash. The client appeared to be delusional today as evidenced by laughter during a news cast of a fatal car crash. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 10.0M8EN212 1.25 points possible (graded, results hidden) Which is the most effective nursing intervention for a client who feels no remorse for inappropriate behaviors? Explore feelings of entitlement with client. Assign consistent team member to care for client. Provide clear guidelines for behaviors. Provide education regarding anti-anxiety medication. unanswered You have used 0 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button.