A nurse is collecting data from a client who has a history of cocaine use. Which of the following findings is an indication that the client is experiencing cocaine toxicity? correct answers Seizures
A nurse is assisting in the morning hygiene care of a client who is cognitively impaired. Which of the following statements should the nurse make? correct answers "Let me help you get your toothbrush."
A nurse is reinforcing teaching with the parent of an adolescent who has amphetamine use disorder. The nurse should identify that which of the following statements by the parent indicates
an understanding of the teaching? correct answers "Dilated pupils are a sign that my child is using amphetamines."
A nurse is caring for a client who was admitted for major depressive disorder and states that they
do not want to attend group therapy. Which of the following responses should the nurse make? correct answers "what are your feelings about going to group therapy?"
A nurse is reinforcing teaching with the caregiver of a client who has histrionic personality disorder. Which of the following manifestations should the nurse tell the caregiver to expect? correct answers Attention-seeking behavio
A nurse is reinforcing teaching with an adolescent client who has a history of aggressive behavior. Which of the following statements should the nurse make? correct answers "Have you considered participating in a sport to help control your aggression?"
A nurse is contributing to the plan of care for a client who has antisocial personality disorder. Which of the following short-term goals should the nurse recommend be included in the plan? correct answers The client will discuss feelings that cause hostility.
A nurse is caring for a client who is undergoing behavioral therapy for posttraumaticstressdisorder(PTSD). The nurse should identify that which of the following findings indicates an improvement in the client's condition? correct answers The client reports about techniques they use to promote sleep.
A nurse is caring for four clients who are displaying the use of defense mechanisms. Which of the following clients should the nurse identify as using maladaptive defense mechanism? correct answers A client who has multiple sclerosis stops taking their medication and says their diagnosis is wrong.
A nurse is caring for a client who recently lost their child in a motor-vehicle crash. The client is expressing feelings of hopelessness. Which of the following questions is the most important for the nurse to ask? correct answers "have you had any thoughts of harming yourself?" A nurse is caring for a client who is taking lithium and reports persistent nausea and vomiting for
2 days. Which of the following laboratory values should the nurse report to the provider? correct answers Sodium 132 mEq/L
A nurse in a mental health unit is reinforcing teaching about informed consent with a newly licensed nurse. Which of the following statements indicates an understanding of the teaching? correct answers "The consent form should have the name of the provider who is performing the procedure on the form."
A nurse is reinforcing teaching about food that contains tyramine with a client who has a prescription for phenelzine. Which of the following foods should the nurse instruct the client to void? correct answers Smoked Sausage
A nurse is collecting data from a client who has major depressive disorder and is taking phenelzine. Which of the following findings should the nurse identify as an adverse effect of this
medication? correct answers Weight Gain
A nurse is reviewing the medical record of a client who has schizophrenia. For which of the following findings should the nurse withhold the client's medications and notify the provider? (click on the exhibit tabs for additional information about the client. There are three tabs that contain separate categories of data.) correct answers WBC count
A nurse is reinforcing teaching with a client has OCD and performs hand hygiene to decrease anxiety. Which of the following actions should the nurse take to demonstrate modeling as a behavioral intervention strategy? correct answers Demonstrating performing hand hygiene at appropriate times
A nurse is collecting data from a client who has agoraphobia. the nurse should identify that which of the following situations will increase the client's anxiety? correct answers Traveling in an airplane
A nurse is collecting data from a client who is taking valproic acid for the treatment of a bipolar disorder. Which of the following findings is the priority to the provider? correct answers yellow sclerae
A nurse is gathering data on a client who is displaying manifestations of delirium. which of the following information from the client's medical record is a risk factor for delirium?
Select all that apply. correct answers Hospital environment
older adult
postoperative fever
Which of the following findings should the nurse report to the provider immediately?
Select the 5 findings that require immediate follow-up. correct answers Cognitive
Blood pressure
Sleep/wake cycle