NR 326 Exam #2

NR 326 Exam #2 Which of the following actions should the nurse take prior to the scheduled ECT? a. Witness the informed consent b. Request an ECG c. Obtain a serum parathyroid hormone level d. Check the client's blood pressure a. Witness the informed consent b. Request and ECG d. Check the client's BP Client w/bipolar disorder shows the nurse fresh self-inflicted cuts along her right arm. Nursing priority: a. Inspect the cuts for debris b. Document the size and location of the cuts c. Implement the client’s behavioral modification plan. d. Administer a tetanus antitoxin a. Inspect the cuts for debris Nurse uses cognitive reframing techniques for a patient w/anxiety disorder. Which will the nurse choose? a. Yoga and diaphragmatic breathing b. Pet therapy and music therapy c. Gym activities and power walking d. Priority restructuring and journaling d. Priority restructuring and journaling During an admission, an assessment of the client's protective factors includes: a. Client's plans for self-harm and ability to carry it out b. Client's support from family, spiritual beliefs, problem-solving skills c. Client's thoughts for harm to others and means to carry it out d. Client's amount of desired medications and therapeutic benefits b. Client's support from family, spiritual beliefs, problem-solving skills Which of the following is true about suicide risk? a. Using the term suicide increases the client's risk for a suicide attempt. b. A no-suicide contract with the client may reduce risk. c. A client's verbal threat of suicide is attention-seeking behavior. d. Interventions are ineffective for clients really wanting to commit suicide. b. A no-suicide contract with the client may reduce risk. The nurse is including which of the following as suicide risk factors? a. Client's recent residential move, support, lack of access to medications b. Clients w/ recent unemployment, new relationship, loss of transportation c. Client is impulsive, has hallucinations, w/past history of suicide attempts d. Client is homeless, seeks employment, decides to stop using street drugs c. Client is impulsive, has hallucinations, w/past history of suicide attempts Which of the following findings should the nurse identify as an indication of Derealization? a. Client describes a feeling of floating above the ground b. Client has suspicions of being targeted in order to be killed and robbed c. Client cannot recall anything that happened during the past 2 weeks d. Client states the furniture in the room seems small and far away. d. Client states the furniture in the room seems small and far away. Which of the following findings should the nurse expect w/PTSD? a. Client avoids talking about the traumatic event has diminished reflexes b. Client has recurring nightmares and negative self-image. c. Client presents with obsessive compulsive disorders and diminished reflexes d. Client presents with a positive self-image and has recurring nightmares b. Client has recurring nightmares and negative self-image. Nursing interventions for Dissociative Identify Disorder (DID) include which of the following? a. The goal is to get alters to continue to talk to each other b. Use grounding techniques like clapping hands, touching an object c. Use antipsychotics and antidepressants d. The goal is to integrate alters b. Use grounding techniques like clapping hands, touching an object d. The goal is to integrate alters The nurse conducts a family therapy group and identifies attributes of healthy families as having the following: a. Placating boundaries b. Enmeshed boundaries c. Distinguishable boundaries d. Rigid boundaries c. Distinguishable boundaries Which statement indicates understanding by the nurse about Transcranial magnetic stimulation (TMS)? a. “TMS treatments usually last 5-10 min.” b. “I will provide post-anesthesia care following TMS.” c. “TMS is indicated for clients who have schizophrenia spectrum disorders.” d. “I will schedule the client for daily TMS treatments for 4- 6 weeks." d. "I will schedule the client for daily TMS treatments for 4- 6 weeks." Which of the following is thought to facilitate the grief process? a. The ability to grieve alone without interference from others b. Having recently grieved for another loss c. Taking personal responsibility for the loss d. The ability to grieve in anticipation of the loss d. The ability to grieve in anticipation of the loss The major difference between normal and maladaptive grieving has been identified as which of the following? a. There is no loss of self-esteem in normal grieving. b. There are no feelings of depression in normal grieving. c. In normal grief the person does not show anger toward the loss. d. Normal grieving lasts no longer than 1 year. a. There is no loss of self-esteem in normal grieving. Which client statement should the nurse expect about a client who has factitious disorder imposed on another a. “I became deaf when I heard my daughter's husband abandoned her.”