NR 326 Week 8 Final Exam

NR 326 Week 8 Final Exam Question: A nurse is caring for a group of clients in an acute mental health facility. Which of the following clients has the legal right to refuse treatment? Question: A nurse is caring for a client with an eating disorder. The client refuses to drink a protein and calorie supplement between meals and the nurse does not attempt to change the client's mind. The nurse is recognizing which of the following ethical concepts? Question: A pediatric nurse is preparing to administer methylphenidate 0.3mg/kg/dose PO twice per day to a child diagnosed with ADHD. The child weighs 43 pounds. How many mg should be administered at each dose? Question: A nurse is assessing the presence of extrapyramidal side effects in a client that is taking chlorpromazine. Which of the following findings should the nurse recognize as ESP? SATA Question: A nurse on a crisis hotline is speaking to a client that says, “I just took an entire bottle of amitriptyline.” Which of the following responses should the nurse make? Question: A nurse working in a mental health clinic is assessing a client that has severe anxiety. Which of the following manifestations should the nurse expect the client to exhibit? Question: A nurse is assessing a client that is to undergo a left lobectomy to treat lung cancer. The client tells the nurse that she is scared and wishes she never smoked. Which of the following responses should the nurse make? Question: A nurse is preparing for the termination phase of group therapy. Which of the following goals should the nurse anticipate? SATA Question: A nurse in the emergency department is caring for a client who reports chest pain, headache, and shortness of breath. He continues to state, "I don't know why my wife left me." The client receives a diagnosis of anxiety. His findings support which level of anxiety? Question: A nurse is caring for a client in the orientation phase of the nurse-client relationship. Which of the following communication techniques should the nurse use during this phase? Question: A nurse is admitting a client with multiple injuries following a motor vehicle crash. Shortly after admission, the client’s partner arrives. The partner is distraught and self-blames for the accident. Which of the following responses should the nurse make? Question: A nurse is preparing to administer haloperidol 8mg intramuscular to a client. The amount available is haloperidol 20mg/mL. How many mL should the nurse administer? Question: A nurse is providing information about electroconvulsive therapy to a newly licensed nurse. The nurse can conclude that the newly licensed nurse understands the information when the newly licensed nurse states that ECT treats which of the following disorders? Question: A nurse is rehearsing assertive communication approaches to use when declining a leadership role. What should the nurse say when declining the role? Question: A charge nurse is providing instructions to a staff nurse about assisting the primary health care provider with electroconvulsive therapy. Which of the following responses by the staff nurse indicates an understanding of the instructions? Question: A nurse is preparing therapeutic communication techniques for a client in a mental health unit. Which of the following are appropriate therapeutic communication techniques? SATA Question: A nurse is caring for a client that begins to yell and scream at staff members. What is the priority nursing action? Question: A nurse asks a client about his feelings. The client says, “I’m feeling a bit nervous today.” How should the nurse respond? Question: A nurse notices that a client with moderate anxiety is pacing the hall and mumbling. As the nurse approaches the client states, “I am at the end of my rope. I don’t think I can take anymore bad news.” Which of the following responses should the nurse make? Question: A nurse caring for a client is using active listening skills. Which of the following actions should the nurse take? Question: A nurse is preparing patient education for a client taking thioridazine for schizophrenia. Which information should the nurse include in the instruction? Question: A nurse is caring for a client who is admitted voluntarily to a mental health unit. The nurse places the client in physical restraints when they become verbally abusive and demand to be discharged. Which of the following are possible legal ramifications associated with placing the client in restraints? SATA Question: A nurse in a mental health facility is caring for a client who is upset about the loss of privileges due to repetitive negative behavior. Which of the following statements by the nurse demonstrates the effective use of assertive communication? Question: A nurse observes a client’s spouse sitting alone in the waiting room crying. When approached, the spouse says, “I am really concerned about my husband.” Which of the following is a therapeutic nursing response? Question: A nurse is discussing stress management techniques with a group of clients. Which of the following techniques mentioned by a client should the nurse recognize as the least effective? Question: A nurse is preparing a client who has chronic anxiety for discharge from the psychiatric unit. Which of the following instructions should the nurse include in the client’s discharge plan? Question: A nurse is planning care for a group of clients in a mental health unit. Which of the following actions should the nurse plan to take to create a therapeutic environment? Question: A nurse in a psychiatric unit is caring for several clients. Which of the following clients should the nurse recommend for group therapy? Question: A nurse is caring for a client who is to undergo electroconvulsive therapy for the treatment of depression. Which of the following actions should the nurse take prior to the scheduled ECT? SATA Question: A nurse is planning a unit orientation for a newly admitted client who has severe depression. Which of the following should be the nurses’ approach? Question: A nurse is caring for a patient who has a history of violent behavior and has asked the nurse to keep confidential information about the desire to kill several classmates and a schoolteacher. Which of the following responses by the nurse is appropriate to give? Question: A nurse is assessing a client who is experiencing chronic stress. Which of the following findings should the nurse expect? Question: A nurse is caring for a young adult client following the sudden death of his wife. The client feels paralyzed in his ability to cope with work and family responsibilities. Which of the following types of crises is the client experiencing? Question: A nurse is caring for a major depressed patient who failed an examination in school the week before. The student spends the group session berating the teacher and the course. The nurse should recognize this behavior as which of the following defense mechanisms? Question: A nurse is counseling a client for the management of anxiety. The client is consistently late for appointments and ignores household chores. The client states, “I’m just too stressed. I need someone to take care of me.” The nurse identifies this behavior as an example of which of the following defense mechanisms? Question: A nurse is caring for a client who is experiencing a crisis related to anxiety. Which of the following actions should the nurse take? SATA Question: A nurse on an inpatient mental health unit is admitting a client who has panic-level anxiety. After showing the client to his room, which of the following nursing actions is most therapeutic at this time? Question: A nurse is caring for a client who has depression and observes the client come to breakfast freshly bathed, wearing clean clothes, and with combed and styled hair. Which of the following responses by the nurse is therapeutic? Question: A nurse is admitting a client to an alcohol abuse program. The client states, “I’m here because of my boss. It was part of my job to go to parties and drink with clients.” The client’s statement is an example of which of the following defense mechanisms? Question: A nurse is caring for a client who reports acute, moderate anxiety. Which of the following is the priority nursing action? Question: A nurse on the psychiatric unit is assessing a client who has a moderate anxiety disorder. Which of the following findings should the nurse expect? Question: A nurse is caring for a patient who has delusions and states, “I can’t go to group therapy I am expecting a high-level official to visit today!” The nurse responds, “I understand, but it is time for the group, and we expect everyone to attend. Let’s walk over together.” Why is this nurse's response considered therapeutic? Question: A nurse on the unit is interacting with a patient who is angry and becomes aggressive Question: A nurse is reviewing the medical record of a client who has schizophrenia and is receiving olanzapine. Which of the following findings should the nurse identify as an adverse effect of olanzapine? Question: A nurse is obtaining informed consent from a postoperative client. Which of the following are NOT actions the nurse should take? SATA Question: A nurse is assessing a client at a mental health clinic who is receiving tricyclic antidepressant therapy. Which of the following assessment findings indicate to the nurse that the client is not following the medication plan correctly? SATA Question: A client’s partner died 5 years ago. What indicated prolonged grieving? Question: A nurse is providing patient education about alprazolam to a female client. Which of the following information should the nurse include? Question: A client on the psychiatric unit becomes agitated and begins to threaten the staff and other clients. The client is placed in restraints in the seclusion room. Which of the following are interventions for the client in restraints? SATA Question: A nurse at a college campus mental health counseling center is caring for a student that just failed an exam. The student spends the session berating the teacher and the course. The nurse should recognize this behavior as which of the following defense mechanisms? Question: A nurse instructor is helping a group of nursing students set up a room for an ECT. The instructor identifies the need to intervene when the students select which of the following pieces of equipment? SATA Question: A nurse is caring for an older adult client that is being discharged to an extended-care nursing facility the following morning. The client asks the nurse, “Why do I need to go to that place?” Which of the following responses should the nurse take? Question: A nurse is caring for a client that requires a crisis intervention. What is the priority nursing action? Question: A nurse is planning care for an immobile hospitalized client that has a continuous mitten restraint. Which of the following should NOT be included in the client’s plan of care? SATA Question: A nurse is assessing a client who is displaying aggressive behaviors that have been escalating. Which of the following nursing interventions are appropriate at this time? SATA Question: A nurse is assessing a family as a system. Which factor should the nurse include when assessing sociocultural context? Question: A nurse in a dialysis center is caring for a client with a new diagnosis of end-stage kidney disease. When the client arrives for the first dialysis treatment, the client states “I decided to come today, but I am not sure if I will need to come back again this week. I am feeling much better since my discharge from the hospital, and I think my kidneys are working again.” The nurse should identify that this client is demonstrating which of the following Kubler-Ross stages of grieving? Question: A nurse is providing information about fluoxetine to a client with depressive disorder. Which supplement should the nurse advise the client to avoid taking? Question: A nursing instructor is providing information to a group of students about Maslow's Basic Human Needs Model. Which scenario promotes the achievement of the physiologic needs of a client based on this model? SATA Question: A nurse is providing instructions about confidentiality with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the instructions? Question: A nurse manager is preparing to discuss the principle of justice with the nursing staff. Which information should NOT be included in the discussion? SATA Question: A nurse is providing education to a client about the common side effects of Prozac. The nurse identifies that the education has been INEFFECTIVE when the client states that they expect to see which of the following side effects from the medication? SATA Question: A nurse is caring for a young adult client that is experiencing increased anxiety and inability to concentrate. Which response should the nurse make? Question: A nurse is reviewing an order for 1,800 mg of lithium carbonate per day in 3 divided doses. Available are lithium carbonate 150mg capsules. How many capsules should the nurse give? Question: A school nurse is working with an adolescent client that is experiencing increased anxiety and an inability to concentrate in class. Which statement by the nurse is the most therapeutic response?