ew ew ew ew ew
ons and answers correct and verified 10
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Aewchargeewnurseewisewdiscussingewmentalewstatusewexamsewwithewaewnewlyewlicensedewnurse.ewWhichewofewtheewf
ollowingewstatementsewbyewtheewnewlyewlicensedewnurseewindicatesewanewunderstandingewofewtheewteaching?ew(
Selectewallewthatewapply).ew
A.ew"Toewassessewcognitiveewability,ewIewshouldewaskewtheewclientewtoewcountewbackwardewbyewsevens."
B.ew"Toewassessewaffect,ewIewshouldewobserveewtheewclient'sewfacialewexpression.
C.ew"Toewassessewlanguageewability,ewIewshouldewinstructewtheewclientewtoewwriteewaewsentence."
D.ew"Toewassessewremoteewmemory,ewIewshouldewhaveewtheewcew-ewcorrectewanswers-
A.ew"Toewassessewcognitiveewability,ewIewshouldewaskewtheewclientewtoewcountewbackwardewbyewsevens."
B.ew"Toewassessewaffect,ewIewshouldewobserveewtheewclient'sewfacialewexpression.
C.ew"Toewassessewlanguageewability,ewIewshouldewinstructewtheewclientewtoewwriteewaewsentence."
Aewnurseewisewplanningewcareewforewaewclientewwhoewhasewaewmentalewhealthewdisorder.ewWhichewofewtheewfollowi
ngewactionsewshouldewtheewnurseewincludeewasewaewpsychobiologicalewintervention?
A.ewAssistewtheewclientewwithewsystematicewdesensitizationewtherapy.
B.ewTeachewtheewclientewappropriateewcopingewmechanisms
C.ewAssessewtheewclientewforewcomorbidewhealthewconditions.
D.ewMonitorewtheewclientewforewadverseeweffectsewofewtheewmedications.ew-ewcorrectewanswers-
D.ewMonitorewtheewclientewforewadverseeweffectsewofewtheewmedications.
Aewnurseewinewanewoutpatientewmentalewhealthewclinicewisewpreparingewtoewconductewanewinitialewclientewintervie
w.ewWhenewconductingewtheewinterview,ewwhichewofewtheewfollowingewactionsewshouldewtheewnurseewidentifyewas
ewtheewpriority?
A.ewCoordinateewholisticewcareewwithewsocialewservices
B.ewIdentifyewtheewclient'sewperceptionewofewherewmentalewhealthewstatus.
C.ewIncludeewtheewclient'sewfamilyewinewtheewinterview.
,D.ewTeachewtheewclientewaboutewherewcurrentewmentalewhealthewdisorder.ew-ewcorrectewanswers-
B.ewIdentifyewtheewclient'sewperceptionewofewherewmentalewhealthewstatus.
Aewnurseewisewtoldewduringewchangeewofewshiftewreportewthatewaewclientewisewstuporous.ewWhenewassessingewtheewc
lient,ewwhichewofewtheewfollowingewfindingsewshouldewtheewnurseewexpect?
A.ewTheewclientewarousesewbrieflyewinewresponseewtoewaewsternalewrub.
B.ewTheewclientewhasewaewglasgowewcomaewscaleewscoreewlessewthanew7.
C.ewTheewclientewexhibitsewdecorticateewrigidity.
D.ewTheewclientewisewalertewbutewdisorientedewtoewtimeewandewplace.ew-ewcorrectewanswers-
A.ewTheewclientewarousesewbrieflyewinewresponseewtoewaewsternalewrub.
AewnurseewisewplanningewaewpeerewgroupewdiscussionewaboutewtheewDSM-
5.ewWhichewofewtheewfollowingewinformationewisewappropriateewtoewincludeewinewtheewdiscussion?ew(Selectewallewt
hatewapply)
A.ewTheewDSM-5ewincludesewclienteweducationewhandoutsewforewmentalewhealthewdisorders.
B.ewTheewDSM-5ewestablishesewdiagnosticewcriteriaewforewindividualewmentalewhealthewdisorders.
C.ewTheewDSM-5ewindicatesewrecommendedewpharmacologicalewtreatmentewforewmentalewhealthewdisorders.
D.ewTheewDSM-5ewassistsewnursesewinewplanningewcareewforewclient'sewwhoewhaveewmentalewhealthewdew-
ewcorrectewanswers-B.ewTheewDSM-
5ewestablishesewdiagnosticewcriteriaewforewindividualewmentalewhealthewdisorders.
D.ewTheewDSM-5ewassistsewnursesewinewplanningewcareewforewclient'sewwhoewhaveewmentalewhealthewdisorders.
E.ewTheewDSM-5ewindicatesewexpectedewassessmentewfindingsewofewmentalewhealthewdisorders.
Aewnurseewinewanewemergencyewmentalewhealthewfacilityewisewcaringewforewaewgroupewofewclients.ewTheewnurseewsh
ouldewidentifyewthatewwhichewofewtheewfollowingewclientsewrequiresewaewtemporaryewemergencyewadmission?
A.ewAewclientewwhoewhasewschizophreniaewwithewdelusionsewofewgrandeur
B.ewAewclientewwhoewhasewmanifestationsewofewdepressionewandewattemptedewsuicideewaewyearewago
C.ewAewclientewwhoewhasewborderlineewpersonalityewdisorderewandewassaultedewaewhomelessewmanewwithewaewme
talewrod
D.ewAewclientewwhoewhasewbipolarewdisorderewandewpacesewquicklyewaroundewtheewroomewwhew-
ewcorrectewanswers-
C.ewAewclientewwhoewhasewborderlineewpersonalityewdisorderewandewassaultedewaewhomelessewmanewwithewaewme
talewrod
,Aewnurseewdecidesewtoewputewaewclientewwhoewhasewaewpsychoticewdisorderewinewseclusionewovernightewbecauseewt
heewunitewisewveryewshort-
staffed,ewandewtheewclientewfrequentlyewfightsewwithewotherewclients.ewTheewnurse'sewactionsewareewanewexamplee
wofewwhichewofewtheewfollowingewtorts?
A.ewInvasionewofewprivacy
B.ewFalseewimprisonment
C.ewAssault
D.ewBatteryew-ewcorrectewanswers-B.ewFalseewimprisonment
Aewclientewtellsewaewnurse,ew"Don'tewtellewanyoneewbutewIewhidewaewsharpewknifeewunderewmyewmattressewinewordere
wtoewprotectewmyselfewfromewmyewroommate,ewwhoewisewalwaysewyellingewatewmeewandewthreateningewme."ewWhi
chewofewtheewfollowingewactionsewshouldewtheewnurseewtake?
A.ewKeepewtheewclient'sewcommunicationewconfidential,ewbutewtalkewtoewtheewclientewdaily,ewusingewtherapeuticew
communicationewtoewconvinceewhimewtoewadmitewtoewhidingewtheewknife
B.ewKeepewtheewclient'sewcommunicationewconfidential,ewbutewwatchewtheewclientewandewhisewroommateewclosel
y.
C.ewTellewtheewclew-ewcorrectewanswers-
D.ewReportewtheewincidentewtoewtheewhealthewcareewteam,ewbutewdoewnotewinformewtheewclientewofewtheewintention
ewtoewdoewso.
Aewnurseewisewcaringewforewaewclientewwhoewisewinewmechanicalewrestraints.ewWhichewofewtheewfollowingewstateme
ntsewshouldewtheewnurseewincludeewinewtheewdocumentation?ew(Selectewallewthatewapply)
A.ew"Clientewateewmostewofewhisewbreakfast."
B.ew"Clientewwasewofferedew8ewozewofewwatereweveryewhr."
C.ew"Clientewshoutedewobscenitiesewatewassistiveewpersonnel."
D.ew"Clientewreceivedewchlorpromazineew15ewmgewbyewmouthewatew1000."
E.ew"Clientewactedewoutewafterewlunch."ew-ewcorrectewanswers-
B.ew"Clientewwasewofferedew8ewozewofewwatereweveryewhr."
C.ew"Clientewshoutedewobscenitiesewatewassistiveewpersonnel."
D.ew"Clientewreceivedewchlorpromazineew15ewmgewbyewmouthewatew1000.
Aewnurseewhearsewaewnewlyewlicensedewnurseewdiscussingewaewclient'sewhallucinationsewinewtheewhallwayewwithewa
notherewnurse.ewWhichewofewtheewfollowingewactionsewshouldewtheewnurseewtakeewfirst?
, A.ewNotifyewtheewnurseewmanager.
B.ewTellewtheewnurseewtoewstopewdiscussingewtheewbehavior.
C.ewProvideewanewin-serviceewprogramewaboutewconfidentiality.
D.ewCompleteewanewincidentewreport.ew-ewcorrectewanswers-
B.ewTellewtheewnurseewtoewstopewdiscussingewtheewbehavior
Aewnurseewisewcaringewforewtheewparentsewofewaewchildewwhoewhasewdemonstratedewchangesewinewbehaviorewandew
mood.ewWhenewtheewmotherewofewtheewchildewasksewtheewnurseewforewreassuranceewaboutewherewson'sewconditio
n,ewwhichewofewtheewfollowingewresponsesewshouldewtheewnurseewmake?
A.ew"Iewthinkewyourewsonewisewgettingewbetter.ewWhatewhaveewyouewnoticed."
B.ew"I'mewsureeweverythingewwillewbeewokay.ewItewjustewtakesewtimeewtoewheal."
C.ew"I'mewnotewsureewwhatsewwrong.ewHaveewyouewaskedewtheewdoctorewaboutewyourewconcerns?"
D.ew"Iewunderstandewyou'reewconcerned.ewLet'sewdiscussewwhew-ewcorrectewanswers-
D.ew"Iewunderstandewyou'reewconcerned.ewLet'sewdiscussewwhatewconcernsewyouewspecifically."
Aewnurseewisewcaringewforewaewclientewwhoewsmokesewandewhasewlungewcancer.ewTheewclientewreports,ew"I'mewcough
ingewbecauseewIewhaveewthatewcoldewthateweveryoneewhasewbeenewgetting."ewTheewnurseewshouldewidentifyewthatew
theewclientewisewusingewwhichewofewtheewfollowingewdefenseewmechanisms?
A.ewReactionewformation
B.ewDenial
C.ewDisplacement
D.ewSublimationew-ewcorrectewanswers-B.ewDenial
Aewnurseewisewprovidingewpreoperativeewteachingewforewaewclientewwhoewwasewjustewinformedewthatewsheewrequir
esewemergencyewsurgery.ewTheewclientewhasewaewrespiratoryewrateew30/minewandewsays,ew"Thisewisewdifficultewtoewc
omprehend.ewIewfeelewshakyewandewnervous."ewTheewnurseewshouldewidentifyewthatewtheewclientewisewexperiencin
gewwhichewofewtheewfollowingewlevelsewofewanxiety?
A.ewMild
B.ewModerate
C.ewSevere
D.ewPanicew-ewcorrectewanswers-B.ewModerate