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A client with depression remains in bed most of the day,
and declines activities. Which nursing problem has the
greatest priority for this client?
A. Loss of interest in diversional activity.
B. Social isolation.
C. Refusal to address nutritional needs.
D. Low self-esteem.
C. Refusal to address nutritional needs.
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The RN is preparing medications for a client with bipolar
disorder and notices that the client discontinued
,antipsychotic medication for several days. Which
medication should also be discontinued?
a. Lithium. (Lithotabs)
b. Benzotropine (Cogentin).
c. Alprazolam (Xanax).
d. Magnesium (Milk of Magnesia).
b. Benzotropine
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The RN is teaching a client about the initiation of the
prescribed abstinence therapy using disulfiram
(Antabuse). What information should the client
acknowledge understanding?
A. Completely abstain from heroin or cocaine use.
B. Remain alcohol free for 12 hours prior to the first dose.
C. Attend monthly meetings of alcoholics anonymous. D.
Admit to others that he is a substance user
B. Remain alcohol free for 12 hours prior to the first dose.
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A male client with schizophrenia is admitted to the
mental health unit after abruptly stopping his
prescription for ziprasidone (Geodon) one month ago.
Which question is most important for the RN to ask the
client? A. Have you lost interest in the things that you
used to enjoy? B. Is your ability to think or concentrate
decreased? C. How many continuous hours do you sleep
at night? D. Do you hear sounds or voices that others do
not hear?
D. Do you hear sounds or voices that others do not hear
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A female client requests that her husband be allowed to
stay in the room during the admission assessment. When
interviewing the client, the RN notes a discrepancy
between the client's verbal and nonverbal
communication. What action does the RN take? A. Pay
close attention and document the nonverbal messages.
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Ask the client's husband to interpret the discrepancy. C.
Ignore the nonverbal behavior and focus on the client's
verbal messages. D. Integrate the verbal and nonverbal
messages and interpret them as one.
A. Pay close attention and document the nonverbal
messages.
A male client approaches the RN with an angry
expression on his face and raises his voice, saying "My
roommate is the most selfish, self-centered, angry person
I have ever met. If he loses his temper one more time
with me, I am going to punch him out!" The RN
recognizes that the client is using which defense
mechanism?
A. Denial.
B. Projection.
C. Rationalization.
D. Splitting.
B. Projection.