Correct Answers
A nurse is conducting a counseling session with a client who has a substance use disorder the
client repeatedly ask personal questions about the nurse which of the following actions should
the nurse take ✔️✔️Explain that this time is designated to focus on the client ***
answer the personal inquiry questions matter-of-factly
tell the client that interested in someone besides himself as an indication of improvement
request that the personal question to be asked after the counseling session is over
A nurse is providing support for the parents of a child who has a new diagnosis of terminal brain
tumor. The nurse should expect the parents to experience which of the following stages of grief
first ✔️✔️Denial ***
bargaining
anger
depression
,A nurse is assessing a client who is experiencing moderate level anxiety which of the following
findings should the nurse expect ✔️✔️The client has a heightened perceptual field
The client has difficulty concentrating ***
the client reports shortness of breath
the client reports a sense of impending doom
A nurse is caring for a client who has major depressive disorder and recently started taking an
antidepressant the nurse should identify what statement as the clients priority ✔️✔️I hate being
so helpless I can't even manage my own finances anymore
at group therapy today I wanted to leave I didn't feel like being with other people
I have it all figured out everything is going to be ok now ***
I don't feel like showering I'd rather just stay in bed today
A nurse is caring for a client who is brought to the clinic by her adult son who states that his
father recently died. The client repeatedly yelled at her son saying quit lying about your father.
The nurse should recognize that the client is demonstrating which of the following defense
mechanisms ✔️✔️Denial ***
, identification
introjection
sublimation
A nurse is caring for a client who has alcohol use disorder and is receiving treatment for alcohol
withdrawal the client reports hand tremors 12 hours after admission which of the following
statements should the nurse make ✔️✔️The tremors are permanent due to nerve damage
caused by chronic alcohol use
the tremors will persist for a few days as you are withdrawing from alcohol ***
try not to worry about the tremors everyone has these during alcohol withdrawal
These tremmors are an indication of seizures that are associated with alcohol withdrawl
A nurse and a pediatric emergency department is caring for four clients the nurse should suspect
possible abuse with which of the following clients ✔️✔️A 14-month-old toddler who has
recently learned to walk and as many bruises on bony prominences is in various stages of healing