Questions & Answers
Registered Dietitians review a client's nutritional needs and adjust the client's diet based
upon laboratory findings, medication adverse effects, and dietary intake. - ANSWERS
A nurse is collecting data from a client who received diazepam 10mg PO 1 hr ago.
Which of the following findings should the nurse identify as an indication that the client
is experiencing benzodiazepine toxicity? - ANSWERSRespiratory rate 10/min
A nurse is interviewing an adolescent client who reports that they were sexually
assaulted. Which of the following actions should the nurse take? - ANSWERSMove the
client to a private examination room to perform the interview.
A nurse is reinforcing teaching with a client who has schizophrenia and a new
prescription for fluphenazine. Which of the following adverse effects should the nurse
include in the teaching? - ANSWERSAkathisia, hypotension, drowsiness
A nurse is reinforcing discharge teaching with the family of a client who has mild
dementia. The family plans to care for the client in their home. Which of the following
instructions should the nurse include? - ANSWERSUse signs to identify different rooms
in the home
A nurse is reinforcing teaching with a client who is preparing for a conditional release
following involuntary admission. Which of the following statements by the client
indicates an understanding of the teaching? - ANSWERSIf I don't follow the instructions
in my conditional release, I might be readmitted
A nurse is assisting with the care of a client immediately following electroconvulsive
therapy (ECT). Which of the following findings should the nurse document as an
unexpected response to the procedure? - ANSWERSIrregular heart rhythm
, A nurse is planning an in-service about eating disorders for a group of staff nurses.
Which of the following conditions should the nurse include as a risk factor for anorexia
nervosa? - ANSWERSA diagnosis of obsessive-compulsive disorder
A nurse is reinforcing discharge teaching with a client who has alcohol use disorder.
Which of the following statements by the client indicates an understanding of relapse
prevention? - ANSWERSI'm learning which situations I have difficulty handling
A nurse is reinforcing teaching regarding family therapy with the parents of a client who
has anorexia nervosa. The parents tell the nurse, 'We don't understand why we have to
have family therapy. We are not sick.' Which of the following responses should the
nurse provide? - ANSWERSFamily therapy explores how the family dynamic impacts
your son
A Nurse is Reinforcing Discharge Instructions with a Client Who Has Bipolar Disorder
and Is Taking Lithium. Which of the Following Statements by the Client Indicates an
Understanding of the Teaching? - ANSWERSI will have the level of medication in my
blood checked regularly
A Nurse is Collecting Data from a Client Who Has Schizophrenia. When Asked
Questions, the Client Keeps Repeating What the Nurse Says Rather Than Providing
Answers. The Nurse Should Document This Finding as Which of the Following
Alterations of Speech? - ANSWERSEcholalia
A Nurse is Contributing to the Plan of Care for a Client Who Has Anorexia Nervosa and
Is 60% of Their Ideal Body Weight (IBW). Which of the Following Interventions Should
the Nurse Include? - ANSWERSSet structured mealtimes for the client
A Nurse is Caring for a Client Who Is Experiencing Acute Alcohol Withdrawal. The
Client Becomes Agitated and the Nurse Administers Lorazepam 2 mg IM. Which of the
Following Actions Should the Nurse Take? - ANSWERSEnsure a staff member remains
with the client continuously
A Nurse is Caring for a Client Who Is Obese and States, 'I Need to Lose Weight to Be
Attractive Again.' Which of the Following Actions Should the Nurse Take First to
Promote Positive Self-Esteem? - ANSWERSAsk the client how they feel about their
weight and appearance
A Nurse is Reinforcing Teaching with the Adult Child of a Client Who Is Scheduled to
Have Electroconvulsive Therapy (ECT). Which of the Following Statements Should the
Nurse Make? - ANSWERSYour father might experience short-term memory loss after
the procedure
A Nurse is Contributing to the Plan of Care for a Client Who Has Moderate Alzheimer's
Disease and Is Neglecting Personal Hygiene. Which of the Following Interventions