x x x x x x
2024 x
x
A xschool xnurse xis xassessing xa xschool-age xchild xwho xexperienced xthe xtraumatic
xloss xof xa xparent x8 xmonths xago. xWhich xof xthe xfollowing xfindings xshould xthe xnurse
xidentify xas xan xindication xthat xthe xchild xis xexperiencing xpost-traumatic xstress
xdisorder x(PTSD)? x- xLack xof xinterest xin xan xupcoming xholiday x
x
A xnurse xis xcaring xfor xa xgroup xof xclients. xWhich xof xthe xfollowing xfindings xshould
xthe x
x
nurse xreport? x- xA xclient xwho xis xtaking xlamotrigine xand xhas xdeveloped xa
xrash
x
A xnurse xis xreviewing xlaboratory xresults xfor xa xclient xwho xhas xschizophrenia
xand xis x
x
taking xclozapine. xWhich xof xthe xfollowing xvalues xshould xthe xnurse xidentify
xas xa
contraindication xfor xreceiving xclozapine? x- xWBC xcount x2,500/mm3
x(5,000-
x
10,000/mm3)
x
A xnurse xis xplanning xcare xfor xa xclient xwho xhas xdepression xand xhas xmade
xfrequent x
x
suicide xattempts. xWhich xof xthe xfollowing xstatements xindicates xthe xclient
xhas xa
x
decreased xrisk xfor xsuicide? x- x"It xis xeasier xto xtalk xabout xmy xfeelings
xnow."
x
During xa xclient's xinitial xinterview xin xa xmental xhealth xinpatient xsetting, xa xnurse
xidentifies xthat xthe xclient xis xmaintaining xeye xcontact xand xleaning xforward. xWhich xof
xthe xfollowing xassumptions xshould xthe xnurse xmake xbased xon xthe xclient's
xnonverbal xbehaviors? x- xThe xclient xis xinterested xin xwhat xthe xnurse xis xsaying. x
x
x
A xnurse xis xplanning xcare xfor xa xclient xwho xhas xschizophrenia xand xreports
xauditory
x
hallucinations. xWhich xof xthe xfollowing xinterventions xshould xthe xnurse xinclude xin
xthe
plan? x- xPromote xthe xuse xof xmusic xto xcompete xwith xthe xclient's xauditory
xhallucinations.
x
A xnurse xis xcaring xfor xa xclient xwho xhas ximpaired xcognition. x
A xnurse xis xupdating xthe xclient's xplan xof xcare. xFor xeach xof xthe xfollowing xpotential
xnursing xinterventions, xclick xto xspecify xif xthe xpotential xintervention xis xanticipated,
xnonessential, xor xcontraindicated xfor xthe xclient. x- xAnticipated- xapproach xfrom xfront,
xgive xdirections xto xthe xclient, xdecrease xsensory, xassign xclient xto xa xroom x x
x
contra- xuse xa xvest, xensure xthe xbed xis xkept, xkeep xthe xlights xoff x x
x
non- xprovide xthe xclient xwith xhigh x
x
, A xnurse xis xplanning xdischarge xteaching xwith xa xfamily xmember xof xa xclient xwho
xhas xa xnew xdiagnosis xof xdepression. xWhich xof xthe xfollowing xinformation xabout
xrelapse xshould xthe xnurse xinclude? x- xEarly xidentification xof xchanges, xsuch xas
xdecreased xsocial xinvolvement, xis ximportant. x
x
A xnurse xis xestablishing xa xtherapeutic xrelationship xwith xa xclient xwho xhas xantisocial
xpersonality xdisorder. xWhich xof xthe xfollowing xstrategies xshould xthe xnurse xuse
xwhen xcommunicating xwith xthis xclient? x- xSet xrealistic xlimits xon xthe xclient's
xbehavior. x
x
A xnurse xin xa xcommunity xhealth xcenter xis xteaching xfamilies xof xclients xwho xhave
xposttraumatic xstress xdisorder x(PTSD) xabout xexpected xclinical xmanifestations.
xWhich xof xthe xfollowing xmanifestations xshould xthe xnurse xinclude? x- xExperiences
xfeelings xof xisolation x
x
A xnurse xin xan xinpatient xmental xhealth xfacility xis xcaring xfor xa xclient. xThe xclient
xbegins xpacing xwith xtheir xfists xclenched xand xis xverbally xabusing xthe xstaff. xWhich
xof xthe xfollowing xactions xshould xthe xnurse xtake? x- xEnsure xsecurity xpersonnel xare
xavailable xin xthe xbackground xto xassist xif xthe xclient's xbehavior xescalates. x
x
A xnurse xis xcaring xfor xa xgroup xof xclients. xFor xwhich xof xthe xfollowing xsituations
xshould xthe xnurse xcomplete xan xincident xreport? x- xA xclient xwas xadministered xone-
half xof xthe xprescribed xdose xof xmedication. x
x
A xnurse xin xa xcommunity xhealth xcenter xis xworking xwith xa xgroup xof xclients xwho
xhave xpost-traumatic xstress xdisorder. xWhich xof xthe xfollowing xinterventions xshould
xthe xnurse xinclude xto xreduce xanxiety xamong xthe xgroup xmembers? x- xGuided
ximagery x
x
A xnurse xin xthe xemergency xdepartment xis xcaring xfor xa xclient xwho xhas xalcohol
xtoxicity xand xis xunresponsive. xWhich xof xthe xfollowing xinterventions xshould xthe
xnurse xtake? x- xGather xsupplies xfor xendotracheal xintubation. x
x
A xnurse xis xassessing xa xclient xwho xrecently xused xcocaine. xWhich xof xthe
xfollowing x
x
findings xshould xthe xnurse xexpect? x-
xHypertension
x
A xclient xwho xhas xa xrecent xdiagnosis xof xbipolar xdisorder xis xplaced xin xa xroom xwith
xa xclient xwho xhas xsevere xdepression. xThe xclient xwho xhas xdepression xreports xto
xthe xnurse, x"My xroommate xnever xsleeps xand xkeeps xme xup, xtoo." xWhich xof xthe
xfollowing xactions xshould xthe xnurse xtake? x- xMove xthe xclient xwho xhas xbipolar
xdisorder xto xa xprivate xroom. x
x
A xnurse xis xplanning xcare xfor xa xclient xwho xhas xgeneralized xanxiety xdisorder. xAt
xwhich x
of xthe xfollowing xlevels xof xanxiety xshould xthe xnurse xplan xto xteach xthe xclient
xrelaxation x
x
techniques? x-
xMild
x