27. A nurse is preparing to put into effect cognitive reframing strategies for a customer who has
an tension disease. Which of the following techniques ought to the nurse include within the plan
of care? (Select all that apply)
A. Priority restructuring
B. Monitoring mind
C. Diaphragmatic respiration
D. Journal retaining
E. Meditation - ANS-A. Priority restructuring
B. Monitoring thoughts
D. Journal maintaining
A rate nurse is discussing manifestations of schizophrenia with a newly licensed nurse. Which
of the following manifestations ought to the price nurse identify as being correctly treated by first
technology antipsychotics? (Select all that apply)
A. Auditory hallucinations
B. Withdrawal from social conditions
C. Delusions of grandeur
D. Severe agitation
E. Anhedonia - ANS-A. Auditory hallucinations
C. Delusions of grandeur
D. Severe agitation
A fee nurse is discussing mental repute tests with a newly certified nurse. Which of the
subsequent statements by means of the newly certified nurse suggests an information of the
teaching? (Select all that follow).
A. "To check cognitive capacity, I should ask the client to count number backward via sevens."
B. "To determine have an effect on, I have to observe the client's facial features.
C. "To determine language potential, I should instruct the patron to write a sentence."
D. "To examine remote memory, I must have the customer repeat a list of items."
E. "To verify the purchaser's summary thinking, I ought to ask the customer to pick out our most
current presidents." - ANS-A. "To verify cognitive potential, I ought to ask the consumer to rely
backward by way of sevens."
B. "To assess affect, I ought to look at the purchaser's facial features.
C. "To verify language capacity, I have to instruct the purchaser to jot down a sentence."
,A rate nurse is discussing mirtazapine with a newly certified nurse. Which of the subsequent
statements by using the newly certified nurse indicates know-how?
A. "This remedy will increase the discharge of serotonin and norepinephrine."
B. "I will need to display the consumer for hyponatremia even as taking this medicine."
C. "This medication is contraindicated for clients who have an ingesting ailment."
D. "Sexual dysfunction is a common adverse effect of this medication." - ANS-A. "This medicinal
drug boom the discharge of serotonin and norepinephrine"
A charge nurse is discussing the care of a purchaser who has MDD with a newly certified nurse.
Which of the following statements with the aid of the newly licensed nurse suggests an
knowledge of the coaching?
A. "Care throughout the continuation phase focuses on treating persevered manifestations of
MDD.
"B. "The remedy of MDD for the duration of the upkeep section lasts for six-12 weeks.
"C. "The patron is at greatest chance for suicide throughout the primary weeks of an MDD
episode.
"D. "Medication and psychotherapy are most effective all through the extreme phase of MDD." -
ANS-C. "The client is at greatest chance for suicide during the primary weeks of an MDD
episode.
A price nurse is discussing the characteristics of a nurse-consumer dating with a newly licensed
nurse. Which of the following characteristics should the nurse include in the dialogue? (Select
all that apply)
A. The wishes of each participants are met.
B. An emotional commitment exists among the participants.
C. It is goal-directed.
D. Behavioral exchange is endorsed.
E. A termination date is hooked up. - ANS-C. It is purpose-directed.
D. Behavioral exchange is encouraged.
E. A termination date is mounted.
A rate nurse is discussing TMS with a newly certified nurse. Which of the subsequent
statements with the aid of the newly certified nurse suggests an expertise of the teaching?
A. "TMS is indicated for customers who have schizophrenia spectrum problems."
B. "I will provide postanesthesia care following TMS."
C. "TMS treatments commonly final five-10 minutes."
D. "I will schedule the customer for daily TMS remedies for the primary several weeks." - ANS-"I
will schedule the patron for every day TMS treatments for the first several weeks."
,A charge nurse is main a peer institution discussion about circle of relatives and community
violence. Which of the subsequent statements through a member of the group suggests an
understanding of the coaching?
A. "Children older than three are at extra threat for abuse."
B. "Substance use sickness does not increase the danger for violence."
C. "Entering an intimate dating will increase the hazard for violence."
D. "Pregnancy will increase the chance for violence towards the intimate companion." - ANS-D.
"Pregnancy will increase the threat for violence towards the intimate associate."
A fee nurse is preparing a group of workers education consultation on character problems.
Which of the following persona traits related to all of the character issues ought to the charge
nurse include inside the coaching? (Select all that follow)
A. Difficulty in getting at the side of other members of a collection
B. Belief inside the potential to turn out to be invisible at some stage in instances of stress
C. Display of protection mechanisms when routines are changed
D. Claiming to be more critical than other persons
E. Difficulty information why it is irrelevant to have a personal courting with staff - ANS-A.
Difficulty in getting in conjunction with different contributors of a collection
C. Display of protection mechanisms when exercises are modified
E. Difficulty knowledge why it's miles inappropriate to have a personal relationship with
personnel
A charge nurse is reviewing Kugler-Ross: Five Stages of Grief with a set of newly certified
nurses. Which of the following levels have to the fee nurse include within the coaching? (Select
all that apply)
A. Disequilibrium
B. Denial
C. Bargaining
D. Anger
E. Depression - ANS-B. Denial
C. Bargaining
D. Anger
E. Depression
A purchaser says she is experiencing accelerated pressure due to the fact her tremendous
different is "pressuring me and my kids to move stay with him. I love him, however I'm no longer
equipped to try this." Which of the subsequent guidelines must the nurse make to sell a
alternate inside the patron's scenario?
A. Learn to practice mindfulness
B. Use assertiveness strategies
, C. Exercise regularly
D. Rely on the assist of a near pal - ANS-B. Use assertiveness strategies
A patron tells a nurse, "Don't tell all and sundry however I hid a pointy knife below my bed a
good way to protect myself from my roommate, who is continually yelling at me and perilous
me." Which of the subsequent moves ought to the nurse take?
A. Keep the patron's communique private, however speak to the patron each day, the usage of
healing verbal exchange to persuade him to confess to hiding the knife
B. Keep the patron's communique personal, but watch the purchaser and his roommate closely.
C. Tell the customer that this must be stated to the health care team as it issues the fitness and
safety of the consumer and others.
D. Report the incident to the fitness care group, however do not inform the client of the aim to
accomplish that. - ANS-D. Report the incident to the fitness care group, however do not inform
the customer of the goal to do so.
A community health nurse is main a dialogue approximately rape with a neighborhood task
force. Which of the following statements through a neighborhood citizen shows an
understanding of the coaching?
A. "Rape is a crime of ardour."
B. "Acquaintance rape frequently involves alcohol."
C. "Young adults are the typical victims of sexual attack."
D. "The majority of rapists are unknown to the sufferers." - ANS-B. "Acquaintance rape often
entails alcohol."
A community mental health nurse is making plans care to deal with the issue of depression
among older grownup customers inside the network. Which of the subsequent interventions
must the nurse plan as a way of tertiary prevention?
A. Educating clients on fitness promoting strategies to lessen the chance of depression
B. Performing screenings for despair at community fitness packages
C. Establishing rehabilitation programs to decrease the results of despair
D. Providing guide corporations for clients at hazard for despair - ANS-C. Establishing
rehabilitation applications to lower the outcomes of depression
A home fitness nurse is creating a visit to a customer who has Alzheimer's sickness to assess
the home for safety. Which of the subsequent hints need to the nurse make to decrease the
customer's hazard for damage? (Select all that apply)
A. Install childproof door locks.
B. Place rugs over electric cords.
C. Mark cleansing materials with colored tape
D. Place the patron's bed at the ground.