CORRECT ANSWERS
2025
a nurse is caring for an older adult client who has dementia and has
wandered
day into thefor their deceased partner. which of the following actions
room looking
shouldtake?
nurse the ( Correct answers ) talk with the client about activities they
enjoyed with
their
partner
a nurse is documenting admission assessment findings for a client who
has major disorder. the nurse should identify which of the following
depressive
findings as clinical
manifestations? ( Correct answers ) -feelings of
-
hopelessness
anhedoni
-flat facial
a
expression
a nurse is admitting a client who has alcohol use disorder. which of
statements
the followingby the client indicates that the client is using denial as
a defense
mechanism? ( Correct answers ) "I am able to go to work every day, so I
don't have a
problem
."
a nurse is admitting a client who has anorexia nervosa and is at 60% of
ideal body
weight. which of the following interventions should the nurse include in the
(plan of care?
Correct answers ) encourage the client to drink 125 mL of fluid each
hour while
awake
.
a nurse is caring for a client who has schizophrenia and is experiencing
psychosis.
nurse shouldtheidentify that which of the following findings indicates a
potential psychiatric
emergency? ( Correct answers ) the client reports command
hallucinations
a client who has paranoid schizophrenia is attending a treatment planning
conference
with a family member. during the discussion of the medication adherence
portion
plan, a nurse
of the notices that the family member seems distracted. which of
the following
actions should the nurse take? ( Correct answers ) ask the family member if
theythoughts
any have or questions about the
treatment plan
a nurse is planning care for an adolescent who is being admitted to an
acute carea unit
following suicide attempt. which of the following interventions should the
nurse
as the identify
priority? ( Correct answers ) arrange one-to-one observation of
the client
a nurse is caring for a group of clients. which of the following findings should
the nurse report? ( Correct answers ) a client who is taking lamotrigine and
has developed a rash
GRADED
A+
, a nurse is planning care for a client who is experiencing acute mania.
which of the
following interventions should the nurse include in the plan to promote
sleep? ( Correct
answers ) encourage frequent rest periods throughout
the day
a nurse is reviewing routine lab values for several clients who are taking
lithium carbonate. which of the following clients should the nurse assess
further for findings indicating lithium toxicity? ( Correct answers ) a client
who has a sodium level of 128 mEq/L
a nurse is discussing the home care of a client who has advanced
Alzheimer's disease with the client's partner, who is planning to go out of
town for several days. which of the following resources should the nurse
recommend to the caregiver? ( Correct answers ) respite care
a home health nurse is assessing an older adult client whose sibling is
the primary
caregiver. which of the following findings should the nurse identify as
a possible
indicator of neglect? ( Correct answers )
inappropriate dress
a community health nurse is planning an education program about
disorders. which of the following factors should the nurse include as
depressive
increasing
for the risk
depression? ( Correct answers ) substance use
disorder
a nurse is admitting a female client who has anorexia nervosa. which of
the following should the nurse expect during the admission
manifestations
assessment?
answers ( Correct
) orthostatic
hypotension
a nurse is caring for a client whose child has a terminal illness. the
information about how to deal with the upcoming loss. which of the following
client requests
statements
should the nurse make? ( Correct answers ) "it is not uncommon to feel
yourself or others."
angry toward
a nurse on a mental health unit is caring for a recently
exhibit
admitted 1: client.
0800 - BP: 110/78, HR: 76/min, RR: 18/min, Temp: 98.6; 1200 -
BP: 116/80,
HR: 88/min, RR: 20/min, temp:
100.4
exhibit 2: 22 year old client admitted following episodes of hallucinations
and delusions.
outpatient treatment has been ineffective. client has been unable to
maintain
friends havea job andthe client has been acting different than usual. family
said
members
noticed thathave
the client no longer maintains a clean and neat
appearance
answers ( Correct
) positive symptoms: delusions of grandeur, clang associations,
negative symptoms: absence of intonation in speech, alogia, and withdrawal
catatonia
from social
activities
a nurse in a community health center is counseling a family of two
children. which
parents and twoof the following statements by a family members indicates
manipulative
behavior? ( Correct answers ) "if you do my homework for me, I won't
the restyou
bother of the
for
day."
GRADED
A+