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A male employee who is assessed weekly in the employee clinic for blood pressure
because of history of hypertension tells the nurse that he is so upset with one of his
co-workers that he would like to shoot him. What action should the nurse take
first?
A. Determine if the client has a weapon available for use.
B. Inform the healthcare provider of the threat to harm a co-worker.
C. Notify security of the client's intention to harm a co-worker.
D. Have the employee escorted to a mental health facility. - 🧠ANSWER ✔✔A.
Determine if the client has a weapon available for use
A male client who is participating in an anger management assignment asks if he
can make a leather belt in occupational therapy. The client begins pounding the
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,leather vigorously with a mallet to imprint designs on the belt. What defense
mechanism is the client using?
A. Sublimation.
B. Suppression.
C. Regression.
D. Compensation. - 🧠ANSWER ✔✔A. Sublimation.
a 20-year old female client with schizophrenia is scheduled to receive risperidone
(Risperdal) 2mg at bedtime. When the nurse attempts to administer the medication,
the client states. " i am not going to take that medicine and you cant make me."
What action should the nurse take?
A. Administer the medication via a nasogastric tube.
B. Substitute an injectable form of the medication.
C. Encourage the client to take the medicine because it will help her sleep.
D. Document in the client's record that the medication was refused. - 🧠ANSWER
✔✔C. Encourage the client to take the medicine because it will help her sleep
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STATEMENT. ALL RIGHTS RESERVED
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, An adult female client tells the nurse that though she is afraid her abusive
boyfriend might one day kill her, she keeps hoping that he will change. What
action should the nurse first take?
A. Discuss treatment options for abusive partners.
B. Explore clients readiness to discuss the situation.
C. Determine the frequency and type of client's abuse.
D. Report the finding to the police department. - 🧠ANSWER ✔✔B. Explore clients
readiness to discuss the situation.
A male client with bipolar disorder has not slept or eaten in four days. he paces &
becomes increasingly agitated & loud while the nurse talks to his spouse. What
intervention is the best for the nurse to implement at this time?
A. Move to a quiet area & provide peanut butter with crackers.
B. Walk with the client to the cafeteria and stay as he eats lunch.
C. Request a full lunch tray from the dietary department.
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
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