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1. A school nurse is assessing a school-age child who experienced the trau-matic loss of
a parent 8 months ago. Which of the following findings should the nurse identify as an
indication that the child is experiencing post-traumaticstress disorder (PTSD)?
.:Ans>> Lack of interest in an upcoming holiday
,2. A nurse is caring for a group of clients. Which of the following findings should the
nurse report?
.:Ans>> A client who is taking lamotrigine and has developeda rash
3. A nurse is reviewing laboratory results for a client who has schizophre- nia and is
taking clozapine. Which of the following values should the nurse identify as a
contraindication for receiving clozapine?
.:Ans>> WBC count 2,500/mm3(5,000-10,000/mm3)
4. A nurse is planning care for a client who has depression and has made frequent
suicide attempts. Which of the following statements indicates theclient has a
decreased risk for suicide?
.:Ans>> "It is easier to talk about my feelingsnow."
5. During a client's initial interview in a mental health inpatient setting, a nurseidentifies
that the client is maintaining eye contact and leaning forward. Whichof the following
assumptions should the nurse make based on the client's nonverbal behaviors?
, .:Ans>> The client is interested in what the nurse is saying.
6. A nurse is planning care for a client who has schizophrenia and reports auditory
hallucinations. Which of the following interventions should the nurseinclude in the plan?
.:Ans>> Promote the use of music to compete with the client's auditoryhallucinations.
7. A nurse is caring for a client who has impaired cognition.
A nurse is updating the client's plan of care. For each of the following potentialnursing
interventions, click to specify if the potential intervention is anticipat-ed, nonessential,
or contraindicated for the client.
.:Ans>> Anticipated- approach fromfront, give directions to the client, decrease sensory,
assign client to a room
contra- use a vest, ensure the bed is kept, keep the lights offnon-
provide the client with high
8. A nurse is planning discharge teaching with a family member of a client
who has a new diagnosis of depression. Which of the following information about