Communicates with others in an organized manner - CORRECT ANSWER✅✅Which behavior would
indicate to the nurse that a client diagnosed with schizophrenia is improving and the client's plan of care
can be updated?
- prominent delusions
- command hallucinations - CORRECT ANSWER✅✅Which clinical finding assessed in a client with
diagnosis of paranoid schizophrenia increases the risk for harm to self or others?
Clients with bulimia nervosa generally recognize clients with anorexia nervosa deny the illness -
CORRECT ANSWER✅✅Which statement is true in comparing anorexia nervosa with bulimia nervosa?
Lack of control over binge eating episodes - CORRECT ANSWER✅✅Which assessment data would the
nurse find in a client who was recently admitted with a diagnosis of bulimia nervosa?
Formal suicide plans increase the likelihood that a client will attempt suicide - CORRECT
ANSWER✅✅which guideline would the nurse consider when caring for clients who are at risk for
suicide?
- a client who fails in a suicide attempt will probably not try again
- formal suicide plans increase the likelihood that a client will attempt suicide
- it is best not to talk to clients about suicide, because it may give them the idea
- clients who talk about suicide are not planning it; they are using the threat to gain attention
- agitated pacing in the hall
- history of suicide attempts
- statements that life is not worth living - CORRECT ANSWER✅✅Which information would support the
nurse's decision to arrange for a staff member to remain with a depressed client continuously? Select all
that apply
- refusal to eat any food
, - inability to concentrate
- agitated pacing in the hall
- history of suicide attempts
- statements that life is not worth living
Amenorrhea, excessive weight loss, and abdominal distention - CORRECT ANSWER✅✅Which signs and
symptoms are typical for anorexia nervosa?
- slow pulse rate, mild weight loss, and alopecia
- compulsive behaviors, excessive fears, and nausea
- amenorrhea, excessive weight loss, and abdominal distention
- excessive activity, memory lapses, and an increase in the pulse rate
- cachexia (malnutrition w/ emaciation)
- purging (especially after meals)
- lanugo (fine downy hair on the face and back) - CORRECT ANSWER✅✅Which s/s would the nurse
observe in clients with anorexia nervosa? SATA
- cachexia
- purging
- diarrhea
- hypertension
- lanugo
set realistic limits on maladaptive behavior - CORRECT ANSWER✅✅Which intervention will the nurse
use for a client diagnosed with borderline personality disorder to develop healthier coping mechanisms?
- provide a stress free environment
- encourage healthy relationships with peers
- allow the client to take responsibility for decisions
- set realistic limits on maladaptive behavior