ASSESSMENT ACTUAL EXAM
COMPREHENSIVE QUESTIONS AND
CORRECT ANSWERS 100% VERIFIED /A+
GRADED/
A nurse is caring for a client who is obese and states, " i
need to lose weight to be attractive again." which of the
following actions should the nurse take first to promote
positive self-esteem. - ask the client how they feel about
their weight and appearance
A nurse is reinforcing teaching with the adult child of a
client who is scheduled to have electroconvulsive therapy
(ect), which of the following statements should the nurse
make - your father might experience short-term memory
loss after the procedure
A nurse is contributing to the plan of care for a client who
has moderate alzheimer's disease and is neglecting
personal hygiene. Which of the following interventions
should the nurse include in the plan - assign an assistive
personnel (ap) to help the client with personal hygiene
A nurse is reinforcing teaching with a client who has a
prescription for a monoamine oxidase inhibitor (maoi).
Which of the following lunch choices by the client indicates
an understanding of the teaching - an egg salad with a
sliced tomato and a yeast roll
,A nurse is caring for a client who takes haloperidol. The
nurse should expect that the provider will prescribe which
of the following laboratory tests - liver function
A nurse is establishing a therapeutic relationship with a
client who has generalized anxiety disorder. Which of the
following actions should the nurse take first - explain
confidentiality guidelines to the client
A nurse is caring for a client who has schizophrenia. The
client is refusing to participate in the current group activity.
Which of the following statements the nurse make - you do
not have to participate right now if you don't feel
comfortable
A nurse is collecting data from a client who has depression.
Which of the following findings should the nurse expect -
poor concentration
A nurse is caring for a client who is admitted for alcohol use
disorder. The client states, " i have not had anything to drink
for 24 hours" which of the following is the priority nursing
interventions - check the client's vital signs
A nurse is caring for a group of clients. Which of the
following actions by the nurse demonstrates the ethical
concept of veracity - informing a client about the adverse
effects of a prescribed treatment
A nurse is collecting data from a 5 year old child who is
brought to the emergency department by a parent who
states that the child feel out of a tree. The child is guarding
their right arm. For which of the following findings should
,the nurse suspect physical maltreatment - an x-ray of the
right arm indicates a spiral fracture
A nurse is caring for a client who is experiencing a paranoid
delusion. The client is becoming increasingly anxious.
Which of the following interventions should the nurse take -
ask the client to describe the delusion
A nurse is caring for a client who has parkinson's disease.
The client states, " everything is looking pretty grim for me."
which of the following is priority action for the nurse to take
- ask the client if they have a specific plan of suicide
A nurse is caring for a client on a mental health unit and
receives a call from the client's sibling requesting
information regarding the client's condition. The client has
not listed anyone on the release of information form. Which
of the following actions should the nurse take? - tell the
caller that information cannot be released regarding their
request
A nurse in a long term care facility is caring for a client who
has dementia and cannot verbalize their wants and needs.
The client refuses to drink liquids on meal trays. Which of
the following actions by the nurse demonstrates advocacy -
ask the client's family what their favorite beverages are
A nurse is collecting data from a client who has generalized
anxiety disorder (gad). Which of the following findings
should the nurse expect - restlessness
A nurse is discussing confidentiality with a client who was
just admitted to an acute mental health unit. Which of the
following client statements indicates an understanding of
, the teaching - you have to report it if i threaten to hurt
anyone
A home health nurse is reinforcing teaching with the family
members of a client who has alzheimers disease and is
experiencing sleep disturbance. Which of the following
instructions should the nurse include - wake the client at the
same time each morning
A nurse is reinforcing teaching with a client who has bipolar
disorder and a new prescription for valproic acid. Which of
the following manifestations should the nurse instruct the
client to report to the provider as an adverse effect of this
medication - abdominal pain
A nurse is caring for a client who frequently displays
manipulative behavior. Which of the following actions
should the nurse take - establish consequences for the
client's actions
A nurse is caring for a client following a modified radical
mastectomy. Which of the following client statements is an
indication of effective coping - i am planning to attend a
support group after i leave the hospital
A nurse is preparing to collect data from a client who has
delirium. Which of the following findings should the nurse
expect - disorientation that fluctuates
A nurse is caring for a client who has insomnia disorder.
Which of the following actions should the nurse take -
establish a routine that signals the end of the day