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A nurse is assisting with the admission of a client who has an eating disorder. During data
collection, which of the following findings should the nurse identify as manifestations of
bulimia nervosa? (Select all that apply.)
Tooth erosion
Tooth erosion is a manifestation of bulimia nervosa that results from self-induced vomiting.
Hand calluses
Hand calluses are a manifestation of bulimia nervosa that results from self-induced vomiting.
Hypokalemia
Hypokalemia is a manifestation of bulimia nervosa that results from volume depletion due to
self-induced vomiting or excessive diuretic and laxative use.
A nurse in an inpatient mental health unit is supervising a group of clients in the unit's
dayroom. The nurse fails to respond to the escalating. behavior of a client who eventually
becomes violent and injures another client. For which of the following is the nurse liable?
Negligence
A nurse is collecting data from a client whose home was destroyed by a fire. Which of the
following responses should the nurse make first?
"Are you experiencing feelings of hopelessness?"
A nurse is speaking with a client who is expressing an intense disapproval of the current social
worker. When the social worker approaches the nurse and client a few moments later, the
client cheerfully states, "Now, here is my favorite social worker!" The nurse should identify
that the client is using which of the following defense mechanisms?
, reaction formation
A charge nurse is discussing the use of restraints with a newly licensed nurse. Which of the
following statements made by the newly licensed nurse demonstrates an understanding?
"The provider should make an in-person evaluation of the client within 1 hr of initiating the
restraints."
A nurse in a mental health facility is caring for a client who is becoming agitated, Which of the
following, actions should the nurse take first?
offer diversionary activities
A nurse is caring for a client who takes naltrexone for the treatment of alcohol use disorder.
The nurse should identify that which of the following client statements indicates the
medication is effective?
"I drink less alcohol in a day while taking naltrexone."
Clients taking naltrexone have a decreased craving for alcohol and experience decreased
pleasurable effects from alcohol consumption. Although the goal for most clients who have
alcohol use disorder is to maintain abstinence, clients who ingest alcohol while taking this
medication often drink less per day.
A nurse is caring for a client who has a depressive disorder and declines electroconvulsive
therapy (ECT) despite the provider's recommendation.
Which of the following ethical principles is the nurse demonstrating by supporting the client's
decision?
Autonomy
*The nurse is demonstrating the principle of autonomy by respecting and supporting the client's
right to make decisions about her treatment.
A nurse in a mental health unit is assisting with the plan of care for a newly admitted client
who has anorexia nervosa. Which of the following actions should the nurse include in the
plan of care?
Offer liquid supplements to the client.
*The nurse should offer liquid supplements to the client because the client might be unable to
eat solid foods when he is first admitted.
A nurse in a mental health unit is reinforcing teaching about informed consent with a newly
licensed nurse. Which of the following statements indicates an understanding of the
teaching?