A WITH QUESTIONS AND ANSWERS
100% CORRECT
a nurse is caring for an older adult client who has dementia and has wandered into the day room looking
for their deceased partner. which of the following actions should the nurse take? - ANSWER✔✔✨---
talk with the client about activities they enjoyed with their partner
a nurse is documenting admission assessment findings for a client who has major depressive disorder.
the nurse should identify which of the following findings as clinical manifestations? - ANSWER✔✔✨-
---feelings of hopelessness
-anhedonia
-flat facial expression
a nurse is admitting a client who has alcohol use disorder. which of the following statements by the
client indicates that the client is using denial as a defense mechanism? - ANSWER✔✔✨---"I am able
to go to work every day, so I don't have a problem."
a nurse is admitting a client who has anorexia nervosa and is at 60% of ideal body weight. which of the
following interventions should the nurse include in the plan of care? - ANSWER✔✔✨---encourage
the client to drink 125 mL of fluid each hour while awake.
a nurse is caring for a client who has schizophrenia and is experiencing psychosis. the nurse should
identify that which of the following findings indicates a potential psychiatric emergency? -
ANSWER✔✔✨---the client reports command hallucinations
a client who has paranoid schizophrenia is attending a treatment planning conference with a family
member. during the discussion of the medication adherence portion of the plan, a nurse notices that the
family member seems distracted. which of the following actions should the nurse take? -
ANSWER✔✔✨---ask the family member if they have any thoughts or questions about the treatment
plan
, a nurse is planning care for an adolescent who is being admitted to an acute care unit following a suicide
attempt. which of the following interventions should the nurse identify as the priority? -
ANSWER✔✔✨---arrange one-to-one observation of the client
a nurse is caring for a group of clients. which of the following findings should the nurse report? -
ANSWER✔✔✨---a client who is taking lamotrigine and has developed a rash
a nurse is planning care for a client who is experiencing acute mania. which of the following
interventions should the nurse include in the plan to promote sleep? - ANSWER✔✔✨---encourage
frequent rest periods throughout the day
a nurse is reviewing routine lab values for several clients who are taking lithium carbonate. which of the
following clients should the nurse assess further for findings indicating lithium toxicity? -
ANSWER✔✔✨---a client who has a sodium level of 128 mEq/L
a nurse is discussing the home care of a client who has advanced Alzheimer's disease with the client's
partner, who is planning to go out of town for several days. which of the following resources should the
nurse recommend to the caregiver? - ANSWER✔✔✨---respite care
a home health nurse is assessing an older adult client whose sibling is the primary caregiver. which of
the following findings should the nurse identify as a possible indicator of neglect? - ANSWER✔✔✨---
inappropriate dress
a community health nurse is planning an education program about depressive disorders. which of the
following factors should the nurse include as increasing the risk for depression? - ANSWER✔✔✨---
substance use disorder
a nurse is admitting a female client who has anorexia nervosa. which of the following manifestations
should the nurse expect during the admission assessment? - ANSWER✔✔✨---orthostatic
hypotension