Realgrades

Nurse Ben performs Ms. Chois intial mental status assessment. Which of the following categories indicates correct nursing assessment findings? - correct answer Thought Content The client is experiencing a manic episode with grandiose thinking, racing thoughts and magical thinking. Nurse Ben continues to collect information related to ms. Choi episode of manic behavior. Which of the following responses to the question asked by the clients mothe...

A nurse is conducting a counseling session with a client who has a substance use disorder. The client repeatedly ask personal questions about the nurse. Which of the following actions should the nurse take? - correct answer Explain that this time is designated to focus on the client. A nurse is preparing to apply restaurants on a client who is threatening to harm others and has not responded to lessen case of interventions. Which of the following...

A nurse is planning care for a group of clients in an inpatient mental health facility. Which of the following tasks should the nurse delegate to an assistive personnel (AP)? - Update the plan of care for a client who has bipolar disorder - Weigh a newly admitted client who has anorexia nervosa - Lead a medication education group - Conduct a mental status exam on a client who is new to the unit - correct answer Weigh a newly admitted cli...

A charge nurse is discussing the mental status examinations with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? (Select all that apply) A. To assess cognitive ability, i should ask the client to count backward by sevens B. To assess affect, i should observe the clients facial expression C. To assess language ability, i should instruct client to write a sentence D. To assess remote memory, i should have the cli...

A school nurse is assessing a school-age child who experienced the traumatic 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-traumatic stress disorder (PTSD)? - correct answer Lack of interest in an upcoming holiday A nurse is caring for a group of clients. Which of the following findings should the nurse report? - correct answer ...

A charge nurse is discussing mental status examinations with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? (select all that apply.) A. "to assess cognitive ability,i should ask the client to count backward by sevens." B. "to assess affect, i should observe the client's facial expression." C. "to assess language ability, i should instruct the client to write a sentence." D. "to assess remote memory, ...

A nurse in an emergency department is caring for a femail adolescent who has a diagnosis of bulimia nervose and has a fainting episode during a ballet performance. Which of the following statements by the parent acknowledges the client's diagnosis? A. "She works so hard at ballet. Will she still be able to perform?" B. "She won't let me take the trash from her room. I'm concerned about what she has in there." C. "She told me she was tired, so I did her chores for her today." D. "Sh...

A nurse in a mental health clinic is caring for a client who has bipolar disorder and reports that they stopped taking lithium 2 weeks ago. The nurse should recognize which of the following as an expected adverse effect that might have caused the client to spot taking the medication? 1. Sore throat 2. Photophobia 3. Hand tremors 4. Constipation - correct answer Correct = 3. Hand Tremors - Fine hand tremors are an expected adverse effect of ...

A charge nurse is discussing mental status examinations with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates a need for further teaching? A. "To assess cognitive ability, I should ask the client to count backward by 7." B. "To assess affect, I should observe the client's facial expression." C. "To assess language ability, I should instruct the client to write a sentence." D. "To assess remote memory, I should have the client repeat a ...

A nurse is performing a cognitive assessment to distinguish delirium from dementia in a client whose family reports episodes of confusion. Which of the following assessment findings supports the nurse's suspicion of delirium? - correct answer Easily distracted Extreme distractibility is a hallmark manifestation of delirium. A nurse is caring for a client who gave birth to a stillborn baby. Which of the following statements should the nurse ma...