NUR 2488 mental health nursing EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

EXAM

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Psych 2026 A+ GRADE ASSURED COMPLETE SOLUTION zm zm zm zm zm zm




S AND VERIFIED ANSWERS (421AF)
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QUESTION 1 zm




Which activity would the nurse include in the plan of care for a client with mania wh
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o is experiencing psychomotor agitation? 1 Playing checkers with members of the staf
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f 2 Reading in a quiet, low-
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stimulus environment 3 Engaging in a card game with other clients on the unit 4 Atte
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nding a clay-molding class that is scheduled for today
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ANSWER

4 Rationale:When a client is experiencing psychomotor agitation, it is best to provide activities that i
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nvolve the use of hands and gross motor movements. Such activities can include volleyball, finger pa
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inting, drawing, and working with clay. These activities provide an appropriate way for the client to
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mdischarge motor tension. Reading and simple card games are sedentary activities. Playing checkers r
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equires concentration and more intensive use of thought processes.
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QUESTION 2 zm




An anxious client is experiencing respiratory alkalosis from hyperventilation caused b
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y anxiety. The nurse would take which action to help the client experiencing this acid-
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base disorder? 1- zm zm



Put the client in a supine position. 2Provide emotional support and reassurance. 3Wit
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hhold all sedative or antianxiety medications. 4Tell the client to breathe deeply but m
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ore rapidly. zm




ANSWER

2 Rationale:An anxious client benefits from emotional support and reassurance, which in turn reduce
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s anxiety and may lower the respiratory rate. The client may benefit from the administration of a se
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dative or antianxiety medication if it is prescribed. The client would try to breathe more slowly. Lyi
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ng supine provides no benefit to the client and may cause problems with breathing.
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QUESTION 3 zm

, The nurse notes that a client's lithium level is 3.9 mEq/L (3.9 mmol/L). What is the n
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urse's priority action in response to this finding? 1-
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Determining visual acuity 2Assisting with ambulation 3Monitoring intake and output
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4Instituting seizure precautions zm zm




ANSWER

4 Rationale:A therapeutic regimen aims at a serum lithium level of 0.6 to 1.2 mEq/L (0.6 to 1.2 mm
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ol/L). A toxic level is greater than 1.5 mEq/L (1.5 mmol/L). A level of 3.9 mEq/L (3.9 mmol/L) is i
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n the toxic range, and seizures may occur at levels of 3.5 mEq/L (3.5 mmol/L) and higher. Options
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1, 2, and 3 are indicated, but none of these is the priority intervention.
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QUESTION 4 zm




When planning the discharge of a client with chronic anxiety, the nurse directs the go
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als at promoting a safe environment at home. Which is the most appropriate mainten
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ance goal? 1 Suppressing feelings of anxiety 2 Identifying anxiety-
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producing situations 3 Continuing contact with a crisis counselor 4 Eliminating all anx
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iety from daily situations
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ANSWER

2 Rationale:Recognizing situations that produce anxiety allows the client to prepare to cope with an
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xiety or avoid a specific stimulus. Counselors will not be available for all anxiety-
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producing situations, and this option does not encourage the development of internal strengths. Sup
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pressing feelings will not resolve anxiety. Elimination of all anxiety from life is impossible.
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QUESTION 5 zm




The nurse is planning activities for a client diagnosed with bipolar disorder with aggr
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essive social behavior. Which activity would be most appropriate for this client? 1 Che
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ss 2 Writing 3 Ping pong 4 Basketball
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ANSWER

2 Rationale:Solitary activities that require a short attention span with mild physical exertion are the
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most appropriate activities for a client who is exhibiting aggressive behavior. Writing (journaling), w
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alks with staff, and finger painting are activities that minimize stimuli and provide a constructive rel
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ease for tension. The remaining options have a competitive element to them and should be avoided
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because they can stimulate aggression and increase psychomotor activity.
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QUESTION 6 zm




The nurse is developing a plan of care for a client who experiences anxiety after the l
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oss of a job. The client is verbalizing concerns regarding the ability to meet role expe
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ctations and financial obligations. What is the priority nursing problem for this client?
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m1 Panic 2 Unrealistic outlook 3 Lack of ability to cope effectively 4 Disturbances in th
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oughts and ideas zm zm