Exam 2 ATI
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A nurse is reviewing the medical C) Aspartate aminotransferase (AST)
record of a client who reports
drinking three to four glasses of wine
each night and taking 3,000 mg of
acetaminophen daily. Which of the
following laboratory values is the
priority for the nurse to assess?
A) Amylase
B) Creatinine
C) Aspartate aminotransferase (AST)
D) Antidiuretic hormone (ADH)
,A nurse at a college campus mental B) Projection
health counseling center is caring for
a student who just failed an
examination. The student spends the
session berating the teacher and the
course. The nurse should recognize
this behavior as which of the
following defense mechanisms?
A) Conversion
B) Projection
C) Undoing
D) Regression
A nurse in the emergency C) Severe
department is caring for a client who
reports chest pain, headache, and
shortness of breath. He continues to
state, "I don't know why my wife left
me." The client receives a diagnosis
of anxiety. The nurse realizes the
client's findings support which level
of anxiety?
A) Mild
B) Moderate
C) Severe
D) Panic
,A nurse on the psychiatric unit is D) Urinary frequency
assessing a client who has moderate
anxiety disorder. Which of the
following findings should the nurse
expect?
A) Rapid speech
B) Chills
C) Distorted perceptual field
D) Urinary frequency
A nurse is caring for a client who has D) Decrease anxiety to a tolerable level.
been diagnosed with obsessive
compulsive disorder (OCD) and is
constantly picking up after others in
the day room. The nurse should
recognize that the client uses this
behavior to do which of the
following?
A) Limit the amount of time available
to interact with others.
B) Focus attention on meaningful
tasks.
C) Manipulate and control others'
behaviors.
D) Decrease anxiety to a tolerable
level.
, A nurse in an acute mental health D) Speak to the client calmly, giving simple
facility is caring for a client who directions.
jumps out of her chair and begins to
shout angrily at the clients around
her. Which of the following actions
should the nurse take first?
A) Call for assistance to place the
client in restraints.
B) Escort the client to an unlocked
seclusion room.
C) Offer the client a PRN antianxiety
medication.
D) Speak to the client calmly, giving
simple directions.
A nurse is caring for an adolescent A) Amenorrhea
female who has an eating disorder. C) Altered body image
The client is 162.6 cm (64 in) tall and D) Hyperactivity
weighs 38.56 kg (85 lb). Upon E) Bradycardia
assessment, which of the following
manifestations should the nurse
expect? (Select all that apply.)
A) Amenorrhea
B) Verbalized desire to gain weight
C) Altered body image
D) Hyperactivity
E) Bradycardia
Leave the first rating
Save
Terms in this set (70) Hide definitions
A nurse is reviewing the medical C) Aspartate aminotransferase (AST)
record of a client who reports
drinking three to four glasses of wine
each night and taking 3,000 mg of
acetaminophen daily. Which of the
following laboratory values is the
priority for the nurse to assess?
A) Amylase
B) Creatinine
C) Aspartate aminotransferase (AST)
D) Antidiuretic hormone (ADH)
,A nurse at a college campus mental B) Projection
health counseling center is caring for
a student who just failed an
examination. The student spends the
session berating the teacher and the
course. The nurse should recognize
this behavior as which of the
following defense mechanisms?
A) Conversion
B) Projection
C) Undoing
D) Regression
A nurse in the emergency C) Severe
department is caring for a client who
reports chest pain, headache, and
shortness of breath. He continues to
state, "I don't know why my wife left
me." The client receives a diagnosis
of anxiety. The nurse realizes the
client's findings support which level
of anxiety?
A) Mild
B) Moderate
C) Severe
D) Panic
,A nurse on the psychiatric unit is D) Urinary frequency
assessing a client who has moderate
anxiety disorder. Which of the
following findings should the nurse
expect?
A) Rapid speech
B) Chills
C) Distorted perceptual field
D) Urinary frequency
A nurse is caring for a client who has D) Decrease anxiety to a tolerable level.
been diagnosed with obsessive
compulsive disorder (OCD) and is
constantly picking up after others in
the day room. The nurse should
recognize that the client uses this
behavior to do which of the
following?
A) Limit the amount of time available
to interact with others.
B) Focus attention on meaningful
tasks.
C) Manipulate and control others'
behaviors.
D) Decrease anxiety to a tolerable
level.
, A nurse in an acute mental health D) Speak to the client calmly, giving simple
facility is caring for a client who directions.
jumps out of her chair and begins to
shout angrily at the clients around
her. Which of the following actions
should the nurse take first?
A) Call for assistance to place the
client in restraints.
B) Escort the client to an unlocked
seclusion room.
C) Offer the client a PRN antianxiety
medication.
D) Speak to the client calmly, giving
simple directions.
A nurse is caring for an adolescent A) Amenorrhea
female who has an eating disorder. C) Altered body image
The client is 162.6 cm (64 in) tall and D) Hyperactivity
weighs 38.56 kg (85 lb). Upon E) Bradycardia
assessment, which of the following
manifestations should the nurse
expect? (Select all that apply.)
A) Amenorrhea
B) Verbalized desire to gain weight
C) Altered body image
D) Hyperactivity
E) Bradycardia
