RN Mental Health Online Practice 2024 B with NGN (100% Verified Solutions)

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 answers Easily distracted A nurse is caring for a client who gave birth to a stillborn baby. Which of the following statements should the nurse make? correct answers "I'll stay with you just in case you want to talk." A nurse is caring for four clients in an emergency department. The nurse should identify that which of the following clients can give informed consent? correct answers A 35-year-old client who has major depressive disorder A nurse is teaching a newly licensed nurse about nursing care plans for clients who have depressive disorders. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? correct answers "I will update the plan of care as a client's manifestations of depression change." A nurse on a medical-surgical unit is assessing a client who sustained injuries 12 hr ago following a motor-vehicle crash. The client's admission blood alcohol level was 325 mg/dL. Which of the following findings should indicate to the nurse that the client is experiencing alcohol withdrawal? correct answers Blood pressure 154/96 mm Hg A nurse is planning care for a client who has made repeated physical threats toward others on the unit. Although the client does not want to leave the unit, the nurse requests the provider to transfer the client to a unit that is equipped to manage violent behavior. Which of the following ethical principles should the nurse apply in this situation? correct answers Nonmaleficence A nurse is discussing a 12-step program with a client who has alcohol use disorder and is in an acute care facility undergoing detoxification. Which of the following information should the nurse include in the teaching? correct answers The client should obtain a sponsor before discharge for an increased chance of recovery. A nurse is creating a plan of care for a client who has been placed in seclusion after threatening to harm others on the unit. Which of the following interventions should the nurse include in the plan? correct answers Renew the prescription for the client every 4 hr. A nurse is performing an admission assessment on a client and notices that the client appears withdrawn and fearful. To establish a trusting nurse-client relationship, which of the following actions should the nurse take first? correct answers Inform the client that this admission is confidential.