A community mental fitness nurse is making plans strategies to cope with materials use by
using teens. Which of the subsequent interventions need to the nurse plan as a way of number
one prevention?
A. Offer substance use treatment alternatives for youngsters from low-earnings households.
B. Encourage the usage of random checking out for substance use for young people taking part
in extracurricular sports.
C. Educate high faculty instructors about a way to discover the manifestations of substance use.
D. Provide a presentation at location high colleges on resisting peer strain for substance use. -
ANS-D
A nurse asks an older person customer, "Did you have any visitors the previous day?" The
customer responds, "Yes, numerous members of my church choir came to se me." The nurse
knows that best the purchaser's daughter visited the day before. Which of the subsequent
cognitive impairments is the patron demonstrating?
A. Perseveration (repetition of phrases)
B. Confabulation (filling gaps in memory through fabrication)
C. Apraxia (lack of useful movement)
D. Agnosia (loss of sensory potential to recognize gadgets) - ANS-B
A nurse at a university campus health clinic is caring for a client who reviews manifestations of
bulimia nervosa. The customer tells the nurse, "I recognize my consuming binges and vomiting
are not everyday, however I can not manipulate it." Which of the following responses should the
nurse make?
A. "Why do you observed you're experiencing those behaviors of binges and vomiting?"
B. "Are different college students to your dorm additionally experiencing this behavior?"
C. "You are feeling helpless approximately converting this behavior?"
D. "You recognize you need to prevent due to the fact you are endangering your fitness." -
ANS-C
A nurse at an acute mental clinic is caring for a customer who has acute mania due to bipolar
disease. At 0300, the client runs to the nurse's station and demands to see the provider without
delay. Which of the subsequent responses must the nurse make?
A. "Your request is unreasonable. We cannot call your provider at 3:00 within the morning."
B. "If you can calm down for five minutes then I will call your company for you."
,C. "Calm down, move returned to your room, and are available lower back in 15 minutes and we
will communicate approximately how you're feeling."
D. "You should be very disenchanted approximately something to want to peer your company in
the midnight." - ANS-D
A nurse enters a client's room and observes that the customer is agitated and pacing
unexpectedly. The consumer looks at the nurse and says, "Back off. Leave me on my own."
Which of the subsequent statements ought to the nurse make?
A. "I demand which you relax now. Your behavior is unacceptable."
B. "I will close the door to offer privateness, and you could inform me what's bothering you."
C. "I will give you area in case you relax. Tell me what is inflicting you to sense so stressful."
D. "I will leave you on my own for a couple of minutes at the same time as you try to manipulate
your self." - ANS-C
A nurse in a intellectual fitness clinic is assessing a client who has a records of mania. Which of
the following findings indicates that the patron is experiencing a relapse?
A. Weight benefit
B. Ritualistic conduct
C. Anhedonia
D. Pressured speech - ANS-D
A nurse in a mental fitness hospital is worrying for a customer who has bipolar ailment and
states, "I no longer take my medication because I just like the feeing of being manic." Which of
the following responses via the nurse is an example of therapeutic communique?
A. "You might feel right now, but what approximately when you get depressed?"
B. "Why do you suspect you like feeling manic?"
C. "You feel higher while you don't take your medication?"
D. "What do you think your issuer will say approximately you going off your medicinal drug?" -
ANS-C
A nurse in a mental health sanatorium is worrying for a purchaser who states, "I think I might
have a trouble with alcohol." Which of the subsequent movements have to the nurse take first?
A. Provide the purchaser with records approximately a 12-step healing software.
B. Encourage the customer to just accept obligation for his alcohol use.
C. Teach the consumer change coping mechanisms to use in area of alcohol.
D. Ask the consumer to finish a CAGE Questionnaire. - ANS-D
A nurse in a intellectual hospital is caring for a consumer who has generalized tension disease.
Which of the subsequent statements must the nurse make?
, A. "We'll assist you with making choices."
B. "Someone will work with you if you have flashbacks."
C. "You'll be going through aversion remedy to help you cope."
D. "The remedy will assist you control your impulses." - ANS-A
A nurse in a intellectual health center is reviewing confidentiality requirements with a newly
licensed nurse. Which of the following statements via the newly licensed nurse shows an
expertise of the information?
A. "I am legally required to inform a patron's agency about a substance use sickness."
B. "If a customer is involuntarily committed, I can speak records with the purchaser's next of
kinfolk."
C. "I can talk a client's remedy with others so long as they may be personnel of the power."
D. "I must maintain statistics personal even after a patron dies." - ANS-D
A nurse in a pediatric emergency department is caring for 4 clients. The nurse must suspect
possible abuse with which of the subsequent customers?
A. A 14-month-old toddler who has lately found out to walk and has many bruises on bony
prominences in diverse stages of recuperation
B. A 9-month-old toddler who reportedly almost drowned after hiking into the tub and turning on
the water
C. A 6-12 months-antique little one who has a fracture of the tibia and fibula, which reportedly
befell even as driving a bicycle
D. A 3-year-old little one who has burns in a dash sample over the face and chest, reportedly
sustained when a tablecloth become pulled, spilling a teapot - ANS-B
A nurse in an emergency department is worrying for a female consumer who has ecchymosis of
the trunk and face. The purchaser reports that her partner hit her, causing the injuries. When
offered information approximately shelters for intimate companion violence, the purchaser
declines, mentioning, "I ought to by no means depart my husband because of my kids." Which
of the subsequent responses ought to the nurse make?
A. "Aren't you worried approximately the safety of your youngsters?"
B. "Can you pick out your behaviors that provoke your associate?"
C. "The subsequent time this occurs, what may you do to ensure your protection?"
D. "You want to remove yourself and your children from the abusive scenario." - ANS-C
A nurse in an emergency branch is caring for an 18-month-old toddler who has a fractured left
femur. Which of the following statements by the infant's parent should reason the nurse to
suspect toddler abuse?
A. "My toddler fell down the stairs."
B. "My infant turned into driving a bicycle and fell off."