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A Mental Health Worker Is Caring For A Client With Escalating Aggressive Behavior. Which Action By The
Mhw Warrant Immediate Intervention By The Rn?
A. Is Attempting To Physically Restrain The Patient.
B. Tells The Client To Go To The Quiet Area Of The Unit.
C. Is Using A Loud Voice To Talk To The Client.
D. Remains At A Distance Of 4 Feet From The Client.
ANSWER>> A. Is Attempting To Physically Restrain The Patient.
A Client Is Admitted To The Mental Health Unit And Reports Taking Extra Antianxiety Medication
Because, "I'm So Stressed Out. I Just Want To Go To Sleep." The Rn Should Plan One-On-One
Observation Of The Client Based On Which Statement?
A. "What Should I Do? Nothing Seems To Help."
B. "I Have Been So Tired Lately And Needed To Sleep."
C. "I Really Think That I Don't Need To Be Here."
D. "I Don't Want To Walk. Nothing Matters Anymore."
ANSWER>> D. "I Don't Want To Walk. Nothing Matters Anymore."
The Rn Is Performing Intake Interviews At A Psychiatric Clinic. A Female Client With A Known History Of
Drug Abuse Reports That She Had A Heart Attack Four Years Ago. Use Of Which Substance Places The
Client At Highest Risk For Myocardial Infarction?
A. Benzodiazepine
B. Alcohol
C. Methamphetamine
D. Marijuana
, ANSWER>> C. Methamphetamine
A Male Client Comes To The Emergency Center Because He Has An Erection That Will Not Resolve. The
Client Reports That He Is Taking Trazodone (Desyrel) For Insomnia. Which Information Is Most Important
For The Nurse Ask The Client?
A. When Was The Last Time You Drank Alcoholic Beverage?
B. Have You Taken Any Medications For Erectile Dysfunction?
C. Are You Having Any Other Sexual Dysfunctions Or Problems?
D. Do You Have A History Of Angina Or High Blood Pressure?
ANSWER>> B. Have You Taken Any Medications For Erectile Dysfunction?
A Female Client Admitted To The Mental Health Unit Starts To Shout And Scream At The Rn. What Is The
Best Approach For The Rn To Take?
A. Stay Quietly With The Patient
B. Tell Her That She Is Out Of Control.
C. Distract Her By Offering Her Finger Foods.
D. Ignore The Client's Acting Out Behavior.
ANSWER>> A. Stay Quietly With The Patient
When Developing A Plan Of Care For A Client Admitted To The Psychiatric Unit Following Aspiration Of A
Caustic Material Related To A Suicide Attempt, Which Nursing Problem Has The Highest Priority?
A. Impaired Comfort.
B. Risk For Injury.
C. Ineffective Breathing Pattern.