LATEST 2026 UPDATE WITH VERIFIED SOLUTIONS
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A client is admitted to a medical nursing unit with a diagnosis of acute blindness.
Many tests are performed, and there seems to be no organic reason why this client
cannot see. The client became blind after witnessing a hit-and-run car accident, when
a family of three was killed. A nurse suspects that the client may be experiencing a:
1) Psychosis
2) Repression
3) Conversion Disorder
4) Dissociative Disorder
3) Conversion Disorder
A manic client announces to everyone in the day room that a stripper is coming to
perform this evening. When a nurse firmly states that this is inappropriate and will
not happen, the client becomes verbally abusive and threatens physical violence to
the nurse. Based on the analysis of this situation, the nurse determines that the
appropriate action would be to:
1) Orient the client to time, person, and place
2) Tell the client that the behavior is inappropriate
3) Escort the manic client to her room, with assistance
4) Tell the client that smoking privileges are revoked for 24 hours
3) Escort the manic client to her room, with assistance
A nurse observes that a client is pacing, agitated, and presenting aggressive
gestures. The client's speech pattern is rapid, and affect is belligerent. Based on
these observations, the nurse's immediate priority of care is to:
1) Provide safety for the client and other clients on the unit
2) Provide the clients on the unit with a sense of comfort and safety
3) Assist the staff in caring for the client in a controlled environment
4) Offer the client a less stimulated area to calm down and gain control
1) Provide safety for the client and other clients on the unit
, Select the nursing interventions for a hospitalized client with mania who is exhibiting
manipulative behavior. Select all that apply.
1) Communicate expected behaviors to the client
2) Ensure that the client knows that he or she is not in charge of the nursing unit
3) Assist the client in identifying ways of setting limits on personal behaviors
4) Follow through about the consequences of behavior in a non punitive manner
5) Enforce rules and inform the client that he or she will not be allowed to attend
therapy groups
6) Be clear with the client regarding the consequences of exceeding limits that have
been set regarding behavior
1) Communicate expected behaviors to the client
3) Assist the client in identifying ways of setting limits on personal behaviors
4) Follow through about the consequences of behavior in a non punitive manner
6) Be clear with the client regarding the consequences of exceeding limits that have been
set regarding behavior
A nurse determines that the wife of an alcoholic client is benefitting from attending
an Al-Anon group when the nurse hears the wife say:
1) "I no longer feel that I deserve the meetings my husband inflicts on me."
2) "My attendance at the meetings has helped me to see that I provoke my husbands
violence."
3) "I enjoy attending the meetings because they get me out of the house and away
from my husband."
4) "I can tolerate my husband's destructive behaviors now that I know they are
common with alcoholics."
1) "I no longer feel that I deserve the meetings my husband inflicts on me."
A nurse is reviewing the assessment data of a client admitted to the mental health
unit. The nurse notes that the admission nurse documented that the client is
experiencing anxiety as a result of a situational crisis. The nurse determines that this
type of crisis is caused by:
1) Witnessing a murder
2) The death of a loved one
3) A fire that destroyed the client's home
4) A recent rape episode experienced by the client
2) The death of a loved one