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1. A nurse is preparing to administer di- 1.5 mL
azepam 7.5mg IV Bolus to a client for al-
cohol withdrawal. Available is diazepam
injection 5mg/1mL. How many mL should
the nurse administer? (Round the answer
to the nearest tenth. Use a leading zero if
it applies. Do not use a trailing zero.)
2. A nurse is planning care for a client who "It is easier to talk about my feelings now."
has depression and has made frequent
suicide attempts. Which of the following
statements indicates the client has a de-
creased risk for suicide?
3. A nurse is discussing a 12 steps program The client should obtain a sponsor before dis-
with a client who has alcohol use disor- charge for an increased chance of recovery.
der and is in an acute facility undergoing
detoxification. Which of the following in-
formation should the nurse include in the
teaching?
4. A nurse on a mental health unit observes Call for a team of staff members to help with
a client who has acute mania hit anoth- the situation.
er client. Which of the following actions
should the nurse take first?
5. A nurse in a community health center is Guided imagery
working with a group of clients who have
post traumatic stress disorder. Which of
the following interventions should the
nurse include to reduce anxiety among
the group members?
, RN Mental Health Online Practice A (2023)
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6. A nurse is caring for a newly admitted POSITIVE: Delusions of grandeur, clang associ-
Client. ations, catatonia
For each potential finding, click to specify NEGATIVE: Algoia, withdrawl from social activi-
if the finding is consistent with positive or ties
negative symptoms of schizophrenia.
7. A nurse on a mental health unit is caring Temperature
for a client who has schizophrenia. After Bowel sounds
reviewing the client's medical record, the ANC level
nurse should notify the provider of which Myalgia
of the following findings? Heart rate
SELECT THE 5 UNEXPECTED FINDINGS
THAT REQUIRE NOTIFICATION OF THE
PROVIDER.
8. A nurse is caring for a client who has a Returned from exercise class in agitated state.
panic disorder.
Client tells the nurse, "That exercise instructor
Click to highlight the findings in the med- was one of my favorite people here. We had
ical record that indicate maladaptive uses so much in common. But now I know their true
of defense mechanisms. nature. She's evil!"
9. A nurse is caring for a client who has im- Anticipated:
paired cognitionA nurse is updating the When addressing the client, approach them
client's plan of care. For each of the fol- from the front when possible.
lowing potential nursing interventions, Give directions to the client slowly and in a
click to specify if the potential interven- moderate tone of voice.
tion is anticipated, nonessential, or con- Decrease sensory stimulation.
traindicated for the client: Assign the client to a room near the nurses'
station.