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A nurse is caring for a client who has bipolar disorder and is experiencing
mania. Which of the following actions is the nurse's priority? - CORRECT
ANSWER - Determine if the client is a danger to themselves
A nurse is reinforcing discharge teaching with the guardians of an adolescent
who has bipolar disorder. Which of the following manifestations should the
nurse identify as an indication of acute mania? (Select all that apply.) -
CORRECT ANSWER - spends excessive amount of money and speaks using a
loud and crass voice
A nurse is collecting data from a client who has schizophrenia and was recently
admitted to acute care. Which of the following findings should the nurse
expect? - CORRECT ANSWER - Associative looseness
A nurse is discussing the benefits of group therapy with a client who has bipolar
disorder. The nurse should identify which of the following as an advantage of
this form of treatment? - CORRECT ANSWER - the chance to learn from the
experiences of others
A nurse in a provider's office is reviewing the laboratory reports of a client who
has bulimia nervosa. Which of the following laboratory values indicates a
therapeutic response to the treatment plan? - CORRECT ANSWER - BUN 15
A nurse is reviewing the medical record of a client who has bulimia nervosa.
Which of the following findings should the nurse expect? - CORRECT
ANSWER - dental erosion
,A nurse is reinforcing teaching with the guardian of a female adolescent client
who has bulimia nervosa. Which of the following statements by the guardian
indicates an understanding of the teaching? - CORRECT ANSWER - it is
important for my daughter to have regular dental check up
A nurse on a mental health unit is preparing to discharge a client who has
bulimia nervosa. Which of the following medications should the nurse expect
the provider to prescribe for the client? - CORRECT ANSWER - fluoxetine
A nurse on an eating disorders acute care unit is collecting data from a client
and observes the presence of lanugo on her skin. The nurse should identify that
this finding is consistent with which of the following eating disorders? -
CORRECT ANSWER - Anorexia nervosa
A nurse is providing discharge teaching to the parent of an adolescent client
who has bulimia nervosa and has been hospitalized for several weeks. Which of
the following statements should the nurse identify as an indication that the
parent understands the teaching? - CORRECT ANSWER - I should allow my
child to make independent decisions
A nurse is caring for a client who was just admitted for treatment of anorexia
nervosa. Which of the following actions should the nurse take? - CORRECT
ANSWER - Stay with the client during meals and for 1 hr afterward
A nurse on a mental health unit is planning care for a client who has anorexia
nervosa with purging behaviors. Which of the following interventions should
the nurse include in the plan? - CORRECT ANSWER - stay with the client 1
hour following meals
A nurse is contributing to the plan of care for a client who has binge-eating
disorder. Which of the following interventions should the nurse recommend? -
CORRECT ANSWER - provide the client with small frequent meals
,A nurse is caring for a client who has cirrhosis of the liver due to alcohol use
disorder. Which of the following findings should the nurse expect? -
CORRECT ANSWER - Ascites
A nurse is reviewing laboratory reports of a client who has anorexia and is
malnourished. Which of the following results should the nurse report to the
provider immediately? - CORRECT ANSWER - potassium 2.9mEql
A nurse is assisting with the collection of admission data for a client who has
anorexia nervosa. The client has lost 11.4 kg (25 lb) over the past month and
currently weighs 38.6 kg (85 lb). The nurse should expect which of the
following findings? - CORRECT ANSWER - Amenorrhea
A nurse is assisting with the collection of admission data for a client who has
anorexia nervosa. The client has lost 11.4 kg (25 lb) over the past month and
currently weighs 38.6 kg (85 lb). The nurse should expect which of the
following findings? - CORRECT ANSWER - Alopecia
A nurse is contributing to the plan of care for a client who has anorexia nervosa.
Which of the following actions should the nurse recommend including in the
plan? - CORRECT ANSWER - Schedule a specific time for the client to eat
A nurse is collecting admission data from a client who has anorexia nervosa.
Which of the following findings should the nurse expect? - CORRECT
ANSWER - strenuous exercise regimen
A nurse is contributing to the plan of care for a client who has anorexia nervosa.
The nurse should identify that which of the following actions is contraindicated
for this client? - CORRECT ANSWER - permitting the client to spend some
quiet time alone after each meal
, A nurse is caring for a client who has anorexia nervosa. The client states, "If I
gain weight, I'll never get a boyfriend." Which of the following cognitive
distortions is the client displaying? - CORRECT ANSWER - catastrophizing
A nurse is caring for a client with anorexia nervosa who has light skin. Which of
the following findings should the nurse expect? - CORRECT ANSWER -
presence of lanugo
A nurse is caring for an adolescent male client who has anorexia nervosa. The
client asks, "Have I done any permanent damage to my body?" Which of the
following responses should the nurse make? - CORRECT ANSWER - what
concerns do you have about your physical health
A nurse on an eating disorders acute care unit is collecting data from a client
and observes the presence of lanugo on her skin. The nurse should identify that
this finding is consistent with which of the following eating disorders? -
CORRECT ANSWER - anorexia nervosa
A nurse is teaching a client who has bipolar disorder and a new prescription for
lithium. The nurse should identify that which of the following statements by the
client indicates an understanding of the teaching? - CORRECT ANSWER - i
am likely to gain weight while taking lithium
A nurse is caring for a client who has bipolar disorder. After the client is
prescribed lithium, his adult child states, "I'm upset that my father is taking this
medication." Which of the following responses should the nurse make? -
CORRECT ANSWER - tell me what worries you about your father taking this
medication
A nurse is reviewing the medications of a client who has bipolar disorder and a
new prescription for lithium. The nurse can safely administer which of the
following medications while this client is taking lithium? - CORRECT
ANSWER - valproic acid