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1. a nurse is caring for a client the client will attend 3 groups per day by the end of the week
who is at risk for isolation.
which of the following is the
best outcome for this client?
2. a group of nurses is dis- "Some mental health clients are unaware that they have a mental
cussing the effectiveness health condition."
of nursing interventions "Some mental health clients experience cognitive deficits and
among clients who have cannot understand their treatment plan."
a mental health diagnosis. "Many mental health clients experience the effects of polyphar-
which of the following state- macy."
ments accurately identifies a "Many mental health clients experience worsening clinical mani-
barrier to effective nursing festations."
interventions (select all that
apply)?
3. a nurse is caring for a recognizing cues
client and notes that the
client has become increas-
ingly restless over the last
hour. This is an example of
which of the following steps
of the clinical judgement ac-
tion model (CJAM)?
4. a nurse on a behavioral The nurse should use observations, clinical presentation data,
health unit is discussing the and assessment findings to identify the client's mental health
tasks of the clinical judge- alteration.
ment action model with
a group of newly licensed
nurses. Which of the follow-
ing information about ana-
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lyzing cues should the nurse
include?
5. a nurse enters the day room, A client who is arguing with another client who is backed into a
observes the clients, and corner
performs a situational as-
sessment. Which of the fol-
lowing situations should the
nurse identify as the priority
to address?
6. a nurse is using the clinical - recognizing patterns
judgement action model to - linking cues
guide a clients care. which - determining what is concerning
of the following tasks is de- - determining the need for additional information
signed to facilitate the analy-
sis of cues (select all the ap-
ply)?
7. a nurse on a behavioral Milieu therapy is focused on creating a safe environment for
health unit is caring for a healing through trauma-informed therapeutic relationships."
newly admitted patient who
asks "what is milieu thera-
py?" which of the following
responses should the nurse
make?
8. a nurse is preparing to care address the clients aggressive behavior towards staff
for a client who is newly ad-
mitted. which of the follow-
ing actions should the nurse
take immediately?
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