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A female client who is wearing dirty clothes and has foul body
odor, comes to the clinic reporting feeling scared because she is
being stalked. What action is most important for the RN to take?
A. Offer the client a safe place to relax before interviewing her.
B. Ask the client to describe why she is being stalked.
C. Recommend that the client talk with a social worker.
D. Assure the client that the HCP will see her today.
During an annual physical by the occupational RN working in a
corporate clinic, a male employee tells the RN that is high-stress
job is causing trouble inhis personal life. He
further explains that he often gets
a bsoi rb
a n.cg o mry/hwe hs i ile
d ri vi ng to and from
work that he has considered “getting even” with other drivers.
Howshould the RNrespond?
A. “Anger is contagious and coualdbirrebs.ucltoimn
m/haejosri confrontation.”
B. “Try not to let your anger cause you to act impulsively.”
C. “Expressing your anger to a stb ra
ir bn . g
c oe m
r c/ oh euls d ir e su
lt in anunsafe situation.”
D. “It sounds as if there are many situations that make you feel angry.”
A client who has agoraphobia (a feaar boifrbcr.ocwodms/)hisesbei ginning
desensitization with the therapist, and the RN is reinforcing the process.
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Which intervention has the highest priority
for this client’s abirb.com/hesi
plan ofcare?
A. Encourage substitution of positive thoughts
andnegative ones. B. Establish trust by
providing a
acablimrb, .scaofeme/nhveirsoinment.
C. Progressively expose the client to larger crowds.
D. Encourage deep breathing
wahebnirban.cxoiemty/hesecsailates in a crowd.
Which nursing actions are likely to help promote the self-esteem of
a maleclient with
modern abirb.com/hesi
depressio
n?
A. Ask the client what his long term goals are.
B. Discuss the challenges of his medical condition.
C. Include the client in determining treatment protocol.
D. Encourage the client to engage in recreational therapy.
E. Provide opportunities for the client to discuss his concerns
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A client with depression remains in bed most of the day, and
declines activities. Which nursing problem has the greatest priority
for this client?
A. Loss of interest in diversional activity.
B. Social isolation.
C. Refusal to address nutritional needs.
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D. Low self-esteem.
The RN is preparing medications for a client with bipolar
disorder and notices that the client discontinued antipsychotic
medication for several days. Which medication should also be
discontinued?
a. Lithium. (Lithotabs)
b. Benzotropine (Cogentin).
c. Alprazolam (Xanax).
d. Magnesium (Milk of Magnesia).
A female client requests that her husband be allowed to stay in
the roomduring the admission assessment. When interviewing
the client, the RN notes a discrepancy between the client’s
verbal and nonverbal communication. What action does the RN
take?
A. Pay close attention and
docuambeinrbt .tcheomno/nhveesribal messages.
B. Ask the client’s husband to interpret the discrepancy.
C. Ignore the nonverbal behavioar banirdb.foccoums /ohnetshie
client’s verbal messages.
D. Integrate the verbal and nonverbal messages and
interpret them asone.
A male client approaches the RN
withaabnirabn.gcroymex/hpreessision on his face and raises his
voice, saying “My roommate is the most selfish, self- centered,