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2026-2027 update b b
A nurse is assisting with the planning of a therapeutic support group for individuals who have bulimia n
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ervosa. Which of the following tasks should the nurse include during the orientation phase of group dev
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elopment?
A. determine the rules that the group will follow b b b b b b b
B. address disagreements among group members
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C. help clients work through the grief response
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D. transition from the role of leader to facilitator -
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✔✔ANS determine the rules that the group will follow
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*during the orientation phase of group development, the nurse should determine the rules that apply to t
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he group and ensure that all members understand these rules. Examples of rules to be discussed include c
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onfidentiality and meeting times. b b b
A nurse is providing support for a client who is grieving the loss of her mother who died from Alzeimer's
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disease. Which of the following statements should the nurse offer?
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A. "I know how you must be feeling. I recently lost my father."
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B. "Dealing with your mother's death must be difficult for you."
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,C. "Knowing your mother is in a better place provides you with some comfort."
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D. "I want you to let me know what I can do to help you cope with your mother's death." -
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✔✔ANS "Dealing with your mother's death must be difficult for you."
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*The nurse should use therapeutic communication when supporting a client who is grieving. This state
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ment keeps the focus of the conversation on the client by acknowledging her grief and encourages furth
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er communication."
b
A nurse in the emergency room is collecting data from a client who has heroin intoxication. Which of th
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e following findings should the nurse expect?
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A. Seizure activity b
B. Respiratory depression b
C. Hypersensitivity to pain b b
D. Increased mental alertness - ✔✔ANS Respiratory depression
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*Heroin is an opioid; therefore, the nurse should expect this client who has heroin intoxication to exhibit r
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espiratory depression. b
A nurse on a mental health unit is caring for a client who is displaying signs of anger. Which of the follow
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ing pieces of information about the client is the strongest indicator that the client might become aggres
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sive?
A. The client has marginal coping skills
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B. The client has a history of violence
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,C. The client feels powerless after being hospitalized
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D. The client blames others for her problems - ✔✔ANS The client has a history of violence
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*The client's history of violence is the most important indicator that this client might become violent; th
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erefore, this is the strongest indicator of potential aggressiveness.
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A nurse is reinforcing teaching with the caregiver of a client who has dementia. Which of the following i
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nstructions should the nurse include in the teaching?
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A. Offer the client a list of activities to choose from
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B. Offer finger foods to the client
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C. Discourage naps throughout the day b b b b
D. Turn on the television when the client is in the room - ✔✔ANS
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Offer finger foods to the client
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*The caregiver should offer finger foods that the client can eat without sitting down. Clients who have de
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mentia often like to wander and walk off nervous energy, which can decrease anxiety and calm the client.
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A nurse is contributing to the plan of care for a client with bipolar disorder who has acute mania. Which
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of the following interventions should the nurse recommend including in the plan?
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A. Provide the client with a low-calorie, low-fat diet
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B. Encourage the client to have frequent rest periods
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, C. Escort the client to daily group therapy b b b b b b
D. Limit the client's intake of caffeinated beverages to 12 oz per day -
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b ✔✔ANS Encourage the client to have frequent rest periods
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*The nurse should recommend encouraging frequent rest periods throughout the day to decrease the
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client's risk of exhaustion from the constant activity associated with acute mania.
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A nurse is reviewing the plan of care for a client who has bipolar disorder. Which of the following is an effe
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ct of using cognitive behavioral therapy (CBT) for a client who has bipolar disorder?
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A. Prevents the need for mood-stabilizing medications b b b b b
B. Helps the client deal with distorted thought processes
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C. Aids in communication among family members
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D. Replaces the need for lifestyle interventions - b b b b b b
b ✔✔ANS Helps the client deal with distorted thought processes
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*CBT assists the client with recognizing distorted thought processes that are maladaptive with regards t
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o recovery. When experiencing mania, the client tends to view the future unrealistically as highly favora
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ble. CBT assists the client in recognizing and challenging such unrealistic or "automatic" thoughts and ca
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n help the client and the health care team recognize early trends toward mania
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A nurse is caring for a client in a mental health facility and overhears the client discussing plans to harm he
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r father-in-
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law physically when she is discharged. Which of the following interventions should the nurse take?
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