and Answer 2026 | Complete Study Guide
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• a nurse is documenting admission assessment findings for a client
who has major depressive disorder. the nurse should identify which of
the following findings as clinical manifestations? -✓✓-feelings of
hopelessness
-anhedonia
-flat facial expression
• a nurse is admitting a client who has alcohol use disorder. which of
the following statements by the client indicates that the client is using
denial as a defense mechanism? -✓✓"I am able to go to work every
day, so I don't have a problem."
• a nurse is admitting a client who has anorexia nervosa and is at 60%
of ideal body weight. which of the following interventions should the
nurse include in the plan of care? -✓✓encourage the client to drink
125 mL of fluid each hour while awake.
• a nurse is caring for a client who has schizophrenia and is
experiencing psychosis. the nurse should identify that which of the
following findings indicates a potential psychiatric emergency? -✓✓the
client reports command hallucinations
,• a client who has paranoid schizophrenia is attending a treatment
planning conference with a family member. during the discussion of the
medication adherence portion of the plan, a nurse notices that the
family member seems distracted. which of the following actions should
the nurse take? -✓✓ask the family member if they have any thoughts
or questions about the treatment plan
• a nurse is planning care for an adolescent who is being admitted to an
acute care unit following a suicide attempt. which of the following
interventions should the nurse identify as the priority? -✓✓arrange
one-to-one observation of the client
• a nurse is caring for a group of clients. which of the following findings
should the nurse report? -✓✓a client who is taking lamotrigine and has
developed a rash
• a nurse is planning care for a client who is experiencing acute mania.
which of the following interventions should the nurse include in the
plan to promote sleep? -✓✓encourage frequent rest periods
throughout the day
• a nurse is reviewing routine lab values for several clients who are
taking lithium carbonate. which of the following clients should the
nurse assess further for findings indicating lithium toxicity? -✓✓a client
who has a sodium level of 128 mEq/L
, • a nurse is discussing the home care of a client who has advanced
Alzheimer's disease with the client's partner, who is planning to go out
of town for several days. which of the following resources should the
nurse recommend to the caregiver? -✓✓respite care
• a home health nurse is assessing an older adult client whose sibling is
the primary caregiver. which of the following findings should the nurse
identify as a possible indicator of neglect? -✓✓inappropriate dress
• a community health nurse is planning an education program about
depressive disorders. which of the following factors should the nurse
include as increasing the risk for depression? -✓✓substance use
disorder
• a nurse is admitting a female client who has anorexia nervosa. which
of the following manifestations should the nurse expect during the
admission assessment? -✓✓orthostatic hypotension
• a nurse is caring for a client whose child has a terminal illness. the
client requests information about how to deal with the upcoming loss.
which of the following statements should the nurse make? -✓✓"it is
not uncommon to feel angry toward yourself or others."
• a nurse on a mental health unit is caring for a recently admitted
client.