1.     A nurse is preparing to meet with a client who was recentlyadmitted to an outpatient mental health facility…. Should

  

1.     A nurse is preparing to meet with a client who was recentlyadmitted to an outpatient mental health facility…. Should the nurse plan to take during the working phase of the nurse client relationship?a.      Inform the client about the confidentiality issuesb.     Assist the client to make changes in her behaviorc.      Identify the goals that the client achieved during the relationshipd.     Discuss the clients’ responsibilities for the relationship2.     Medical record of 4 clients, which should the nurse identify as a risk factor for violent behavior?a.      Schizoid personality disorderb.     Alcohol intoxicationc.      Dysrhythmic behaviord.     Long term isolation3.     A nurse is caring for a group of clients on a mental health unit. For which of the…. Appropriate agency?a.      A client who reports lying to his provider about having suicidialdeationb.     A client who reports that her partner ties their child to a bed as punishmentc.      A client who reports that she took $20 from the cash register where she worksd.     A client who reports that he enjoys smoking marijuana on weekends4.     A nurse in a mental health clinic is reviewing laboratory results for a client who is prescribed risperidone. The nurse should notify the provider of which of the following findings?a.      Blood glucose 175 mg/dLb.     Serum sodium 140 mEq/Lc.      Platelets 250,000/mm3d.     Aspartate aminotransferase 20 units/L5.     A nurse is caring for a client who has a new diagnosis of metastatic lung cancer. The client states “I can’t think about that until after my first grandchild is born next week”. The nurse should identify the client’s statement as indicating the maladaptive use of which of the following defense mechanisms?a.      Compensationb.     Suppressionc.      Regressiond.     Sublimation6.     A nurse is planning care for an adolescent who has autism spectrum disorder. Which of the…. Plan of care?a.      Changes behavior as a result of peer pressureb.     Acknowledges that his delusions are not realc.      Meets own needs without manipulating othersd.     Initiates social interactions with caregivers7.     A nurse is caring for a client who has alcohol use disorder and is experiencing…nurse expect to administer first?a.      Naltrexoneb.     Disulfiramc.      Acamprosated.     Lorazepam8.     A nurse is caring for a client who has major depression disorder. After discussing the treatment with his partner. The client verbally agrees to electroconvulsive therapy (ECT) but will not sign the consent form. Which of the following actions should the nurse take?a.      Request that the clients partner sign the consent formb.     Cancel the scheduled ECTc.      Proceed with preparation for ECT based on implied consentd.     Inform the client about the risks of refusing ECT9.     A nurse is assessing a client during a follow up visit at a behavioral health clinic. The client reports that they have not been…… antipsychotic medication on a regular basis. Which of the following actions should the nurse take to improve medication adherence?a.      Tell the client they will be admitted to an impatient care facility if they do not take the medicationb.     Request the provider prescribe a second antipsychotic medication to the clientc.      Discuss the providers goals for the client’s cared.     Ask the client if the medication is causing adverse effects10.  A nurse is caring for a client who has bipolar disorder and is experiencing a manic episode. Which….a.      Provide detailed explanations to the clientb.     Administer methylphenidate to the clientc.      Dim the lights in the client’s roomd.     Encourage the client to join activities11.  A nurse manager is observing a newly licensed nurse preparing to administer an IM medication to a client who is manic and refuses the medication. Which of the following actions should the nurse manager take first?a.      Discuss the purpose of the medication with the clientb.     Stop the newly licensed nurse from administrating the medicationc.      Assess the need for physical restraintsd.     Demonstrate how to verbally de-escalate a situation12.  A nurse is preparing for an interprofessional team meeting regarding a newly admitted client who has major depressive disorder. Which of the following findings obtained during the initial assessment is the priority to report to other disciplines?a.      Markedly neglected hygieneb.     Poor problem-solving plansc.      Significant weight lossd.     Psychomotor retardation13.  A nurse is caring for a client who is prescribed message therapy to treat panic disorder. The client states “I can’t stand to be touched by another person” which of the following responses should the nurse make?a.      “I will tell your provider that you would like a treatment other than massage”b.     “Why don’t you like to be touched by others?”c.      “don’t worry about it, your anxiety will lessen once the massage begins”d.     “I will request that the massage therapist wear gloves during treatment”14.  A nurse on a mental health unit placed a client in mechanical restraints after the client assaulted another client. Which of the following actions should the nurse take?a.      Request that the provider renew the prescription for restraints every 8 hrsb.     Obtain a prescription for restraints on an as needed basisc.      Have the provider assess the client within 1 hour after applying restraintsd.     Evaluate the client hourly while the restraints are applied15.   A nurse is assessing a client who has anorexia nervosa and began treatment 1 month ago. Which of the following findings…. adherence to the treatment plan?a.      The client reports following various cooking blogsb.     The client states that she knows she can’t be perfectc.      The client’s potassium level is 3.2d.     The clients current BMI is 1416.  A nurse in a community mental health clinic is assessing a client who began taking lithium carbonate 5 days ago, the client……tremors and has a current lithium level of 1.2 mEq/L. which of the following actions should the nurse take?a.      Instruct the client to consume a low sodium diet to decrease hand tremorsb.     Teach the client to take the lithium in a single dosec.      Encourage the client to take naproxen sodium to decrease tremorsd.     Contact the provider for a possible decrease in the lithium dosage17.  A nurse in a long-term care facility is assessing a client who has dementia. Which of the following findings… this client?a.      The room has an area rugb.     Hallways are long distancesc.      Outside doors have locksd.     The bed is in a low position18.  A nurse is creating a plan of care for a client who has anorexia nervosa. Which of the following interventions should the nurse include in the plan?a.      Set a weight gain goal of 2.2 kg (4.9 lb.) per weekb.     Prepare the client for electroconvulsive therapyc.      Encourage the client to participate in family therapyd.     Weight the client twice per day19.  A nurse is leading a therapy session for a group of adolescent clients. Which of the following.. use of ego defense mechanisms?a.      “Since injuring my knee, I’ve decided to become the team manager”b.     “Since my mom died, I focus all my attention on my grades”c.      “I’m not even going to think about writing that thesis paper until after prom”d.     “I didn’t tell the teacher about the bullying, because it wouldn’t have changed anything” Health Science Science Nursing NURS 2488 Share (0)