Which Statement by the Nurse Indicates a Need for Further Teaching Concerning Family Violence?
1. A nurse is obtaining a medical history from a client who is requesting a prescription for
bupropion for smoking cessation. Which of the follattributable cess findings in a client's
history should the nurse report to provider?
a. Recent head injury - risk for seizures
b. Hypothyroidism
c. Hippie infection
d. Knee arthroplasty 1 month ago
2. A nurse is planning intendance for a client who has narcissistic personality disorder. Which of the
following actions is advisable for the nurse to include in the programme of care?
a. Request an anti-psychotic medication from the provider
b. Inquire the client to sign a no suicide contract
c. Remain neutral when communicating with the client
d. Provide the customer with high calorie finger foods
3. A nurse is preparing for an interprofessional team meeting regarding customer who has major
depressive disorder. Which of the following findings obtained during the initial cess
is a priority to report to other disciplines?
a. Significant weight loss
b. Neglected hygiene
c. Psychomotor retardation
d. Problem solving skills
4. A nurse in a mental wellness facility is reviewing a client's medical record. Which of the
following deportment should the nurse take first? EXHIBIT
a. Initiate 0.9% sodium chloride with 40 mil equivalent potassium chloride
b. Encourage the client to attend group therapy sessions
c. Teach the client about nutritional needs
d. Administer acetaminophen 500 mg PO
5. A nurse is planning care for a client who demonstrates prolonged depression related to the
loss of her partner 6 months agone. Which of the post-obit deportment should the nurse take?
a. Suggest that the client avoid social interactions that remind her of her partner
b. Discourage the customer from reliving the events surrounding her loss
c. Explicate that it can take a year or more to learn to alive with a loss
d. The client to maintain an unstructured daily routine
half dozen. A nurse is education a customer who has a new prescription for disulfiram. Which of the
following statements past the customer indicates an understanding of the teaching?
a. I can keep to eat historic period cheese and chocolate
b. I can wear my cologne on special occasions
c. When I bake my favorite cookies, I can use pure vanilla extract for flavoring
d. If I cut myself I can clean the wound with isopropyl alcohol
i. Avoid everything that has alcohol
7. A nurse is caring for a customer who has schizophrenia and is experiencing inspectory
hallucinations. Which of theast following actions should the nurse take first?
a. Focus the customer on reality-based topics
b. Monitor the client for indication of anxiety
c. Enquire the client what she is hearing
d. Encourage the customer to heed to music
8. A nurse is assessing a client who has delirium. Which of the following findings requires
immediate intervention past the nurse?
a. Rapid mood swings
b. Inappropriate speech patterns
c. Command hallucinations
d. Dumb memory
9. A nurse in an emergency department is assessing a client who recently reported using
cocaine. Which of the following clinical manifestations should the nurse?
a. Lethargy
b. Bradycardia
c. Hypertension
d. Hypothermia
x. A nurse is teaching a client well-nigh the use of cognitive reframing for Stress Management.
Which of the following statements been a client indicates an understanding of the
teaching?
a. I volition practice replacing negative thoughts with positive self statements
b. I will progressively relax each of my musculus groups when feeling stressed
c. I will focus on a mental prototype while concentrating on my animate
d. I will larn how to voluntarily command my blood pressure level and heart rate
11. A nurse in an inpatient mental wellness facility is assessing a client who has southchizophrenia
and is taking haloperidol. Which of the following clinical findings is the nurse's priority?
a. High fever
b. Urinary hesitancy
c. Indisposition
d. Headache
12. A nurse is interviewing a customer who was recently sexual assaulted. The customer cannot recall
the attack. The nurse should identify the the client is using which of the post-obit defense
mechanisms?
a. Suppression
b. Reaction Germination
c. Sublimation
d. Repression
13. A nurse is caring for a client who has Alzheimer's illness. Which of the following findings
should the nurse expect?
a. Excessive motor action
b. Altered LOC
c. Failure to recognize familiar objects
d. Rapid mood swings
xiv. A nurse in a mental wellness facility is caring for a client who is being aggressive toward
other clients. Which of the following actions is a priority for the nurse to take?
a. Enquire the client if he intends to harm others
b. Function model salubrious means to express anger
c. Aid the client to explore techniques to reduce stress
d. Suggest that the client make a listing of things that make him aroused
Source: https://www.studocu.com/en-us/document/west-coast-university/mental-health/mental-health-proctored-review-2-with-answers/16120401
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