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(stated in class that some of the questions would be on the exam) Terms in this set (77)a school nurse is talking with a 13 y/o female at her annual health-screening visit. which of the following comments made by the adolescent should be the nurse's priority to address? "none
of the kids at this school like me, and i don't like them either" a nurse is planning care for a group of clients on a mental health unit. which of the following actions should the nurse plan to take to create a therapeutic environment? provide continuity of care by assigning the same staff a client who has coronary artery disease tells the nurse he is afraid of dying from a heart attack. which of the following responses should the nurse make? "tell me more about these fears of dying from a heart attack" a nurse is discussing legal exceptions to client confidentiality with nursing staff. which of the following statements by a staff member indicates an understanding of the teaching? "providers are required to warn individuals if the client threatens harm" a nurse is caring for a client who begins yelling at other clients in the day room. which of the following actions should the nurse take? express empathy about the client's feelings of
anger a nurse on the hospice unit is caring for a newly-admitted client. which of the following client statements should the nurse report to the provider? "i plan to take an antiaging supplement to prolong my life." a nurse is caring for a client who is extremely suspicious of the nursing staff and other clients. which of the following nursing approaches is appropriate when establishing a therapeutic relationship with this client? adopt a neutral attitude when providing care a nurse is caring for a client who reports bilateral knee pain after hiking this past weekend in the mountains on rough ground. he says he is concerned because his cousin died from bone cancer recently. which of the following actions should the nurse take? explain that the provider will see him and determine a course of action a nurse is providing teaching about confidentiality with a newly licensed nurse. which of the following statements by the newly licensed nurse indicates an understanding of the teaching? "the
courts might require me to discuss confidential information" a nurse is planning care for a group of clients. the nurse should identify which of the following clients as having a contraindication for restraints? a client who is recovering from a heroin overdose a home health care nurse is visiting an older adult client who tells the nurse that she is feeling tired, is unable to shop for groceries, and would like the nurse to shop for her. shopping and performing personal errands for the client is prohibited in the nurse's job description. which of the following is an appropriate nursing response? "lets look at some other resources to solve this problem" a nurse is caring for a 48 y/o client who is grieving following the death of her husband 7 moths ago. the client reports she has lost 30 lbs and is having trouble sleeping. which of the following factors indicate the client is experiencing maladaptive grieving? the client's husband died 7 months ago a nurse on an acute mental health unit is caring for a group of clients. for which of the following clients is seclusion contraindicated? an adult client following a suicide attempt a nurse in an acute care mental health facility is preparing to administer morning medication for a client who has been taking lithium for 2 weeks and has a current lithium level of 1.0 mEq/L. which of the following actions should the nurse take? administer
the morning dose a nurse is teaching a male client who has a depressive disorder about sertraline. which of the following information should the nurse include in the teaching? "this medication may cause an inability to orgasm" a nurse is discussing stress management techniques with a group of clients. which of the following techniques mentioned by a client should the nurse recognize as the least effective? "i fix myself a pot of coffee when i get anxious" a nurse in a psychiatric unit is admitting a client who attacked a neighbor. the nurse should know that the client can be kept in the hospital after the 72 hr hold is over for which of the following conditions? the client is a danger to herself or others a nurse is planning care for a client who has a prescription for alprazolam. for which of the following adverse effects should the nurse plan to monitor? inability to recall events a nurse is teaching a female client who has anxiety disorder about alprazolam. which of the following information should the nurse include in the teaching? "use a reliable form of contraception while taking this medication" a nurse is preparing to teach a client about his prescription of lithium for the treatment of bipolar disorder. which of the following statements should the nurse include in the teaching? "you will need to stop this medication if you experience diarrhea" a nurse is teaching a newly licensed nurse about appropriate actions to take when a client threatens to harm a specific individual. which of the following statements by the newly licensed nurse indicates understanding? "i need to make
sure that the potential victim is warned" a nurse is speaking with the parents of a 4 y/o child who has a terminal illness. the parents tell the nurse they have taken their son's name off the list for the little league baseball next season. which of the following responses should the nurse make? "it must be frustrating for you to have to cancel an activity your son enjoyed" a nurse is leading a family therapy session for a mother, father, and 2 adolescent siblings. which of the following statements should the nurse recognize as an example of effective communication among family members? "can you tell me the reason you get upset each time i go to the mall?" a nurse notices that a client who has moderate anxiety is pacing the hall and mumbling. as the nurse approaches the client, he states, "i am at the end of my rope. i don't think i can take any more bad news." which of the following responses should the nurse make? "come with me to an area where we can talk without interruption" a nurse is caring for a client who has MDD and was prescribed citalopram 2 weeks ago with a planned dosage increase 1 week ago. the client reports having an improved appetite, but still feels very depressed and is still having trouble sleeping. which of the following actions should the nurse take? explain that antidepressants often take several weeks to be fully effective a nurse in an inpatient mental health unit is planning care for a client who is in restraints. which of the following findings should indicate to the nurse that the client is ready to reintegrate into the unit? the client follows directions a nurse is teaching a client about the uses of chamomile. which of the following information should the nurse include in the teaching? "chamomile may act as a calming agent" a nurse in a psychiatric unit is caring for several clients. which of the following clients should the nurse recommend for group therapy? a client who has been taking amitriptyline for 3 months for depression a nurse is caring for a group of clients on a mental health unit. which of the following actions should the nurse implement to establish therapeutic relationships with the clients? demonstrate genuineness when communicating a client who is having burn debridement states, "you are the worst nurse i have ever seen. all you do is hurt me." which of the following responses should the nurse make? "tell
me more about that" a nurse in an acute mental health facility is caring for a client who jumps out of her chair and begins to should angrily ad the clients around her. which of the following action should the nurse take first? speak to the client calmly, giving simple instructions a nurse is assessing a parent who lost a 12 y/o child in a car crash 2 years ago. which of the following findings indicates the client is exhibiting manifestations of prolonged grieving? leaves the child's room exactly as it was before the loss a nurse observes a client's spouse sitting alone in the waiting room crying. when approached, the spouse says, "i am concerned about my husband." which of the following is a therapeutic nursing response? "tell me what is concerning you" a nurse manager on a mental health unit is discussing involuntary admissions during a staff meeting. which of the following statements should the manager include in the discussion? "clients who are involuntarily admitted have the right to informed consent" a nurse is caring for a client who is depressed and refuses to participate in group therapy or perform activities of daily living. which of the following statements should the nurse make to the client? "i will assist you in getting out of bed and getting dressed" a nurse is caring for a client who begins to yell and scream at staff members. which of the following should be the nurse's priority action? say to the client "i can tell that you are upset" a nurse caring for a client who has depression observes the client comes to breakfast freshly bathed, wearing clean clothes, and with combed and styled hair. which of the following responses by the nurse is therapeutic? "i see you have done some grooming today" a nurse is teaching a group of clients about st john's wort. which of the following information should the nurse include in the teaching? "st john's wort can be used to treat mild depression" a nurse is discussing the use of mechanical restraints with a newly licensed nurse. which of the following situations should the nurse include as an indication for placing a client in mechanical restraints? self-destructive behavior despite alternative interventions a nurse is discussing culturally competent care at a nursing staff inservice. which of the following information should the nurse include when discussing clients' cultures? nurses should focus on the clients' culture, rather than ethnicity, when providing care a client who has MDD states to the nurse that he and his family would be better off if he were gone. which of the following is the nurse's priority response? "are you thinking for harming yourself?" a nurse is caring for a client who is cognitively impaired. which of the following rooms will provide a therapeutic environment for this client? a room containing personal belongings a nurse is observing a newly licensed nurse as she interacts with a client regarding his concerns about his relationship with his partner. which of the following statements by the newly licensed nurse requires intervention by the nurse? "you should try to see your partner's POV before your own: a nurse is teaching a client who plans to take st john's wort to treat her depression. which of the following information should the nurse include in the teaching? "you may experience vivid dreams while taking st
john's wort" a nurse reviews the lab report for a client who is receiving lithium 3x daily PO. the client's current blood lithium level is 1.8 mEq/L. the nurse identifies that this lab value indicates which of the following? the lithium level is at the toxic level a nurse is assessing a client who is taking buproprion. the nurse should recognize which of the following findings as an indication that the medication is effective? decreased urge to smoke a nurse at a college campus mental health counseling center is caring for a student who just failed an examination. the student spends the session berating the teacher and the course. the nurse should recognize this behavior as which of the following defense mechanisms? projection a client states "i just don't know what to do about my partner's drinking. every time i see him drinking beer, i start to feel extremely anxious." which of the following is the most therapeutic response by the nurse? "the next time your partner starts drinking, what is something you might do to decrease your anxiety?" a nurse is teaching a client who has BPD about lithium. which of the following statements should the nurse include in the teaching? "notify your doctor if you experience vomiting or diarrhea" "we will monitor your lithium levels closely while you are taking this medication" a nurse is caring for a client who has a serum lithium level of 2.0 mEq/L. which of the following is the priority action for the nurse to take? notify the primary provider the result indicates toxicity a nurse is caring for a client who is hospitalized and says to the nurse "my partner called and told me my boss hired someone to take my place." which of the following responses should the nurse make? "you must feel very concerned and disappointed by that information" a nurse is caring for a hospitalized client who tells lies about other clients. the other clients on the unit frequently complain to the nursing staff about the client's disruptive behaviors. which of the following initial actions should the nurse take? talk to the client and identify the specific limits that are required of the client's behavior a nurse educator is discussing community mental health with a group of nursing students. which of the following sites should the educator identify as a source of secondary prevention? crisis center a nurse is caring for a client who professes a deep and everlasting love for his girlfriend one day, and the next day refuses to speak to her or allow her to visit. the nurse recognizes this client behavior as which of the following defense mechanisms? undoing a nurse is providing teaching for a client who has a new prescription for clozapine. which of the following statements indicates the client understands the teaching? "i will rise slowly from a lying position to prevent fainting while taking this medication" a nurse is teaching a client who has a new prescription for chlorpromazine. which of the following client statements indicates an understanding of the teaching? "i may have a dry mouth while taking this medication" a nurse observes a client sitting alone in her room crying. as the nurse approaches her, the client states "i'm feeling sad. i don't want to talk now." which of the following responses should the nurse make? "i'll stay with you for a few minutes" a nurse is caring for a client who is exhibiting severe manifestations of serotonin syndrome. which of the following is the priority nursin gintervention? preparing for artificial ventilation a nurse is caring for a client who is dying. the client says "my mother died in the hospital, but i did not get there before she died." which of the following statements should the nurse make? "i wonder if you are fearful of dying alone" a nurse is admitting a client who has multiple injuries following a motor vehicle crash. shortly after admission, the client's partner arrives. he is distraught and blames himself for the accident. which of the following responses should the nurse make? "tell me more about your feelings about what happened to your partner" a nurse is caring for a client who has a mental illness. which of the following actions by the nurse demonstrates the ethical concept of autonomy? supporting the client's wish to refuse prescribed medications a nurse is caring for a client who has BPD and is taking lithium. the client reports blurred vision and ataxia. which of the following actions should the nurse take? withhold the medication a nurse is assessing a family as a system. which of the following factors should the nurse include when assessing sociocultural context? the family's religious practies a nurse is reviewing the medical record of a client who has a new prescription for clozapine for the treatment of schizophrenia. which of the following findings indicates a contraindication to clozapine? WBC count of 3.3 a nurse is caring for an older adult client whose provider will discharge him to an extender-care facility the following morning. the client asks the nurse why he has to go to "that place." which of the following responses should the nurse take? "did your doctor or anyone else talk to you about going to the nursing home?" a nurse is caring for a client who was admitted for suspected abuse. the client is quiet and withdrawn. which of the following actions should the nurse take to promote client communication? be direct and honest when speaking with the client a nurse on a crisis hotline is speaking to a client who says "i just took an entire bottle of amitriptyline." which of the following responses should the nurse make?
"i'm glad you called, and i want to send an ambulance to help you" a nurse is providing discharge teaching to a client who is taking risperidone. which of the following instructions should the nurse include in the teaching? "avoid becoming overheated while taking this medication" a nurse is caring for a young adult client who says he is experiencing increased anxiety and an inability to concentrate. which of the following responses should the nurse make? "it sounds like you're having a difficult time" a client becomes very dejected and states "no one really cares what happens to me. life isn't worth living anymore." which of the following responses should the nurse make? "i care about you, and i am concerned that you feel so sad" a nurse is assessing a client who is to undergo a left lobectomy to treat lung cancer. the client tells the nurse that she is scared and wishes she never smoked. which of the following responses should the nurse make? "it's okay to feel scared. lets talk about what you are afraid of" a nurse is caring for a client whose partner died 5 years ago. which of the following findings indicates that the client is experiencing maladaptive grief? the client has kept his partner's closet untouched since her death a nurse is providing discharge teaching for a client who has multiple medication prescriptions and must take the medications at specific intervals when at home. which of the following instructions should the nurse include in the teaching? "lets work together to devise a time schedule that is convenient to you on a daily basis" a nurse is teaching a client who has a new prescription for paroxetine. which of the following statements by the client indicates an understanding of the teaching? "i may not feel like eating as much"
a nurse is teaching a client who has depression about a new prescription for fluoxetine 20 mg daily. which of the following statements by the client indicates understanding of the teaching? "i should notify my provider if i develop a skin rash" during a group therapy session, a nurse notes several clients using multiple defense mechanisms. which of the following client statements demonstrates the maladaptive use of regression? "i don't care about work anymore since i was not given a promotion" a nurse in a mental health clinic is attempting to develop a therapeutic relationship with a client. which of the following actions should the nurse take? set limits for the relationship Sets found in the same foldernu 350 exam 346 terms kaleighrowe nu 350 exam 3 evolve questions57 terms kaleighrowe mental health study for exam 471 terms Yvonnev46 CMN 350 final exam study guide60 terms preston_white29 Other sets by this creatorMARK K NCLEX587 terms kaleighrowe community ATI80 terms kaleighrowe ATI - Community Health82 terms kaleighrowe CHN study50 terms kaleighrowe Other Quizlet setsVocabulaire du loisirs en Espagnol - Collège24 terms Khady_N Kin 464 Final72 terms carlyrkoenig AUDIOLOGY Quiz #2 - Hearing Testing in Pediatrics22 terms sashafiercee Chapter 1211 terms lytespdkk
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Which of the following sites should the educator identify as a source of secondary prevention?
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