exam 3

A male nurse is assigned to care for a female client who was admitted to the hospital for treatment of injuries following a domestic abuse incident. the client tells the nurse manager she does not want a male nurse as her caregiver, what can the nurse manager say

I can review the assignments and arrange for a female nurse to care for you

a home health nurse is speaking to a group of acute care nurses about domestic violence.

I have heard that abusers think of themselves as important and have high self esteem

a nurse is evaluating teaching for a client who has newly diagnosed depression and a new prescription for bupropion. which of the following statements by the client indicates understanding

I may not notice a lifting of my mood for at least 2 weeks.

a nurse is caring a client who has depression. the client refuses to get out of the bed, go to activities, or participate in any of the units programs which of the following responses should the nurse make

I will help you get ready and then you can rest after activities

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 discussing comorbidities associated with eating disorders with a newly admitted client. which of the following conditions should the nurse include in the discussion.

a. anxiety b. obsessive compulsive disorder e. depression

a nurse manager is providing staff education about working with clients who has a history of anger and aggression. which of the following should the nurse include in the teaching

a. avoid wearing necklaces during client care b. know the layout of the facility e. provide immediate verbal feedback for escalating behavior

a nurse is reviewing medication records for several clients who have bipolar disorder, the nurse should recognize that which of the following medications are used to treat clients who have bipolar disorder

a. paroxetine b. lithium d. valproate f. carbamazepine

a nurse is providing a community health education class about suicide prevention. which of the following should the nurse identify as risk factors for suicide

a. substance use disorder b. age greater than 45 years old e. schizophrenia

a nurse is teaching staff which factors to include in an abuse assessment of a client . which of the following factors should the nurse include in the teaching.

a. suicide risk c. coping patterns d. support systems e. alcohol use

a nurse in an acute 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, which action should the nurse make

administer the morning dose of lithium

a nurse is an emergency department is performing an assessment on a client who reports being sexually assaulted. which of the following actions should the nurse take first

b. document the clients verbalism statements

a nurse is caring for a client who has schizophrenia. the client states, " the government is forcing thoughts into my brain through satelittes. the nurse should document the client is experiencing what delusions

control

a nurse is an emergency department is assessing a client who has traumatic injuries following an assault. the client sits quietly and calmly in the examination room and states "I'm fine" the nurse should recognize the clients behavior as which of the following reactions

denial

a nurse is sitting in the day room at an acute care mental health facility with a group of clients who are watching television.. suddenly one of the clients jumps up screaming and runs out of the room. which of the following actions should the nurse take

follow the client to determine the cause of the behavior

a nurse is planning care for a client who has dependent personality disorder. which of the following actions should the nurse plan to take

give positive feedback when the client is assertive with staff or clients

a nurse is cashing for a client who has bipolar disorder. the client states , "I feel like superman. I can do anything. I can fly home today and then become a US senator"

grandiosity

a nurse is teaching a Newly licensed nurse about reporting suspected child abuse. which of the following statements indicates an understanding by the newly licensed nurse

if suspicion of abuse exists then reporting is mandatory

a nurse is providing teaching for a client who has schizophrenia and a new prescription for risperidone. which of the following statements should the nurse include in the teaching

increase your fluid and fiber intake to prevent constipation

a nurse is planning care for a client who demonstrates manipulative behavior. which of the following should be included in the POC

institute consequences for a manipulative behaviors

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 reaching

lets work together to devise a time schedule that is convenient for you on a daily basis.

a nurse is providing teaching for a client who has recent diagnosis of depression. which of the following should the nurse identify as a primary risk factor

past history of childhood trauma

a nurse is collecting a health history on a client who has a diagnosis of wernicke- Korsakoff (thyroid deficiency) syndrome. which is an expected finding

personal history of alcohol use disorder

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

a nurse in a mental health facility is preparing to interview a client who has schizophrenia. which of the following actions should the nurse take

sit bedside the client rather than facing him

a nurse enters the room of a client who becomes verbally abusive. which of the following actions should the nurse take

speak slowly in a low, calm voice

A nurse in an acute mental health facility is caring for a client who jumps out of her chair and begins to should angrily around her. which of the following actions should the nurse take first

speak to the client calmly, giving simple directions

a nurse is an acute care mental health facility is admitting a client who reports feeling depressed, sad, moody, and overly anxious. which of the following is the nurses assessment priority

suicide risk

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 in danger to herself or others

a nurse in a mental health facility is interacting with a client who is angry and becoming increasingly aggressive. which of the following actions of the nurse take

use clarification to determine what the client is feeling

a nurse is talking with a client who has schizophrenia. suddenly the client states, im frightened. do you hear that? the voices are telling me to do terrible things.

what are the voices telling you to do

a nurse in an acute care mental health facility is sitting with a client who has schizophrenia. the client whispers to the nurse. im being kept in this prison against my will. please try to get me out. which of the following responses should the nurse make

you feel that you don't belong here

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