Mental Health Video Questions

Which neurotransmitter has been implicated in the development of Alzheimer's disease?

Acetylcholine

Which of the following drugs should Nurse Mary prepare to administer to a client with a toxic acetaminophen (Tylenol) level?

Acetylcysteine (Mucomyst)

Which of the following would best indicate to the nurse that a depressed client is improving?

Change in vegetative signs

Freud explains anxiety as:

Conflict between id and superego

A male client recently admitted to the hospital with sharp, substernal chest pain suddenly complains of palpitations. Nurse Ryan notes a rise in the clients arterial blood pressure and a heart rate of 114 beats/minutes. On further questioning, the client admits to having used cocaine recently after previously denying use of the drug. The nurse concludes that the client is at high risk for which complication of cocaine use?

Coronary artery spasm

Group members have worked very hard, and the nurse reminds them that termination is approaching. Termination is considered successful if group members:

Decide to continue

The nurse is planning care for a client who has a phobic disorder manifested by a fear of elevators. Which goal would need to be accomplished first? The client

Demonstrates the relaxation response when asked.

a 45-year-old women with a history of depression tells a nurse in her doctors office that she has difficulty with sexual arousal and is fearful that her husband will have an affair. Which of the following factors would the nurse identity as least significant in contributing to the client's sexual difficulty?

Education and work history

The primary nursing intervention for a victim of child abuse is:

Ensure the safety of the victim

A 75-year-old client has dementia of the Alzheimer's type and confabulates. The nurse understands that this client:

Fills in memory gaps with fantasy

Nurse Fey is aware that the drug of choice for treating Tourette syndrome>

Haloperidol (Haldol)

The nurse provides a referral to Alcoholics Anonymous to a client who describes a 20-year history of alcohol abuse. The primary function of this group is to:

Help members maintain sobriety

Ritalin is the drug of choice for children with ADHD. The side effects of the following may be noted:

Increased attention span and concentration

A 5 year old boy is diagnosed to have autistic disorder. Which of the following manifestations may be noted in a client with autistic disorder?

Intolerance to change, disturbed relatedness, stereotypes

Malingering is different from somatoform disorder because the former:

It is a deliberate effort to handle upsetting events

A male client who reportedly consumes 1 qt vodka daily is admitted for alcohol detoxification. To try to prevent alcohol withdrawal symptoms, Dr. Smith is most likely to prescribe which drug?

Lorazepam (Ativan)

The nurse is discussing ECT with a client who asks how long it will be before she feels better. The nurse explains that the beneficial effects of ECT usually occur within

One Week

Nurse Amy is aware that the client is at highest risk for suicide?

One who plans a violent death and has the means readily available

When providing family therapy, the nurse analyzes the functioning of healthy family systems. Which situations would not increase stress on a healthy family system?

Parental disagreement

According to Piaget a 5 year old is in what stage of development:

Pre-operational

School phobia is usually treated by:

Returning the child to the school immediately with family support

A client with bipolar disorder, manic type, exhibits extreme excitement, delusional thinking, and command hallucinations. Which of the following is the priority nursing diagnosis?

Risk for other-directed violence

Primary level of prevention is exemplified by:

Teaching the client stress management techniques

Which factors are most essential for the nurse to assess when providing crisis intervention foe a client?

The client's perception of the triggering event and availability of situational supports

A 20 year old college student is admitted to the medical ward because of sudden onset of paralysis of both legs. Extensive examination revealed no physical basis for the complaint. The nurse plans intervention based on which correct statement about conversion disorder?

The conversion symptom has symbolic meaning to the client

Which factor is least important in the decision regarding whether a victim of family violence can safety remain in the home?

The family's socioeconomic status

The nurse is interacting with a family consisting of a mother, a father, and a hospitalized adolescent who has a diagnosis of alcohol abuse. The nurse analyzes the situation and agrees with the adolescent's view about family rules. Which intervention is most appropriate?

The nurse should remain objective and encourage mutual negotiation of issue

A nurse is evaluating therapy with the family of a client with anorexia nervosa. Which of the following would indicate that the therapy was successful?

The parents reinforce increased decision making by the client

The nurse assigned in the detoxification unit attends to various patients with substance-related disorders. A 45 years old male revealed that he experienced a marked increase in his intake of alcohol to achieve the desired effect this indicates:

Tolerance

Which nursing intervention is best for facilitating communication with a psychiatric client who speaks a foreign language?

Use the services of an interpreter

The client with anorexia nervosa is improving if:

Weight gain

A client with obsessive-compulsive disorder is hospitalized on an inpatient unit. Which nursing response is most therapeutic?

Accepting the clients obsessive-compulsive behaviors

In clients with a cognitive impairment disorder, the phenomenon of increased confusion in the early evening hours is called:

Sundowning

A mother with a Roman Catholic belief has given birth in an ambulance on the way to the hospital. The neonate is in very critical condition with little expectation of surviving the trip to the hospital. Which of these requests should the nurse in the ambulance anticipate and be prepared to do?

Pour fluid over the forehead backwards towards the back of the head and say "I baptize you in the name of the father, the son and the holy spirit. Amen"

The nurse considers a client's response to crisis intervention successful if the client:

Returns to his previous level of functioning

A client tells a nurse. "Everyone would be better off if I wasn't alive." Which nursing diagnosis would be made based on this statement?

Risk for self-directed violence

A nurse is working with a client who has schizophrenia, paranoid type. Which of the following outcomes related to the client's delusional perceptions would the nurse establish?

The client will demonstrate realistic interpretation of daily events in the unit

The nurse is working with a client with a somatoform disorder. Which client outcome goal would the nurse most likely establish in this situation?

The client will express anxiety verbally rather than through physical symptoms

The nurse observes a client pacing in the hall. Which statement by the nurse may help the client recognize his anxiety?

"I notice that you're pacing. How are you feeling?"

A teenage female is admitted with the diagnosis of anorexia nervosa. Upon admission, the nurse finds a bottle of assorted pills in the client's drawer. The client tells the nurse that they are antacids for stomach pains. The best response by the nurse would be

"Tell me about your week prior to being admitted."

The doctor has prescribed haloperidol (Haldol) 25 mg I.M. for an agitated client. The medication is labeled haloperidol 10 mg/2 ml. The nurse prepares the correct dose by drawing up how many milliliters in the syringe?

0.5 ml

Mental health is defined as

A state of well-being where a person can realize his own abilities can cope with normal stresses of life and work productively.

A client taking the MAOI antidepressant Isocarboxazid (Marplan) is instructed by the nurse to avoid which foods and beverages?

Aged cheese and red wine

The nurse would expect a client with early Alzheimer's disease to have problems with:

Balancing a checkbook

The nurse collecting family assessment data asks. "Who is in your family and where do they live?" which of the following is the nurse attempting to identify?

Boundaries

A female client who's high risk for suicide needs close supervision. To best ensure the clients safety, Nurse Mary should:

Check the client frequently at irregualr intercals throughout the night

The nurse correctly teaches a client taking the benzodiazepine oxazepam (Serax) to avoid excessive intake of:

Coffee

The emergency department nurse is assigned to provide care for a victim of a sexual assault. When following legal and agency guidelines, which intervention is most important?

Ensure an unbroken chain of evidence

The client admitted for alcohol detoxification develops increased tremors, irritability, hypertension and fever. The nurse should be alert for impending:

Delirium tremens

A man is admitted to the nursing care unit with a diagnosis of cirrhosis. He has a long history of alcohol dependence. During the late evening following his admission, he becomes increasingly disoriented and agitated. Which of the following would the client be least likely to experience?

Delusions of grandeur

The nurse understands that electroconvulsive therapy is primarily used in psychiatric care for the treatment of:

Depression

According to the family systems theory, which of the following best describes the process of differentiation?

Development of autonomy within the famly

Nurse Penny is aware that the following medical conditions is commonly found in clients with bulimia nervous?

Diabetes mellitus

A client taking the MAOI phenelzine (Nardil) tells the nurse that he routinely takes all of the medications listed below. Which medication would cause the nurse to express concern and therefore initiate further teaching?

Diphenhydramine (Benadryl)

The nurse is teaching a group of clients about the mood-stabilizing medications lithium carbonate. Which medications should she instruct the clients to avoid because of the increased risk of lithium toxicity?

Diuretics

A 16-year-old girl has returned home following hospitalization for treatment of anorexia nervosa. The parents tell the family nurse performing a home visit that their child has always done everything to please them and they cannot understand her current stubbornness about characteristic of which relationship style?

Enmeshment

The parents of a young man with schizophrenia express feelings of responsibility and guilt for their son's problems. How can the nurse best educate the family?

Explain the biological nature of schizophrenia

Which nursing intervention is most appropriate for a client with anorexia nervosa during initial hospitalization on a behavioral therapy unit?

Help establish a plan using privileges and restrictions based on compliance with refeeding.

The nurse understands that if a client continues to be dependent on heroin throughout her pregnancy, her baby will be at high risk for:

Heroin dependence

Nurse Tamara is caring for a client diagnosed with bulimia. The most appropriate initial goal for a client diagnosed with bulimia is to:

Identify anxiety-causing situations

A 34-year-old woman is admitted for treatment of depression. Which of these symptoms would the nurse be least likely to find in the initial assessment?

Increased interest in sex

Two nurses are co-leading group therapy for seven clients in the psychiatric unit. The leaders observe that the group members are anxious and look to the leaders for answers. Which phase of development is this group in?

Initiation phase

A client is admitted with needle tracts on his arm, stuporous and with pin point pupil will likely be managed with:

Narcan (Naloxone)

Clonidine (Catapres) can be used to treat conditions other than hypertension. Nurse Sally is aware that the following conditions might the drug be administered?

Opiate withdrawal

The nurse enters the room of a client with a cognitive impairment disorder and asks what day of the week it is: what the date, month, and year are; and where the client is. The nurse is attempting to assess:

Orientation

An 11-year0old child diagnosed with conduct disorder is admitted to the psychiatric unit for treatment. Which of the following behaviors would the nurse assess?

Physical aggressiveness, low stress tolerance disregard for the rights of others

A 24-year old client with anorexia nervosa tells the nurse, "When I look in the mirror, I hate what I see. I look so fat and ugly." Which strategy should the nurse use to deal with the client's distorted perceptions and feelings?

Provide objective data and feedback regarding the client's weight and attractiveness

Mr. Peterson, 35, is admitted for bipolar illness, manic phase, after assaulting his landlord in an argument over Mr. Peterson is staying up al night playing loud music. Mr. Peterson is hyperactive, intrusive, and has rapid, pressured speech. He has not slept in three days and appears thin and disheveled. Which of the following is the most essential nursing action at this time?

Providing for client safety by limiting his privileges

The nurse explains to a mental health care technician that a clients obsessive-compulsive behaviors are related to unconscious conflict between id impulses and the superego. On which of the following theories does the nurse base this statement?

Psychoanalytic theory

Which method would a nurse use to determine a client's potential risk for suicide?

Question the client directly about suicidal thoughts

A client who abuses alcohol and cocaine tells a nurse that he only uses substances because of his stressful marriage and difficult job. Which defense mechanisms is this client using?

Rationalization

Nurse Taylor is aware that the victims of domestic violence should be assessed for what important information?

Readiness to leave the perpetrator and knowledge of resources

Which nursing intervention is most appropriate for a client with Alzheimer's disease who has frequent episodes emotional liability?

Reduce environmental stimuli to redirect the client's attention

An elderly client with Alzheimer's disease becomes agitated and combative when a nurse approaches to help with morning care. The most appropriate nursing intervention in this situation would be to:

Remain calm and talk quietly to the client

A client with panic disorder experiences an acute attack while the nurse is completing an admission assessment. List the following interventions according to their level of priority

Remain with the client. Encourage physical activity Encourage low, deep breathing Reduce external stimuli Teach coping measures

The nurse is administering a psychotrophic drug to an elderly client who has history of benign prostatic hypertrophy. It is most important for the nurse to teach this client to:

Report incomplete bladder emptying

The child with conduct disorder will likely demonstrate:

Serious violations of age related norms

The wife admits that she is a victim of abuse and opens up about her persistent distaste for sex. The sexual disorder is :

Sexual desire Disorder

Which of the following will the nurse use when communicating with a client who has a cognitive impairment?

Short words and simple sentences

Prior to administering chlorpromazine (Thorazine) to an agitated client, the nurse should:

Take the client's blood pressure

The superego is that part of the psyche that:

The censoring portion of the mind

Which client outcome is most appropriately achieved in a community approach setting in psychiatric nursing?

The client demonstrate self-reliance and social adaptation

A client with bipolar disorder exhibits manic behavior. The nursing diagnosis is Disturbed thought processes related to difficulty concentrating, secondary to flight of ideas. Which of the following outcome criteria would indicate improvement in the client?

The client speaks in coherent sentences

Which of the following outcome criteria is appropriate for the client with dementia?

The client will follow an establishing schedule for activities of daily living

Which information is most essential in the initial teaching session for the family of a young adult recently diagnosed with schizophrenia?

The distressing symptoms of this disorder can respond to treatment with medications

The school guidance counselor refers a family with an 8-year-old child to the mental health clinic because of the child's frequent fighting in school and truancy. Which of the following data would be a priority to the nurse doing the initial family assessment?

The family's perception of the current problem

For a female client with anorexia nervosa, ruse Rose plans to include the parents in therapy sessions along with the client. What fact should the nurse remember to be typical of parents of clients with anorexia nervosa?

They tend to overprotect their children

A male client has approached the nurse asking for advice on how to deal with his alcohol addiction. Nurse sally should tell the client that the only effective treatment for alcoholism is:

Total abstinence

The characteristic manifestation that will differentiate bulimia nervosa from anorexia nervosa is that bulimic individuals

have episodic binge eating and purging

In a home visit done by the nurse, she suspects that the wife and her child are victims of abuse. Which of the following is the most appropriate for the nurse to ask?

"Are you being threatened or hurt by your partner?

Has little or no sexual desire or has distaste for sex, Failure to maintain the physiologic requirements for sexual intercourse, Persistent and recurrent inability to achieve an orgasm, and also called dyspareunia. Individuals with this disorder suffer genital pain before, during before, during and after sexual intercourse.

"Here's the number of a crisis center that you can call for help."

Nikki reveals that the boyfriend has been pressuring her to engage in premarital sex. The most therapeutic response by the nurse is:

"How do you feel about being pressured into sex by your boyfriend?"

A 14-year old client is brought to the clinic by her mother. Her mother expresses concern about her daughter's weight loss and constant dieting. Nurse Kris conducts a health history interview. Which of the following comments indicates that the client may be suffering from anorexia nervosa?

"I just cant seem to get down to the weight I want to be. I'm so fat compared to other girls."

A male client is brought to the psychiatric clinic by family members, who tell the admitting nurse that the client repeatedly drives while intoxicated despite their pleas to stop. During an interview with the nurse Linda, which statement by the client most strongly supports a diagnosis of psychoactive substance abuse?

"I know I've been arrested three time for drinking and driving, but the police are just trying to hassle me."

During postprandial monitoring, a female client with bulimia nervosa tells the nurse,"you can sit with me, but you're just wasting your time. After you sat with me yesterday, I was able to purge. Today, my goal is to do it twice." What is the nurses best response?

"I know it's important for you to feel in control, but I'll monitor you for 90 minutes after you eat."

A male client tells the nurse he was involved in a car accident while he was intoxicated. What would be the most therapeutic response from nurse Julia?

"Tell me how you feel about the accident."

Which comment about a 3-year-old child if made by the parent may indicate child abuse?

"When I tell my child to do something once, I don't expect to have to tell"

A male client admitted to the psychiatric unit for treatment of substance abuse says to the nurse, "it felt so wonderful to get high." Which of the following is the most appropriate response?

"You told me you got fired from your last job for missing too many day after taking drugs all night."

She says to the nurse who offers her breakfast, "Oh no, I will wait for my husband. We will eat together" The therapeutic response by the nurse is:

"Your husband is dead. Let me serve you your breakfast."

A male client is admitted to a psychiatric facility by court order for evaluation for antisocial personality disorder. This client has a ling history of initiating fights and abusing animals and recently was arrested for setting a neighbor's dog on fire. When evaluating this client for the potential for violence, nurse Perry should assess for which behavioral clues?

A rigid posture, restlessness, and glaring

Initial intervention for the client should be to:

Accept her fears without criticizing

The nurse is aware that the outcome criteria would be appropriate for a child diagnosed with oppositional defiant disorder?

Accept responsibility for own behaviors

Which of the following describes the role of a technician

Administers medications to a schizophrenic patient

Nurse Alice is caring for a client being treated for alcoholism. Before initiating therapy with disulfiram (Antabuse), the nurse teaches the client that he must read labels carefully on which of the following products?

Aftershave lotion

An old woman was brought for evaluation due to the hospital for evaluation due to increasing forgetfulness and limitations in daily function. The daughter revealed that the client used her toothbrush to comb her hair. She is manifesting:

Agnosia

A male client is being treated for alcoholism: after a family meeting, the clients spouse asks the nurse about ways to help the family deal with the effects of alcoholism. Nurse Lily should suggest that the family join which organization?

Al-Anon

Eighteen hours after undergoing an emergency appendectomy, a client with a reported history of social drinking displays these vital signs: temperature, 101.6° F (38.7° C); heart rate, 126 beats/minute; respiratory rate, 24 breaths/minute; and blood pressure, 140/96 mm Hg. The client exhibits gross hand tremors and is screaming for someone to kill the bugs in the bed. The nurse should suspect

Alcohol withdrawal

The parents express apprehensions on their ability to care for their maladaptive child. The nurse identifies what nursing diagnosis:

Altered parenting role

Kevin is remanded by the courts for psychiatric treatment. His police record, which dates to his early teenage years, includes delinquency, running away, auto theft, and vandalism. He dropped out of school at age 16 and has been living on his own since then. His history suggests maladaptive coping, which is associated with:

Antisocial Personality Disorder

A male client is found sitting on the floor of the bathroom in the day treatment clinic with moderate lacerations on both wrists. Surrounded by broken glass, she sits staring blankly at her bleeding wrists while staff members call for an ambulance. How should Nurse Anuktakanuk approach her initially?

Approach her slowly while speaking in a calm voice, calling her name, and telling her that the nurse is her to help

What is the best intervention to teach the client when she feels the need to starve?

Approach the nurse and talk out her feelings

Which of the following should be included in the health teachings among clients receiving Valium:

Avoid taking CNS depressant like alcohol

A male client is being admitted to the substance abuse unit for alcohol detoxification. As part of the intake interview, the nurse asks him when he had his last alcoholic drink. He says that he had his last drink 6 hours before admission. Based on this response, nurse Lorena should expect early withdrawal symptoms to:

Begin anytime within the next 1 to 2 days

In the emergency department, a client with facial lacerations states that her husband beat her with a shoe. After the health care team repairs her lacerations, she waits to be seen by the crisis intake nurse, who will evaluate the continued threat of violence. Suddenly the client's husband arrives, shouting that he wants to "finish the job." What is the first priority of the health care worker who witnesses the scene?

Calling a security guard and another staff member for assistance

A male client is admitted to the substance abuse unit for alcohol detoxification. Which of the following medications is Nurse Alice most likely to administer to reduce the symptoms of alcohol withdrawal?

Chlordiazepoxide (Librium)

A 35 year old make has intense fear of riding a elevator. He claims "As if I will die inside." This has affected his studies the client is suffering from:

Claustrophobia

When planning care for a client who has ingested phencyclidine (PCP), nurse Wayne is aware that the following is the highest priority?

Clients safety needs

Another client is brought to the emergency room by friends who state that he took something an hour ago. He is actively hallucinating, agitated, with irritated nasal septum.

Cocaine

A male adult client voluntarily admits himself to the substance abuse unit. He confesses that he drinks 1 qt or more of vodka each day and uses cocaine occasionally. Later that afternoon, he begins to show signs of alcohol withdrawal. What are some early signs of this condition?

Diaphoresis Tremors Nervousness

In the management of bulimic patients, the following nursing interventions will promote a therapeutic relationship EXCEPT:

Discuss their eating behavior

Nurse Mary is assigned to care for a suicidal client. Initially, which is the nurse's highest care priority?

Exploring the nurse's own feelings about suicide

The following statements describe somatoform disorders:

Expression of conflicts though bodily symptoms

A 17-year-old gymnast is admitted to the hospital due to weight loss and dehydration secondary to starvation. Which of the following nursing diagnoses will be given priority for the client?

Fluid volume deficit

A client whose husband just left her has a recurrence if anorexia nervous. Nurse Vic caring for her realizes that this exacerbation of anorexia nervous results from the clients effort to:

Gain control of one prt of her life

Macoy and Helen seek emergency crisis intervention because he slapped her repeatedly the night before. The husband indicates that his childhood was marred by an abusive relationship with his father. When intervening with this couple, Nurse Gerry knows they are at risk for repeated violence because the husband:

Has learned violence as an acceptable behavior

Nurse Bella is aware that assessment finding is most consistent with early alcohol withdrawal?

Heart rate of 120 to 140 beats/Minute

The following are appropriate nursing diagnosis for the client EXCEPT:

Impaired social interaction

Dementia unlike delirium is characterized by:

Insidious onset

Nurse Mary is caring for a client with bulimia. Strict management of dietary intake is necessary. Which intervention is also important?

Let the client choose her own food. Of she eats everything she orders, then stay with her for 1 hour after each meal.

A 10 year old child has very limited vocabulary and interaction skills. She has an I.Q. of 45. She is diagnosed to have Mental retardation of this classification:

Moderate

A female client is admitted to the psychiatric clinic for treatment of anorexia nervosa. To promote the client's physical health, nurse Tair should pan to:

Monitor vital signs, serum electrolyte levels, and acid-base balance

The care for the client places priority to which of the following:

Monitoring his vital signs every hour

When monitoring a female client recently admitted for treatment of cocaine addiction, nurse Aaron notes sudden increases in the arterial blood pressure and heart rate. To correct these problems, the nurse expects the physicians to prescribe:

Nifedipine and Esmolol

A male silent with a history of cocaine addiction is admitted to the coronary care unit for evaluation of substernal chest pain. The ECG shows a 1-mm ST-segment elevation the anteroseptal leads and T-wave inversion in leads V3 to V5. Considering the clients history of drug abuse, nurse Greg expects the physician to prescribe:

Nitroglycerin (Nitro-Bid IV)

A nursing diagnosis for bulimia nervosa is powerlessness related to feeling not in control of eating habits. The goal for this problem is:

Patient will learn problem solving skills

A nurse may encounter children with mental disorders. Her knowledge of these various disorders is vital. When planning school interventions for a child with a diagnosis of attention deficit hyperactivity disorder, a guide to remember is to:

Provide as much structure as possible for the child

A female client begins to experience alcoholic hallucinosis. Nurse Joy is aware that the best nursing interventions at this time?

Providing a quiet environment and administering medication as needed and prescribed

The therapeutic approach in the care of an autistic child include the following except:

Rearrange the environment to activate the child

The nurse develops a countertransference reaction. This is evidenced by:

Revealing personal information to the client

Nurse Harry is developing a plan of care for a client with anorexia nervosa. Which action should the nurse include in the plan?

Set up a strict eating plan for the client

A 30-year-old make employee frequently complains of low back pain that leads to frequent absences from work. Consultation and tests reveal negative results. The client has which somatoform disorder?

Somatoform pain disorder

Unlike psychophysiological disorder Linda may be best managed with:

Stress management techniques

Letty says, "Give me 10 mins to recall the name of our college professor who failed many students in our anatomy class." She is operating on her:

Subconscious

A female client with anorexia nervosa describes herself as "a whale." However, the nurse's assessment reveals that the client is 5' 8" tall and weighs only 90 lbs. Considering the client's unrealistic body image, which intervention should nurse Angel be included in the plan of care?

Telling the client of the nurse's concern for her health and desire to help make decisions to keep her healthy

A parent brings a preschooler to the emergency department for treatment of a dislocated shoulder, which allegedly happened when the child fell down the stairs. Which action should make the nurse suspect that the child was abused?

The child doesn't cry when the shoulder is examined

Which is the desired outcome in conducting desensitization:

The client will be able to overcome his disabling fear

For a female client with anorexia nervosa, Nurse Jimmy is aware that which goal takes the highest priority?

The client will establish adequate daily nutritional intake

A 25 year old client experiencing alcohol withdrawal is upset about going through detoxification. Which of the following goals is a priority?

The client will work with the nurse to remain safe

When interviewing the parents of an injured child, which of the following is the strongest indicator that child abuse may be a problem?

The injury isn't consistent with the history or the child's age

Kellan, a high school student is referred to the school nurse for suspected substance abuse. Following the nurses assessment and interventions, what would be the most desirable outcomes?

The student accepts a referral to a substance abuse counselor

A male client is hospitalized with fractures of the right femur and right humerus sustained in a motorcycle accident. Police suspect the client was intoxicated at the time of the accident. Laboratory teats reveal a blood alcohol level of 0.2%. The client later admits to drinking heavily for years. During hospitalization, the client periodically complains of tingling and numbness in the hands and feet. Nurse Gian realizes that these symptoms probably result from:

Thiamine deficiency

The nurse teaches the parents of a mentally retarded child regarding her care. The following guidelines may be taught except:

overprotection of the child

What would be the best response to the clients repeated complaints pf pain:

"I know the feelin is real tests revealed negative results."

She tearfully tells the nurse "I cant take it when she accuses me of stealing her things." Which response by the nurse will be most therapeutic?

"This must be difficult for you and your mother."

Nurse Hele is assigned to care for a client with anorexia nervosa. Initially, which nursing intervention is most appropriate for this client?

Providing one-on-one supervision during meals and for 1 hour afterward

The primary nursing intervention in working with a client with moderate stage dementia is ensuring that the client:

Remains in a safe and secure environment

A female client with borderline personality disorder is admitted to the psychiatric unit. Initial nursing assessment reveals that the clients wrists are scratched from a recent suicide attempt. Based on this finding, the nurse Lenny should formulate a nursing diagnosis of:

Risk for violence: self-directed related to impulsive mutilating acts

Flumazenil (Romazicon) has been ordered for a male client who has overdosed on Oxazepam (Serax). Before administrating the medication, nurse Gina should be prepared for which common adverse effect?

Seizures