nurb 320 prepu exam 3

The nurse is preparing medication teaching for a 35-year-old female client with a mood disorder.

"This is the ability of a drug to produce a response." "This means the amount of medication dose required to produce the desired effect." "This is a rapid decrease in the effects of the drug." "This means that there is a gradual decrease in effects of the drug in the body." "This occurs when the amount of drug in the body becomes harmful."

The nurse is reviewing different treatment options and locations with a 50 -year-old male client requiring treatment for depression.

"i will be in a protected environment that supports safety and security "This setting provides a gradual transition to independent living." "this setting is considered a temporary living arrangement" "this is the least level of care, and i wont need extensive supervision"

The nurse instructs an 18-year-old female client with obsessive-compulsive disorder (OCD) on actions to take to control the condition.

"i will call the doctor if i develop any symptoms of toxicity" "i will use cue cards when i feel particularly anxious" "i will not perform my compulsions when a trigger occurs" "i will pay attention to what i am doing when engaged in a compulsion"

The nurse is preparing to interview a 35-year-old female client diagnosed with depression. Which statements should the nurse use to demonstrate therapeutic communication?

"you are asking for my opinion" "you said that you are worried about your family" "Tell me if I understand that you don't like medication because of how it makes you feel." "explain more about that for me"

The nurse documents the following information after interviewing a parent who is concerned about their 3-year-old male child's behavior changes.

- bang their head - flap the hands - does not make eye contact - fighting with other children in day care - stopped talking

The nurse prepares to review the cycle of violence with a 35-year-old female victim of intimate partner violence (IPV) who asks for help identifying when violence is going to occur.

Tension Building: - Verbal abuse - Insults social contacts - Monitors text messages Eruption of Violence: - Incites violence - Period of calm Period of Remorse: - Begs for forgiveness - Promises to never do it again

The nurse is assessing a 35-year-old female client with bipolar disorder who recently immigrated to the United States.

Linguistic Competence - "I don't understand what that means." - "Please repeat. What did you say?" Cultural Belief: - "I don't drink anything hot when I don't feel good." - "This bracelet never comes off." - "I live near others from my home country." Social Factor: - "I keep looking for jobs." - "My children eat before me." - "My spouse works 3 jobs."

A 23-year-old female client with a body mass index (BMI) of 15 denies having an eating disorder; however, the nurse suspects the client has anorexia nervosa.

Poor muscle mass Bradycardia Constipation Lanugo

The nurse working in a psychiatric setting is caring for a 17-year-old male client with a personality disorder who witnessed the shooting death of a close friend 3 weeks ago.

acute stress disorder reexperiencing hyperarousal

A 55-year-old male client with psychosis becomes agitated while in the recreation room. Which strategy would the nurse use to ensure for the client's safety?

appropriate: - Assign a sitter. - Decrease stimulation. inappropriate: - Place in a locked room. - Apply wrist restraints. - Provide a high dose of a sedative medication. - Apply ankle restraints. - Apply a vest restraint in bed.

The nurse is preparing a plan of care for a 30 year-old female client in the manic phase of bipolar disorder.

appropriate: - Limit interaction time. - Monitor lithium blood level - Reduce stimuli before bedtime. - Provide meals with finger foods. - Use a calm, nonthreatening approach. inappropriate: - Provide a schedule of activities. - Coach on deep-breathing exercises. - Encourage to attend group therapy.

A 47-year-old female client reports getting 3 to 4 hours of sleep each night and asks for help with the problem. The nurse completes an assessment and prepares teaching for the client.

appropriate: - Establish and maintain a regular bedtime and rising time. - Ingest no caffeine after midafternoon. - Avoid all nicotine before bedtime. - Exercise prior to 3 hours before bedtime. - Use the bedroom for sleep and sex only. - Keep the bedroom at a cool room temperature. inappropriate: - Limit "sleeping in" to days over the weekend. - Take naps when able during the day. - Have an alcoholic beverage 2 hours before bedtime. - Scan text messages before going to sleep.

A 48-year-old male client is transported for emergency care with symptoms of an overdose from an unknown substance.

cocaine: -Respiratory depression -Seizures -Cardiac arrest -Chest pain - Psychosis alcohol: - Respiratory depression - seizures - cardiac arrest PCP: -Respiratory depression -Seizures - psychosis - vomiting - confusion

The nurse is talking with a 25-year-old female client with an anxiety disorder who has been receiving treatment for several weeks.

denial avoiding to talk about

A 19-year-old male client with a history of uncontrollable anger agrees to participate in cognitive-behavioral therapy (CBT).

establish a therapeutic alliance teach relaxation techniques

A 30-year-old female client seeks medical attention for injuries caused by intimate partner violence (IPV). The nurse completes a physical assessment and has a series of findings that need to be categorized and documented.

financial difficulties self-mutilation difficulty at work clothing inappropriate for the season

The nurse notes that a 28-year-old female client who uses a male name has been taking testosterone; is wearing masculine clothing; has a new, short haircut; and is wearing trendy new eyeglasses.

gender dysphoria taking testosterone addressing the client by their requested name

The nurse is assessing a 15-year-old male client with a personality disorder.

identity vs. role confusion formal operations genital

The nurse is assessing a 20-year-old female client with a mental health condition. The nurse documents the following note in the medical record after completing the assessment.

life is one continuous crisis impulsiveness overreacting to minor situations cutting the legs with a razor blade dry a kitten by putting it in the microwave

The nurse assesses a 45 year-old female client experiencing symptoms that may indicate schizophrenia. Before planning care for this client, the nurse wants to categorize the findings.

positive: - Client believes they are the "queen." - Client states they were "told" to not eat because the food is poisoned. negative: - Client had no emotion when told older sister died in a car accident. - Client's hair is uncombed. - Client is wearing bedclothes in the afternoon. Neurocognitive Impairment - Client repeats the word "cole slaw." - Client is standing with left arm extended and staring at the wall.

A nurse is seeing a 55-year-old male client who states that they feel embarrassed to ask for help with the inability to have an erection since gaining weight and not getting exercise because the gym closed.

self-esteem self-identity diet exercise

The nurse is assessing a 40-year-old female client hospitalized for major depression who is informed of the death of a close family member.

states life is not worth living uncontrollable crying reports having a headache

During a home visit, a 47-year-old female client with depression who is taking time off from work because of being recently widowed admits not taking medication after learning that two other close family members died in an automobile accident.

suicide lack of support systems not taking medication

A 38-year-old client with somatic symptom disorder (SSD) has a history of being evaluated for back pain, headaches, and muscle pain and is seeking medical care for new gastrointestinal symptoms.

symptoms wellness strategies social relationships

interThe nurse is caring for a 12-year-old male client who demonstrates aggressive behavior by pushing and hitting other children in the recreation room.

time out 5 follow-up

A 26-year-old female client with a newly diagnosed mental health disorder asks if the condition can be transmitted to any future offspring.

twins families adopted people