H

A client who often contributes to the group therapy discussion is interrupted by a less talkative group member . Afterward , the talkative client sits rigidly and looks angry and says " I'm so glad that you feel like talking today . " Which response is best ? " You seem angry , but your words are very pleasant . " It appears that members of the group are not getting along . " It is nice to hear from members who don't usually say anything . " O " Let's go on as group and I can talk to individuals later on . "

1

Which action would the nurse take for a client diagnosed with schizophrenia who is paranoid , delusional , withdrawn , and negativistic 1. Invite the client to play a game of cards with the nurse . 2. Explain to the client the benefits of joining a group activity . 3. Encourage the client to become involved in group activities 4. . Mention the client that the psychiatrist has prescribed increased activity .

1

parent will Which behavior most strongly indicates that the clien experiencing complicated grieving fourteen months after the traumatic death of a spouse ? The client thinks about and relives the events related to the traumatic death of the spouse The client reports that family interactions are ineffective for problem - solving . The client validates that there problem in communicating with others The client demonstrates little motivation in accomplishing daily activities

1

regular Which approach would the nurse use for a delusional client who refuses to eat because of a belief that the food is poisoned ? Refusing to argue about the food being poisoned O Tasting the food in the client's presence Showing the client that other people are eating without being harmed Telling the client that tube feedings will be started if meals are refused

1

Which assessment findings are associated with Wernicke encephalopathy ? Select all that apply correct . Altered gait Confusion Ocular motility abnormalities Tremulousness ( i.e. , jitters or shakes ) and needles " in the lower extremities .

1.2.3. Wernicke encephalopathy is substance induced persistence dementia, caused by prolong missing thiamine( B1)

Which factors would the nurse consider when assessing a client's increased risk for suicide ? Select all that apply . One , some , or all responses may be correct . correct answers not selected Impulsivity Panic attacks Unemployment Religious liefs Substance abuse Sense of responsibility to family

1.2.3.5

Which activities would the nurse initiate for a client with Alzheimer disease who is admitted to a long - term care facility ? Select all that apply Weighing the client once a week Having specialized rehabilitation equipment available Keeping the client in pajamas and robe most of the day Establishing a schedule with periods of rest after activities Reviewing the client's weekly budget and use of community resources Setting up a plan for weekly entertainment through a senior citizens ' travel group

1.2.4

The client , who has 4 children , was charged with abusing the 2 - year - old son , who is in critical condition . Which client behaviors would the nurse anticipate ? Select all that apply . Denies beating the 2 - year - old son Avoids talking about the situation Asks how the other children are doing Asks how the 2 - year - old child is doing Exhibits an emotional nonchalance .

1.2.5

Which behavior is expected for a child with attention - deficit / hyperactivity disorder ( ADHD ) ? Select all that apply . One , some , or all responses may be correct . Impulsiveness Excessive talking Spitefulness and vindictiveness Deliberate annoyance of others Playing video games for hours on end Failure to follow through or finish tasks

1.2.5.6

Which descriptions would the nurse expect to hear from a client describing experiences of panic ? Select all that apply . 1. Severe withdrawal 2. Hallucinations or delusions 3. A decreased need for sleep 4. Being more talkative than usual or feeling pressure to keep talking 5. Flight of ideas or the subjective experience that thoughts are racing 6. Feeling unreal ( depersonalization ) or that the world is unreal ( derealization)

1.2.6

client on bupropion therapy depression experiences seizures . Which actions are used to reduce the risk for seizures ? Select all that apply . One , some , or all responses may be correct . Discouraging rapid dose titration Maintaining the dose 550 mg / day Avoiding administration of the medication with paroxetine Avoiding concomitant use of fluoxetine Administering the medication with small doses of fluoxetine

1.3.4 Bupropion is an atypical antidepressant used to treat depression . Bupropion is associated with seizures . The seizure risk can be reduced by discouraging rapid dose titration . Paroxetine and fluoxetine are medications that inhibit CYP2B6 ; these medications should be avoided in clients on bupropion because they elevate bupropion levels . Bupropion doses above 450 mg / day may cause seizures ; therefore a 550 mg / day should be avoided .

Which elements would be included in the therapeutic milieu for clients with anorexia nervosa ? Select all that apply . One , some , or all responses may be correct Precise meal times Daily weights Behavioral contracts Observation before and after meals Adherence to the selected menu Frequent interaction with healthy peers

1.3.4.5.

Which question is most important to ask of a client who has a history of depression and plans to retire from work next year to use anticipatory guidance How would you feel about seeking long - term therapy for depression ? What activities and interests do you plan to pursue after you retire ? there coworkers who you plan to keep in touch with ? Can you overcome your depression by having extra time after retirement ?

2

Which strategies would the nurse implement for a client with conduct disorder to increase the client's ability to meet personal needs without manipulating others ? Select all that apply . 1. Discuss how others can precipitate anxiety . 2.Provide physical outlets for aggressive feelings . 3. Establish a contract regarding manipulative behavior 4. Develop activities that provide opportunities success . 5. Encourage the client to verbalize negative feelings to others .

2,3,4

Which action would be important for the nurse to take for a hyperactive , self - destructive child in preparation for discharge Establish , maintain , and enforce limits on behavior Meet with the child's teacher to review the child's needs . Schedule a team conference with the child and the parents . Help the child begin to terminate relationships with the nursing team

3

Which action would the nurse take when a client diagnosed with schizophrenia talks about being controlled by others ? O Express disbelief about the client's delusion Divert the client's attention to unit activities . O React to the feeling tone of the client's delusion . Respond to the verbal content of the client's delusion

3

Which client has reached the primary objective of situational crisis therapy within the expected time frame ? Client states that they are going to be all right after 4 days of intense therapy Client shows an improvement in attending group therapy within 3 weeks Client develops several different methods to handle stress after months Client talks openly to the therapist after 6 months of individual counseling

3

Which effect does attention - deficit / hyperactivity disorder ( ADHD ) impose on learning processes for children ? They have intellectual deficits that inhibit learning . These children will not be self - directed learners . Perceptual difficulties interfere with their learning . These children usually perform way below their age norm .

3

Which purpose does confabulation serve for an older client with the diagnosis of early onset dementia ? Prevents regression Increases self - esteem Attracts attention of others Helps recall achievements

3

Which signs and symptoms would the nurse observe in a child with autism spectrum disorder ? Select all that apply . 1. Lack of appetite 2. Depressed mood 3. Repetitive activities 4. Inability to adapt to change 5. Lack of communication with others

3.4.5

arranged Which parental behaviors support a suspicion of child abuse some , or all responses may be correct . Displaying sensitivity about their child care ability Taking the initiative in meeting their child's needs Exhibiting difficulty in showing concern for their child Demonstrating heightened interest in their child's welfare Procrastinating in obtaining treatment for their child's injuries

3.5

Typically , recurrent self - mutilation is an expression of intense anger , helplessness , or guilt or is form of self punishment . Self - mutilation is used not to control others , but rather for self - validation ; also , it is a means of blocking psychological pain by inducing physical Expression of autonomy and manipulation are not the purposes of self - destructive behaviors . Which overall outcome would the school nurse formulate for a 6 - year - old client with attention - deficit / hyperactivity disorder ( ADHD ) ? Developing language skills Avoiding regressive behavior Attending regular classes in school Enhancing self - image as a worthy person

4

Which emotion precedes anger and aggression ? Elation Isolation Depression Vulnerability

4

Which factor would the nurse consider when planning care for a client diagnosed with conversion disorder ? 1. physiologic response to stress 2. is a conscious defense against anxiety . 3. is an intentional attempt to gain attention . 4. unconscious means of reducing stress .

4

Which finding is expected for a client who has a moderate level of cognitive impairment as a result of dementia ? Hypervigilance Increased inhibition Enhanced intelligence Accentuated premorbid traits

4

Which intervention would the nurse add to the plan of care for a pt with bipolar who is using pressured speech and has stopped eating and sleeping? 1. Limiting coffee 2. Giving olanzapine 3. Providing soft music at bedtime 4. Intake and output records 5. Monitor bp every 30 min 6. Offer high calories and high protein drink every hr

All are right