Ming 4

1. Abusers of which drug place the user at risk for HIV or hepatitis infection?

- Heroin.

1. A nurse is reviewing the medical record of a client who attempted suicide. Which of the following findings should the nurse identify as risk factors for suicide? (Select all that apply).

- Diagnosis of major depressive disorder - Unemployment - Access to firearms

1. When a parent asks the nurse to describe what is meant by a "learning disability," the nurse's most helpful response would be:

- "A child may have difficulty with perception, language, comprehension, or memory."

1. A nurse in a community clinic is speaking to a parent who expresses concern for her adolescent son. Which of the following statements by the mother should indicate to the nurse that the adolescent is at risk for suicide?

- "His basketball coach committed suicide last month."

1. A nurse is collecting data from an adolescent client who has anorexia nervosa. Which of the following statements by the client is a sign of cognitive distortion?

- "If I eat one piece of candy, I may as well eat ten."

1. A nurse is reinforcing teaching with new parents about risk factors for sudden infant death syndrome (SIDS). Which of the following statements by a parent indicates an understanding of the teaching?

- "My baby will be placed on her back when sleeping."

1. The nurse answering phone calls at a local suicide prevention hotline would recognize the statement indicating the greatest risk of suicide is:

- "My parents aren't home and won't be back for 4 hours. That should be enough time for the pills to work. I've got a hundred of them."

1. A client who is depressed and has attempted suicide tells the nurse, "I should have died because I am totally worthless." Which of the following responses should the nurse make?

- "You've been feeling that your life has no meaning."

1. A nurse is assisting with a conflict-resolution group for adolescent clients in a community clinic facility. Which of the following clients should the nurse identify as being the highest risk for a suicide attempt?

- A client who attempted suicide the previous year.

A nurse is collecting data an adolescent client who has attention deficit hyperactivity disorder (ADHD). Which of the following manifestations should the nurse expect to find?

- Difficulty maintaining sustained attention

1. The school nurse suggests to the classroom teacher that the most appropriate classroom intervention for a child with attention deficit hyperactivity disorder (ADHD) would be to:

- Divide work assignments into shorter periods with breaks in between.

1. A nurse is collecting data an adolescent client who has attention deficit hyperactivity disorder (ADHD). Which of the following manifestations should the nurse expect to find?

- Establish a reward system for positive behavior.

1. The nurse assesses an early sign of depression in a 15-year-old boy who previously was active in a band and had saved his money to buy a special guitar when he:

- Gives his guitar away and spends his time listening to music in his room (ALONE).

1. A nurse is assisting with the admission of a client to an acute mental health unit following a suicide attempt. The client has a history of depression, substance abuse, and anorexia nervosa. Which of the following actions should the nurse take first?

- Initiate one-to-one nursing observation.

1. A nurse is reinforcing teaching with a group of adolescents regarding identifying behavioral indicators of depression. Which of the following manifestations should the nurse include? (Select all that apply.)

- Irritability - Decreased energy - Isolation from peers

1. The nurse decides to hold a seminar for the faculty. The nurse explains how to identify students at risk. Which of the following is a factor that increases the risk of suicide?

- Lack of coping skills.

1. A nurse is assisting with the admission of an adolescent female client who has anorexia nervosa. Which of the following findings should the nurse expect?

- Muscle weakness.

1. A nurse is reviewing the admission laboratory values for a client who has a history of bulimia nervosa. Which of the following findings is the nurse's priority?

- Potassium 2.8 mEq/L.

1. A 14-year-old girl with obsessive-compulsive disorder (OCD) tells the nurse other adolescents tease her because she washes her hands many times during the school day. The nurse is aware that this disorder puts the adolescent at greater risk for:

- Depression.

A nurse in an addiction rehabilitation center is contributing to the plan of care for a newly admitted client who has alcohol use disorder. Which of the following interventions is the nurse's priority?

- Determine the client's level of disorientation.

1. A nurse is contributing to the plan of care for a client who is newly admitted with severe depression. Which of the following actions should be added to the plan of care?

- Offer the client frequent small snacks during waking hours.

1. A nurse is making a home visit for a 16-year-old adolescent who attempted suicide. Which of the following behaviors should alert the nurse that the adolescent still has suicidal intent?

- Planning to give his CD collection to his girlfriend.

1. A nurse is reviewing the plan of care for a client who has depression. Which of the following actions should the nurse plan to take?

- Reinforce how to use assertive communication techniques.

1. Identify which characteristic is typical of patients with anorexia (Select all that apply).

- Weight is markedly decreased below normal - Perfectionist, has unrealistic expectations - Sees self as fat even when emaciated

1. What is the role of the nurse in caring for a child or adolescent with an emotional or behavioral condition?

- facilitating communication - assessing and documenting specific changes in mood and behaviors - providing resources for mental health services - supporting organizations devoted to children's interests - supporting parents or other family members

1. What are the different types and settings of psychiatric treatment for children or adolescents with emotional or behavioral disorders? (select all that apply)

- inpatient hospital settings - residential treatment settings - outpatient locations - partial hospitalization treatment settings

1. A mother is concerned because her adolescent son is always in trouble for fighting at school and always seems to be angry. She mentions that her husband drinks a bit. The understanding guiding the nurse's response is:

- the boy is only one member of the family affected by alcoholism, and all members should receive immediate intervention.

1. A nurse is assisting with a psychosocial assessment of an adolescent client. Which of the following factors indicate to the nurse a potential risk for suicide? (Select all that apply.)

- Death of a parent at a young age - Recent or impending move - Low parental expectations - Sudden decline in school performance

1. A nurse is caring for a client who has obsessive compulsive disorder (OCD) and is constantly picking up after others and cleaning in the day room. The nurse should recognize the client's actions as which of the following?

- Decreasing anxiety to a tolerable level.

1. A nurse is collecting data from a child who has autism spectrum disorder. Which of the following findings should the nurse expect? (Select all that apply.)

- Delayed language development - Spins a toy repetitively - Ritualistic behavior

1. The nurse is aware that students in the school have a problem with drug abuse. The nurse decides to prepare an educational seminar on the effects of drug abuse on health. In the first seminar, alcohol abuse is discussed. The nurse teaches the students that alcohol abuse can cause which of the following problems:

- All of the above!

A nurse is caring for a client who has anorexia nervosa and insists on exercising three times each day. Which of the following actions should the nurse take?

- Allow the client to exercise once per day for a set amount of time.

1. A nurse is collecting data from an adolescent client who has anorexia nervosa. Which of the following findings should the nurse expect? (Select all that apply.)

- Amenorrhea - Altered body image - Hypokalemia

1. A nurse is caring for a client three days after admission to an acute care mental health facility for treatment of major depression. The client leaves her current activity, approaches the nurse and states, "There's no reason to go on living. I just want to end it all." Which of the following nursing interventions is appropriate?

- Ask the client if she has a PLAN to commit suicide.

1. A nurse is collecting data from a client following a recent suicide attempt. Which of the following findings in the client's history places him at the greatest risk for another suicide attempt?

Impulsivity