EXAM ALL QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS)
a nurse is caring for an older adult client who has demen a and has wandered into the day
room looking for their deceased partner. which of the following ac ons should the nurse take? -
talk with the client about ac vi es they enjoyed with their partner
a nurse is documen ng admission assessment findings for a client who has major depressive
disorder. the nurse should iden fy which of the following findings as clinical manifesta ons? - -
feelings of hopelessness
-anhedonia
-flat facial expression
a nurse is admi ng a client who has alcohol use disorder. which of the following statements by
the client indicates that the client is using denial as a defense mechanism? - "I am able to go to
work every day, so I don't have a problem."
a nurse is admi ng a client who has anorexia nervosa and is at 60% of ideal body weight. which
of the following interven ons should the nurse include in the plan of care? - encourage the
client to drink 125 mL of fluid each hour while awake.
, a nurse is caring for a client who has schizophrenia and is experiencing psychosis. the nurse
should iden fy that which of the following findings indicates a poten al psychiatric emergency?
- the client reports command hallucina ons
a client who has paranoid schizophrenia is a ending a treatment planning conference with a
family member. during the discussion of the medica on adherence por on of the plan, a nurse
no ces that the family member seems distracted. which of the following ac ons should the
nurse take? - ask the family member if they have any thoughts or ques ons about the
treatment plan
a nurse is planning care for an adolescent who is being admi ed to an acute care unit following
a suicide a empt. which of the following interven ons should the nurse iden fy as the priority?
- arrange one-to-one observa on of the client
a nurse is caring for a group of clients. which of the following findings should the nurse report? -
a client who is taking lamotrigine and has developed a rash
a nurse is planning care for a client who is experiencing acute mania. which of the following
interven ons should the nurse include in the plan to promote sleep? - encourage frequent rest
periods throughout the day
a nurse is reviewing rou ne lab values for several clients who are taking lithium carbonate.
which of the following clients should the nurse assess further for findings indica ng lithium
toxicity? - a client who has a sodium level of 128 mEq/L
a nurse is discussing the home care of a client who has advanced Alzheimer's disease with the
client's partner, who is planning to go out of town for several days. which of the following
resources should the nurse recommend to the caregiver? - respite care