PROCTORED RETAKE EXAM:
WITH VERIFIED ANSWERS.
A nurse is caring for a client who gave birth to a stillborn
baby. Which of the following statements should the nurse
make? - ✔✔✔ANSWER"I'll stay with you just in case you
want to talk."
A nurse is caring for four clients in an emergency department.
The nurse should identify that which of the following clients can
give informed consent? -
✔✔✔ANSWERA 35-year-old client who has major depressive
disorder
A nurse is teaching a newly licensed nurse about nursing care
plans for clients who have depressive disorders. Which of the
following statements by the newly licensed nurse indicates an
understanding of the teaching? - ✔✔✔ANSWER"I will update the
plan of care as a client's manifestations of depression change."
A nurse is performing a cognitive assessment to distinguish
delirium from dementia in a client whose family reports episodes
of confusion. Which of the following assessment findings
supports the nurse's suspicion of delirium? - ✔✔✔ANSWER
Easily distracted
A nurse on a medical-surgical unit is assessing a client who
sustained injuriesterm-0 12 hr ago following a motor-vehicle
crash. The client's admission blood alcohol level was 325 mg/dL.
,Which of the following findings should indicate to the nurse that
the client is experiencing alcohol
withdrawal? - ✔✔✔ANSWER Blood pressure 154/96 mm Hg
A nurse is planning care for a client who has made repeated
physical threats toward others on the unit. Although the client
does not want to leave the unit, the nurse requests the provider
to transfer the client to a unit that is equipped to manage violent
behavior. Which of the following ethical principles should the
nurse apply in this situation? -
✔✔✔ANSWER Nonmaleficence
A nurse is discussing a 12-step program with a client who has
alcohol use disorder and is in an acute care
facility undergoing detoxification. Which of the following
information should the nurse include in the
teaching? - ✔✔✔ANSWER The client should obtain a sponsor
before discharge for an increased chance of recovery.
A nurse is creating a plan of care for a client who has been
placed in seclusion after threatening to harm others on the unit.
Which of the following interventions should the nurse include in
the plan? -
✔✔✔ANSWER Renew the prescription for the client every 4 hr.
A nurse is performing an admission assessment on a client and
notices that the client appears withdrawn and fearful. To
establish a trusting nurse-client relationship, which of the
following actions
should the nurse take first? - ✔✔✔ANSWER Inform the client
that this admission is confidential.
, A nurse is planning discharge teaching for a client who has
severe schizoaffective disorder. The nurse should identify that
which of the following treatment options can offer
interdisciplinary services for the client at home? -
✔✔✔ANSWER Assertive community treatment
A nurse on a mental health unit is caring for a group of clients.
Which of the following actions by the nurse is an example of the
ethical principle of
justice? - ✔✔✔ANSWER Spending adequate time with a client
who is verbally abusive.
A nurse is teaching the guardians of a client about their
adolescent child's diagnosis of bulimia nervosa. Which of the
following statements made by the guardians indicates an
understanding of their child's illness? - ✔✔✔ANSWER "It is
important for our child to have regular dental checkups."
A nurse is assessing a client who has major depressive
disorder and has been receiving amitriptyline for 1 week.
Which of the following outcomes should the nurse
expect? -
✔✔✔ANSWER Greater risk of attempting suicide as affect and
energy improve
A nurse is planning care for a client who has generalized
anxiety disorder. At which of the following levels of anxiety
should the nurse plan to teach the client relaxation
techniques? -
✔✔✔ANSWER Mild
A nurse is updating the plan of care for a client who has bulimia
nervosa and is 5% above their ideal body weight. Which of the
following interventions should the nurse include in the plan? -
✔✔✔ANSWER Identify the client's trigger foods.