2027 WITH COMPLETE QUESTIONS & ACCURATE DETAILED
ANSWERS\VERIFIED 100% ALREADY GRADED A+ \ACTUAL
TEST BANK FINAL EXAM WITH RATIONALES
A nurse is talking with a client about his admission to a mental
health unit. The client states, "I just don't know if I should be here.
What will my family think?" Which of the following responses by the
nurse uses the therapeutic communication technique of
reflection?
A. "It sounds like you are concerned about your family's reaction."
B. "What your family thinks isn't important; you need to be
concerned about getting well."
C. "I suspect your family doesn't seem to understand you.
D. "Many clients are concerned about the reaction of their families."
"It sounds like you are concerned about your family's reaction."
*In a reflective response, the nurse directs feelings and statements
back to the client, allowing the client to think about personal
feelings
A nurse is reinforcing teaching with the parent of a child who
has a new prescription for methylphenidate to treat ADHD.
Which of the following instructions should the nurse include
in the teaching?
A. "Weigh your child 3 times per week."
B. "Expect your child to experience dark-colored stools."
,C. "Administer this medication at bedtime."
D. "You should limit your child's intake of caffeine."
"Weigh your child 3 times per week."
*The nurse should instruct the parent to weigh the child 2 to 3 times
per week. Weight loss is an adverse effect of this medication. If
significant weight loss occurs, the parent should notify the
provider.
A nurse is reinforcing teaching with a client who has generalized
anxiety disorder and a new prescription for venlafaxine. Which of
the following statements should the nurse make?
A. "This medication is only for short-term use"
B. "This medication can be taken on an as-needed basis."
C. "This medication will effectively reduce your physical
manifestations of anxiety."
D. "This medication should not be stopped abruptly."
"This medication should not be stopped abruptly."
*The nurse should instruct the client that stopping venlafaxine
abruptly will lead to manifestations of withdrawal.
,A nurse is reinforcing teaching with a client who has bipolar
disorder and a new prescription for valproic acid. The nurse
should explain that the
provider will routinely prescribe which of the following tests while
the client is taking valproic acid?
A. Electrocardiogram
B. Chest X-ray
C. Thyroid function tests
D. Liver function levels
Liver function levels
*The nurse should inform the client of the need to monitor liver
function levels regularly due to the risk of hepatotoxicity while
taking valproic acid. It is is recommended to obtain baseline levels
and then repeat testing every 2 months during the first 6 months of
therapy.
, A nurse is caring for a client who is taking carbamazepine. The nurse should
monitor the client for which of the following adverse effects of
carbamazepine?
A. Thrombocytopenia
B. Weight loss
C. Polyuria
D. Insomnia
Thrombocytopenia
*The nurse should monitor the client for thrombocytopenia (an increased
risk of bleeding). The nurse should monitor for bleeding of the gums, which
can indicate thrombocytopenia, and notify the provider if this occurs.