Alcohol withdrawal A nurse is planning care for a client who is
withdrawing from alcohol. Which of the following
medications should the nurse plan to administer
during the acute phase of alcohol withdrawal?
Diazepam
Alcohol use disorder A nurse is counseling a client who has alcohol use
disorder and has chosen to enter a treatment
program. The client states, "I need to find a program
that won't interfere with my job." The nurse should
identify which of the following community resources
as being the least restrictive?
Outpatient treatment program
Alzheimers A nurse is providing morning care for a client who has
Alzheimer's disease and has frequent outbursts of
aggression. Which of the following actions should the
nurse take?
Limit the client's choices.
Agitated A nurse is caring for a client who appears extremely
agitated and believes that pacing the floor a specific
number of times is necessary or "something terrible"
will happen. Which of the following responses should
the nurse make?
"It must be hard for you to have to pace the floor.
Let's talk about your feelings."
Aggressive & Violent A nurse in a mental health facility is caring for a client
behavior who has frequent episodes of aggressive and violent
behavior. The nurse should identify which of the
following findings as indications that the client is at
risk for imminent violence? (Select all that apply.)
Clenches and unclenches the jaw
Maintains intense eye contact
Paces the floor
Uses profanity to express emotions
Anorexia nervosa A nurse is creating a plan of care for a newly admitted
client who has anorexia nervosa. Which of the
following interventions should the nurse include?
, Weigh the client daily after first voiding.
Anorexia Nervosa A nurse is caring for an adolescent client who has
anorexia nervosa. The client states, "Have I done any
permanent damage to my body?" Which of the
following responses should the nurse make? "You're
afraid you have caused physical injury to yourself?"
Biofeedback therapy A nurse is teaching a client about biofeedback
therapy. Which of the following client statements
indicates an understanding of the teaching?
"This therapy will help me recognize changes in my
blood pressure."
Benztropine A nurse is planning care for a client who is taking
benztropine to reduce extrapyramidal manifestations
developed secondary to taking an antipsychotic
medication. For which of the following adverse effects
of benztropine should the nurse monitor?
Tachycardia
Bipolar disorder A nurse is checking laboratory values for a
hospitalized young adult client who has bipolar
disorder and is taking lithium. Which of the following
values is the priority for the nurse to report to the
provider? Serum creatinine 2.1 mg/dL
Bipolar disorder A nurse is providing teaching to a client who has
bipolar disorder and has been taking lithium for 4
months. The client's serum lithium levels are within
the therapeutic range. Which of the following
instructions should the nurse include to promote the
maintenance of the therapeutic lithium level?
"Limit outdoor exercise during hot weather."
Bipolar disorder A nurse is assessing a client who has bipolar disorder
and is experiencing mania. Which of the following
findings is the priority for the nurse to report to the
provider?
The client refuses to drink fluids.
Bulimia nervosa A nurse is assessing a client who has bulimia nervosa.
Which of the following findings should the nurse
expect?
withdrawing from alcohol. Which of the following
medications should the nurse plan to administer
during the acute phase of alcohol withdrawal?
Diazepam
Alcohol use disorder A nurse is counseling a client who has alcohol use
disorder and has chosen to enter a treatment
program. The client states, "I need to find a program
that won't interfere with my job." The nurse should
identify which of the following community resources
as being the least restrictive?
Outpatient treatment program
Alzheimers A nurse is providing morning care for a client who has
Alzheimer's disease and has frequent outbursts of
aggression. Which of the following actions should the
nurse take?
Limit the client's choices.
Agitated A nurse is caring for a client who appears extremely
agitated and believes that pacing the floor a specific
number of times is necessary or "something terrible"
will happen. Which of the following responses should
the nurse make?
"It must be hard for you to have to pace the floor.
Let's talk about your feelings."
Aggressive & Violent A nurse in a mental health facility is caring for a client
behavior who has frequent episodes of aggressive and violent
behavior. The nurse should identify which of the
following findings as indications that the client is at
risk for imminent violence? (Select all that apply.)
Clenches and unclenches the jaw
Maintains intense eye contact
Paces the floor
Uses profanity to express emotions
Anorexia nervosa A nurse is creating a plan of care for a newly admitted
client who has anorexia nervosa. Which of the
following interventions should the nurse include?
, Weigh the client daily after first voiding.
Anorexia Nervosa A nurse is caring for an adolescent client who has
anorexia nervosa. The client states, "Have I done any
permanent damage to my body?" Which of the
following responses should the nurse make? "You're
afraid you have caused physical injury to yourself?"
Biofeedback therapy A nurse is teaching a client about biofeedback
therapy. Which of the following client statements
indicates an understanding of the teaching?
"This therapy will help me recognize changes in my
blood pressure."
Benztropine A nurse is planning care for a client who is taking
benztropine to reduce extrapyramidal manifestations
developed secondary to taking an antipsychotic
medication. For which of the following adverse effects
of benztropine should the nurse monitor?
Tachycardia
Bipolar disorder A nurse is checking laboratory values for a
hospitalized young adult client who has bipolar
disorder and is taking lithium. Which of the following
values is the priority for the nurse to report to the
provider? Serum creatinine 2.1 mg/dL
Bipolar disorder A nurse is providing teaching to a client who has
bipolar disorder and has been taking lithium for 4
months. The client's serum lithium levels are within
the therapeutic range. Which of the following
instructions should the nurse include to promote the
maintenance of the therapeutic lithium level?
"Limit outdoor exercise during hot weather."
Bipolar disorder A nurse is assessing a client who has bipolar disorder
and is experiencing mania. Which of the following
findings is the priority for the nurse to report to the
provider?
The client refuses to drink fluids.
Bulimia nervosa A nurse is assessing a client who has bulimia nervosa.
Which of the following findings should the nurse
expect?
