COMPLETE SOLUTIONS VERIFIED
a nurse is obtaining a medical hx from a pt. who is requesting a prescription for
bupropion for smoking cessation. which of the following assessment findings in
the pts. hx should the nurse report to the provider?
A. Recent head injury
b. hypothyroidism
c. herpes infection
d. knee arthroplasty 1 month ago
A. Recent head injury - risk for seizures
a nurse is planning care for a pt. who has narcissistic personality disorder. which
of the following actions is appropriate for the nurse to include in the plan of care?
A. request an anti-psychotic med from the provider
b. ask the client to sign a no suicide contract
c. remain neutral when communicating with the client
d. provide the client with high cal. finger foods
c- remain neutral when communicating with the client
a nurse is preparing for an inter professional team meeting regarding client who
has major depressive disorder. which of the following findings obtained during
the initial assessment is a priority to report to other disciplines?
A. significant weight loss
b. neglected hygiene
c. psychomotor retardation
d. problem solving skills
c. psychomotor retardation
a nurse in a mental health facility is reviewing a client's medical record. which of
the following actions should the nurse take first?
,A. initiate 0.9 sodium chloride with 40 mil equivalent potassium chloride
b. encourage the client to attend group therapy sessions
c. teach the client about nutritional needs
d. administer acetaminophen 500 mg PO
d. administer acetaminophen 500 mg PO
a nurse is providing care for a client who demonstrates prolonged depression
related to the loss of her significant other 6 months ago. which of the following
actions should the nurse take?
A. suggest that the client avoids social interactions that remind her of her partner
b. discourage the client from reliving the event surrounding her loss
c. explain that it could take a year or more to learn to live with the loss
d. have the client maintain an unstructured daily routine
c. explain that it could take a year or more to learn to live with the loss
a nurse is teaching a client who has a new prescription for disulfiram. which of
the following statements by the client indicates an understanding of the
teaching?
A. I can continue to eat age cheese and chocolate
b.i can wear my cologne on special occasions
c. when I bake my favorite cookies, I can use pure vanilla extract for flavoring
d. if I cut myself I can clean the wound with isopropyl alcohol
A. I can continue to eat age cheese and chocolate
a nurse is caring for a client who has schizophrenia and is experiencing auditory
hallucinations which of the following actions should the nurse take first?
A. focus the client on reality based topics
b. monitor the client for indications of anxiety
c. ask the client what she/he is hearing
d. encourage the client to listen to music
c. ask the client what she/he is hearing
a nurse is assessing a client who has delirium. which of the following findings
requires immediate intervention by the nurse?
A. rapid mood swings
, b. inappropriate speech patterns
c. command hallucinations
d. impaired memory
c. command hallucinations
a nurse in an ED is assessing a client who recently reported using ...... which of
the following clinical manifestations should the nurse report?
A. lethargy
b. brady
c. hypertension
d. hypotension
c. hypertension
a nurse is teaching a client about cognitive reframing for stress management.
which of the following client statements indicates understanding of the teaching
A. I will practice replacing negative thoughts with positive self thoughts
b. I will progressively relax each one of my muscle groups when feeling stressed
c. I will focus on a mental image while concentrating on my breathing
d. I will learn how to voluntarily control my b/p and HR
A. I will practice replacing negative thoughts with positive self thoughts
a nurse in a inpatient mental health facility is assessing a client who has
Schizophrenia and is taking haloperidol. which of the following clinical findings is
the nurses priority?
A. high fever
b. urinary hesitancy
c. insomnia
d. headache
A. high fever
a nurse is interviewing a client who was recently sexually assaulted. the client
cannot recall the attack. the nurse should identify the client is using which of the
following defense mechanisms?
A. Suppression
b. reaction formation