Apteampapproachpispusedptophelppap6-year-oldpboypwithpattentionpdeficit-
hyperactivitypdisorderp(ADHD).pWhatpbehaviorspindicatepthatpthepinterventionsphavep
beenpeffective?pSelectpallpthatpapply.
1
Ispnotpinhibitedp byprulesporp routines
2
Haspfunpplayingpwithptoyspbyphimself
Incorrect3
Ispnoplongerpenureticpduringpthepnight
ppCorrect4
Haspanpincreasedpattentionpspanpinpschool
ppCorrect5
Ispableptop waitp hisp turnp whenpinplinep withp others
Apnursepispassignedptopleadpaprelaxationpgroup.pWhichptechniquespshouldpthepnursepinco
rporate?pSelectpallpthatpapply.
pp Correct1
Meditation
ppCorrect2
Mentalp imagery
p 3
Tokenpeconomy
ppppppppppppppppppppppppppppppppppppppppppppppppppppppppppppppppppppppppppppppppppppppppppppppppppppppppppppppppp 4
Operantp conditioning
pp Correct5
Deep-breathingpexercises
,Howpshouldpapnursepcharacterizepapsuddenpterroristpactpthatpcausespthepdeathspofpthous
andspofp adultspandp childrenpandp negativelyp affectsptheirp families,p friends,pcommunities,p
andpthepnation?
1
Recurring
2
Situational
Incorrect3
Maturational
ppCorrect4
Adventitious
Apnursephaspjustpcompletedpapmentalpstatuspexaminationponpapnewlypadmittedppsychiat
ricpclientpandpreturnsptopthepnurses’pstationptopdocumentpthepresults.pThepnursepreflec
tsponpthepclient’spdrawn-
outpexplanationpofpthepreasonpforpthepadmissionpandpconcludespthatpexcessivepdetailpw
aspgivenpbeforepthepclientpeventuallypansweredpthepquestions.pWhatpmentalpprocesspdo
espthepnursepidentify?
1
Flightpofpideas
ppCorrect2
Circumstantiality
Whenptalkingpwithpapclientpwhophaspalcoholism,pthepnursepnotespthatpthepclientpbecom
espirritable,pmakespexcuses,pandpblamespfamilypandpfriendspforpthepdrinkingpproblem.p
Whichpdefensepmechanismspdoespthepnursepconcludepthatpthepclientpispusing?pSelectp
allpthatpapply.
pp Correct1
Projection
Incorrect2
Suppression
p 3
Sublimation
p 4
,Identification
ppCorrect5
Rationalization
Thepregisteredpnursepmanagingpthepcarepofpfourpclientspispdeterminingpindividualpp
riorities.pPlacepthepfollowingpclientspinporderpofppriority,pwithp1paspthephighestppri
ority.
Incorrect
1.
Apclientpwhosepauditoryphallucinations parepsaying,p“They’repgoingptopgetpyou.”
Correct
pp
2.
Incorrect1
Apmanicpclientpwhophaspspentptheplastp8phoursprefusingpliquidspandppacingparoundpthepunit.
Incorrect
3.
Apdepressedpclientpwhopsharespwithptheproommatepthatpthepclientpisp“veryphappyptoday.”
Correct
pp
4.
Apcognitivelypimpairedpolderpadultpwhopbelievespthatpthepdeceasedpspousepwillpvisitptoday.
Apnewlypadmittedpclientpwithpschizophreniaphaspaptreatmentpplanpthatpincludesppartici
pationpinpapphysicalp activitypgrouppforpseveralpdayspbeforepassignmentptopanpanalyticalpg
roup.pThepbasispforpthispdecisionpispthatpthepclientpwillpdopwhat?
Developpskillspinpmanagingpleisureptime
2
Haveptimeptopdeveloppinsightpintoppersonalpproblems
pppppppppppppppppppppppppppppppppppppppppppppppppppppppppppp 3
Beptoopdisruptiveptopbenefitpfrompgroupptherapypatpthisptime
Correct4
pp
Cultivateptrustpbeforepmovingpintopappotentiallypanxiety-producingpgroup
Thepmotherpofpanp18-year-
oldpmanpcomesptoptheplocalpmentalphealthpcenter.pShepispextremelypupsetpbecausepofph
erpson’spbehaviorpsincepthepyoungpmanpreturnedpfromphispfreshmanpyearpatpcollege.pH
eptakesphispbrother’spclothing,pcomespinpatpallphours,pandprefusesptopgetpapjob.pSometim
esphepisphappypandpoutgoing,pbutpatpotherptimesphepispwithdrawn.pThepmotherpaskspwhy
pherpsonpisplikepthis.pWhilepcontemplatingpthispsituation,pthepnursepconsiderspthatpwhic
hpadjectivespusuallypapplyptopadolescents?
1
Anxiouspandpunhappy
, 2
Angrypandpirresponsible
Correct3
pp
Impulsivepandpself-centered
Apyoungpadultpispbeingptreatedpinpthepemergencypdepartmentpforpinjuriespsustainedpasp
apresultpofpphysicalpbatteringpbypherppartner.pOnplearningpthatptherepispaphistorypofpsuchp
abuse,pthepnursepplanspwhichptertiarypnursingpinterventions?pSelectpallpthatpapply.
2
Incorrect1
Discussingptheplegalpramificationspofpnotppressingpcharges
Contactingpfamilypmembersptopprovidepsupport
Incorrect3
Offeringptopdiscusspthepabusivepbehaviorpwithpthepwoman'sppartner
ppCorrect4
Identifyingpthepbenefitspofpattendingpapsupportpgrouppforpbatteredpwomen
ppCorrect5
Providingpherpwithpinformationpregardingplocalpdomesticpviolencepshelters
Certainpquestionsparepapplicablepinpdeterminingpnursingpnegligence.pSelectpallpthatpa
pply.
Correct1
pp
"Waspreasonablepcarepprovided?"
Correct2
pp
"Wasptherepapbreachpofpnursingpduty?"
ppCorrect3
"Wasptherepanpactpofpomissionpthatpresultedpinpharm?"
ppCorrect4
"Exceptpforpthepnurse’spaction,pwouldpthepinjuryphavepoccurred?"