EXAM QUESTIONS AND 100%
VERIFIED ANSWERS | LATEST
VERSION UPDATED 2024| ALREADY
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The nurse in the emergency department is assisting in caring for a
young female victim of sexual assault. The client's physical assessment
is complete, and physical evidence has been collected. The nurse notes
that the client is withdrawn, confused, and at times physically
immobile. Which interpretation should the nurse make of these
behaviors? - CORRECT-ANSWER-They are expected reactions to a
devastating event.
The nurse is caring for a client diagnosed with catatonic stupor. The
client is lying on the bed, with the body pulled into a fetal position.
Which is the appropriate nursing intervention? - CORRECT-ANSWER-Sit
beside the client in silence and verbalize occasional open-ended
questions.
,The spouse of a client admitted to the hospital for alcohol withdrawal
says to the nurse, "I should get out of this bad situation." The most
helpful response by the nurse should be which statement? - CORRECT-
ANSWER-What do you find difficult about this situation?
The nurse employed in a psychiatric unit receives a client assignment
for the day. Which client assigned to the nurse is at the highest risk for
committing suicide? - CORRECT-ANSWER-A client with severe
depression and terminal cancer
Which behaviors observed by the nurse might lead to the suspicion that
a depressed adolescent client could be suicidal? - CORRECT-ANSWER-
The client gives away a DVD and a cherished autographed picture of the
performer.
The nurse is preparing for the hospital discharge of a client with a
history of command hallucinations to harm self or others. The nurse
instructs the client about interventions for hallucinations and anxiety
and determines that the client understands the interventions when the
client makes which statement? - CORRECT-ANSWER-"I can call my
,therapist when I'm hallucinating so I can talk about my feelings and
plans and not hurt anyone."
A client tells the nurse that he is feeling out of control. The nurse
observes that the client is pacing back and forth. Which approach by
the nurse is appropriate to maintain a safe environment? - CORRECT-
ANSWER-Move the client to a quiet room and talk about his feelings.
The nurse is caring for an older depressed client whose son was killed in
an armed robbery after murdering two people. The client says, "I don't
know what I did wrong. His dad died a hero in Vietnam when he was
only 2 years old, but he's had everything. When he threw the cat up
against the wall to see if it landed on its feet and stole money from me
and denied it, his sister covered for him." The nurse plans to make
which therapeutic response to the client? - CORRECT-ANSWER-"It
seems as if you or your daughter feel regret?"
The nurse has been caring for a client with a diagnosis of depression.
The client says to the nurse, "I wish you would just be my friend." The
appropriate response by the nurse is which? - CORRECT-ANSWER-"Our
relationship is a therapeutic and a helping one."
, The nurse is working with an older client who has a diagnosis of
depression. To work most effectively with this client, the nurse recalls
that which information is accurate regarding depression and the older
client? Select all that apply. - CORRECT-ANSWER--Suicide is a frequent
cause of death among the older population.
-Some indications of dementia may actually originate as depression.
-Depression in an older person is likely to have physical manifestations.
The nurse is assisting with the data collection on a client admitted to
the psychiatric unit. After review of the obtained data, the nurse should
identify which as a priority concern? - CORRECT-ANSWER-The client's
report of self-destructive thoughts
The nurse is assessing a newly admitted client recently diagnosed with
depression. Which data best supports that the client is at risk for self-
harm? - CORRECT-ANSWER-reported hopelessness