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A nurse is assessing a client who recently used cocaine. Which of the following findings
should the nurse expect? -correct answerHypertension
A nurse is caring for a group of clients. Which of the following findings should the nurse
report? -correct answerA client who is taking lamotrigine and has developed a rash
A nurse on a mental health unit is admitting a client who is anxious and tells the nurse,.
"I hear voices telling me what to do." Which of the following actions should the nurse
take? -correct answerAsk the client what the voices are saying.
A nurse is communicating with a client in an inpatient mental health facility. Which of the
following actions by the nurse demonstrates the use of active listening? -correct
answerAttention to body language
A client who has paranoid schizophrenia is attending a treatment planning conference
with a family member. During the discussion of the medication adherence portion of the
plan, a nurse notices that the family member seems distracted. Which of the following
actions should the nurse take? -correct answerAsk the family member if they have any
thoughts or questions about the treatment plan.
, A nurse is caring for a client who has schizophrenia and is experiencing psychosis. The
nurse should identify that which of the following findings indicates a potential psychiatric
emergency? -correct answerThe client reports command hallucinations.
A nurse is caring for a client who is experiencing alcohol withdrawal. Which of the
following medications should the nurse administer first? -correct answerDiazepam 5
mg IV bolus
A nurse is reviewing the electronic medical record of a client who has schizophrenia and
is taking clozapine. Which of the following findings is the priority for the nurse to notify
the provider? -correct answerThe client reports an inability to breathe easily.
A nurse in a community health center is counseling a family of two parents and two
children. Which of the following statements by a family member indicates manipulative
behavior? -correct answer"If you do my homework for me, I won't bother you for the
rest of the day."
A nurse is caring for a client who has schizophrenia and began taking a conventional
antipsychotic medication yesterday. Which of the following findings indicates the nurse
should administer benztropine 2 mg IM? -correct answerShuffling gait
A nurse is delegating client care tasks to a licensed practical nurse (LPN) and an
assistive personnel. Which of the following tasks should the nurse assign to the LPN? -
correct answerChange the dressings of a client who has borderline personality
disorder and superficial self-inflicted wounds.
While observing group therapy, a nurse recognizes that a client is behaving in a way
suggestive of dependent personality disorder. Which of the following behaviors is
consistent with this condition? -correct answerThe client needs excessive external
input to make everyday decisions.
A nurse is planning care for a 7-year-old child who has ADHD. Which of the following
interventions should the nurse identify as the priority? -correct answerRemove
unnecessary equipment from the child's surroundings.
A nurse in an outpatient mental health setting is collecting a health history from a client
who is taking paroxetine for depression. The client reports to the nurse that he also
takes herbal supplements. The nurse should advise the client that which of the following
supplements interacts adversely with paroxetine? -correct answerSt. John's wort
A nurse is documenting admission assessment findings for a client who has major
depressive disorder. The nurse should identify which of the following findings as clinical
manifestations? (Select all that apply.) -correct answerFeelings of hopelessness
Anhedonia
Flat facial expression