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During a client's initial interview in a mental health inpatient setting, a nurse identifies that the client
is maintaining eye contact and leaning forward. Which of the following assumptions should the nurse
make based on the client's nonverbal behaviors? - CORRECT ANSWERS-The client is
interested in what the nurse is saying.
A nurse is planning care for a client who has depression and has made frequent suicide attempts.
Which of the following statements indicates the client has a decreased risk for suicide? -
CORRECT ANSWERS-"It is easier to talk about my feelings now."
A nurse is assessing a school-age child who has conduct disorder. Which of the following
characteristics should the nurse expect the child to demonstrate? - CORRECT ANSWERS-
Aggression toward animals
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 ANSWERS-Ask 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 ANSWERS-The 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 ANSWERS-Diazepam 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 ANSWERS-The 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
ANSWERS-"If you do my homework for me, I won't bother you for the rest of the day."
A nurse is assessing a client who recently used cocaine. Which of the following findings should the
nurse expect? - CORRECT ANSWERS-Hypertension
A nurse is caring for a group of clients. Which of the following findings should the nurse report? -
CORRECT ANSWERS-A 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
ANSWERS-Ask 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 ANSWERS-
Attention to body language
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 ANSWERS-Feelings of hopelessness
Anhedonia
Flat facial expression
A nurse is caring for a client who has borderline personality disorder. Which of the following goals is
the priority when planning care for this client? - CORRECT ANSWERS-The client will refrain
from self-mutilation.