VERIFIED ANSWERS/ ALREADY GRADED A+| NJXDG
EXAM REVIEW (BRAND NEW!!)
A nurse is caring for a client who takes phenelzine. Which of the following should indicate to the
nurse an onset of hypertensive crisis? - answer: severe headache
A nurse is reinforcing discharge teaching with a client who has bipolar disorder. Which of the
following statements should the nurse identify as an indication that the client understands the
instruction? - answer: weekly sessions of electroconvulsive therapy will minimize my symptoms
A nurse is reviewing a medical record of a client who has received electroconvulsive therapy.
The nurse should inform the provider of which of the following findings? - answer: cardiac
arrhythmia
A client in a mental health facility says to the nurse, " my family won't let me come home if I
cannot control my anger." Which of the following responses by the nurse is appropriate? -
answer: tell me about some changes that you can make to control your anger
A nurse is caring for a younger adult client who has major depressive disorder and has been
found legally incompetent. The client requires informed consent for abdominal surgery. The
nurse should recognize which of the following people can consent for surgery? - answer: the
clients appointed guardian
A nurse is caring for multiple clients on a mental health unit. Which of the following clients
should the nurse attend to first? - answer: a client who has bipolar disorder and is continuously
pacing at the end of the hall
, A nurse is caring for a client who has moderate anxiety disorder. The client appears distracted
and unable to focus. Which of the following actions by the nurse is appropriate? - answer: allow
the client to walk around the courtyard
A client who has depression tells the nurse, " I'm worthless and none of you really care anyway.
You're all just here for a paycheck." Which of the following is an appropriate response by the
nurse? - answer: give me an example of what makes you feel this way?
A nurse is caring for a client who has bipolar disorder and suddenly begins yelling at the staff
and other clients. Which of the following is the nurses "priority" intervention? - answer: use
verbal de-escalatiion skills
A nurse is collecting data from a client who has borderline personality disorder. Which of the
following findings should the nurse expect? - answer: impulsiveness
A nurse is reinforcing teaching with a client who has experienced intimate partner abuse. The
client asks the nurse what action she should take when her partner begins shouting. Which of
the following is an appropriate response by the nurse? - answer: leave the house and go to a
safe place
A nurse is beginning a Therapeutic Relationship with a client who has Paranoid Personality
Disorder. Which of the following strategies should the nurse plan to use? - answer: Demonstrate
a neutral demeanor
A nurse is contributing to a plan of care for a client who is experiencing Panic Attacks. Which of
the following Strategies should be Included for Implementation during an Attack? - answer:
Minimize environmental stimuli
A nurse is collecting data from an Adult Client in an outpatient mental health clinic. The nurse
should identify which of the following events as a potential cause of a Maturational Crisis? -
answer: A child leaving for college