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A nurse is caring for a client who gave birth to a
stillborn baby. Which of the following statements
should the nurse make? - ✔✔✔ANSWER"I'll
stay with you just in case you want to talk."
A nurse is caring for four clients in an emergency
department. The nurse should identify that which of
the following clients can give informed consent? -
✔✔✔ANSWERA 35-year-old client who has
major depressive disorder
A nurse is teaching a newly licensed nurse about
nursing care plans for clients who have depressive
disorders. Which of the following statements by the
newly licensed nurse indicates an understanding of
the teaching? - ✔✔✔ANSWER"I will update the
plan of care as a client's manifestations of
depression change."
,A nurse is performing a cognitive assessment to
distinguish delirium from dementia in a client whose
family reports episodes of confusion. Which of the
following assessment findings supports the nurse's
suspicion of delirium? - ✔✔✔ANSWER Easily
distracted
A nurse on a medical-surgical unit is assessing a
client who sustained injuriesterm-0 12 hr ago
following a motor-vehicle crash. The client's
admission blood alcohol level was 325 mg/dL.
Which of the following findings should indicate to the
nurse that the client is experiencing alcohol
withdrawal? - ✔✔✔ANSWER Blood pressure
154/96 mm Hg
A nurse is planning care for a client who has made
repeated physical threats toward others on the unit.
Although the client does not want to leave the unit,
the nurse requests the provider to transfer the
client to a unit that is equipped to manage violent
behavior. Which of the following ethical principles
should the nurse apply in this situation? -
✔✔✔ANSWER Nonmaleficence
A nurse is discussing a 12-step program with a client
who has alcohol use disorder and is in an acute care
, facility undergoing detoxification. Which of the
following information should the nurse include in the
teaching? - ✔✔✔ANSWER The client should obtain
a sponsor before discharge for an increased
chance of recovery.
A nurse is creating a plan of care for a client who
has been placed in seclusion after threatening to
harm others on the unit. Which of the following
interventions should the nurse include in the plan? -
✔✔✔ANSWER Renew the prescription for the
client every 4 hr.
A nurse is performing an admission assessment on
a client and notices that the client appears
withdrawn and fearful. To establish a trusting nurse-
client relationship, which of the following actions
should the nurse take first? - ✔✔✔ANSWER Inform
the client that this admission is confidential.
A nurse is planning discharge teaching for a client
who has severe schizoaffective disorder. The nurse
should identify that which of the following treatment
options can offer interdisciplinary services for the
client at home? - ✔✔✔ANSWER Assertive
community treatment