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1. A nurse is caring for a school- a. Place the child in seclusion
aged child who has conduct
disorder and is being physically
aggressive toward other children in
the unit. Which of the following
actions should the nurse take first?
a. Place the child in seclusion
b. Use therapeutic hold technique
c. Apply wrist restraints
d. Administer risperidone
2• A nurse is caring for a client who b. ECG
has a new diagnosis of bulimia
nervosa. Which of the following
diagnosis procedures should the
nurse anticipate the provider
should describe during the medical
evaluation?
a. Chest x-ray
b. ECG
c. Coagulation studies
d. Liver function test
,3. A nurse is caring for a client who a. Dependent
exhibits excessive compliance,
passivity, and self-denial. The nurse
should recognize that these
findings are associated with which
of the following personality
disorders?
a. Dependent
b. Paranoid
c. Borderline
d. Histrionic
4. A nurse is caring for a client who c. Offer the client the medication at the next
is involuntarily admitted for major scheduled dose time
depressive disorder and refuses to
take prescribed antianxiety
medication. Which of the following
actions should the nurse take?
a. Inform the client that he does not
have the right to refuse medication
b. Administer the medication to the
client via IM injection
c. Offer the client the medication at
the next scheduled dose time
d. Implement consequences until
the client take the medication
,5. A nurse is caring for a client in the d. Offer prophylactic medication to prevent STI's
emergency department who states
she was beaten and sexually
assaultby her partner. After a rapid
assessment, which of the following
actions should the nurse plan to
take next?
a. Conduct a pregnancy test
b. Requests mental health
consultation for the client
c. Provide a trained advocate to
stay with the clientd.
d. Offer prophylactic medication to
prevent STI's
6. A nurse is caring for a client who b. Cancel the scheduled ECT procedure
has major depressive disorder. After
discussing the treatment with his
partner, the client verbally agrees
to electroconvulsive therapy (ECT)
but will not sign the consent form.
Which of the following actions
should the nurse take?
a. Request that the client's partner
sign the consent formb.
b. Cancel the scheduled ECT
procedure
c. Proceed with the preparation for
ECT based on implied consent
d. Inform the client about the risks
of refusing the ECT
, 7. A nurse is caring for a client who d. Displacement
reports that he is angry with his
partner because she thinks he is just
trying to gain attention. When the
nurse attempts to talk to the client,
he becomes angry and tells her to
leave. Which of the following
defense mechanisms is the client
demonstrating?
a. Rationalization
b. Denial
c. Compensationd.
d. Displacement
8. A nursing is advising an assistive b. It's important that the client feel safe
personnel (AP) on the care of a verbalizing how she is feeling
client who has major depressive
disorder. The AP states that he is
irritated by the client's depression.
Which of the following statements
by the nurse is appropriate?
a. Please don't take what the client
said seriously when she is
depressedb.
b. It's important that the client feel
safe verbalizing how she is feeling
c. Everybody feels that way about
this client so don't worry about it
d. I'll change your assignment to
someone who doesn't have
depressive disorder