MENTAL HEALTH EXAM 2 NCLEX STYLE QUESTIONS AND ANSWERS Fortis college

MENTAL HEALTH EXAM 2 NCLEX STYLE QUESTIONS AND ANSWERS Fortis college A manic client announces to everyone in the day room that a stripper is coming to perform that evening. when the psychiatric nurse's aide firmly states that the client's behavior is not appropriate, the manic client becomes verbally abusive and threatens physical violence to the nurse's aide. Based on the analysis of this situation, the nurse determines that the appropriate action would be to: t the manic client to his or her room t the client to time, person, and place the client that the behavior is not appropriate the client that smoking privileges are revoked for 24 hours A nurse is collecting data on a client who is actively hallucinating. WHich nursing statement would be therapeutic at this time? 1."I know you feel they are out to get you, but its not true" 2."I can hear the voice and she wants you to come to dinner" 3."sometimes people hear things or voices others can't hear" 4."I talked to the voices you're hearing and they won't hurt you now" A client with delirium becomes agitated and confused at night. The best initial intervention by the nurse is to: the client next to the nurse's station a night light and turn off the television up the television and a soft light on during the night. soft music during the night and maintain a well-lit room A nurse is caring for a client with a diagnosis of depression. the nurse monitors for signs of constipation and urinary retention, knowing that these problems are likely caused by: dietary choices of exercise and poor diet quate dietary intake and dehydration omotor retardation and side effects of medication -