QuestionAnswered step-by-step51. A nurse is caring for a client who has schizophrenia. Which of…51

QuestionAnswered step-by-step51. A nurse is caring for a client who has schizophrenia. Which of…51. A nurse is caring for a client who has schizophrenia. Which of the following statements by the client indicates an understanding of relapse prevention plan? I can remember when my hallucinations began I know which of my hallucinations trigger a relapse I record the number of hallucinations I have each day I will read as much information as I can about schizophrenia 52. A client being admitted to the inpatient psychiatric unit after suddenly becoming blind after witnessing a car accident. When interviewing the client, she states, “It really isn’t that bad being blind.” The nurse recognizes this example of which of the following is symptoms of conversion disorder? Secondary gains Denial La belle indifferenceAcceptance 53. A nurse caring for a client who has schizophrenia and tells the nurse. “They lie about me all the time and they are trying to poison my food.” Which of the following statements would be the most therapeutic response?You are mistaken. Nobody is lying about you or trying to poison you Those thought can be very frightening. How dose this make you feel?Why do you think you are being lied about and poisoned?Who is lying about you and how are they trying to poison you?  54. At an outpatient clinic, a nurse is working with a client who has multiple bruises. When asked, the client states, “Oh he didn’t mean it. He has been so sweet, brining me flowers and making me dinner every night. I believe him when he says it won’t happen again.” The tension building phase The battering phase The honeymoon phaseThe denial phase  55. A client diagnosed with dependent personality disorder state, “Do you think I should move from my parent’s house and get a job?” Which nursing response is most appropriate? It would be best to do that to increase I independence Why would you want to leave a secure home? Let’s discuss and explore all of your options I’m afraid you would feel very guilty leaving you parents  56. After evaluating the newly admitted client who has depression, the provider has ordered nortriptyline 150 mg PO. On hand is nortriptyline 75 mg tablets. How many tablets will The LPN administer each dose? (Record answer as whole number. Do not use a trailing zero. 2458 57. A client diagnosed with schizophrenia tells the nurse, “I eat skiller. Tend to end. Easter. It blows away. Get it?” Which of the following would be the most therapeutic nursing response? Nothing you are saying is clear Your thoughts are very disconnected You need to reorganize your thoughts before you speak to meI am having difficulty understanding what you are saying  58.  Which assessment data should the school nurse recognize as signs of physical neglect?The child is often absent from school and seems withdrawn and tired The child is very insecure and has poor self-esteem The child has multiple bruises on various body parts The child has sophisticated knowledge of sexual behaviors   59. A nurse is working with a client recently diagnosed with terminal cancer. The nurse recognizes which of the following situations as reflecting Kubler-Ross’s stage of anger? The client registered for a triathlon being held in eight months The client refuses to go to church as his faith has failed him The client prays to God he will quit smoking to be able to see his grandchild born The client plans his final wishes  60. The provider has ordered valproate 750 mg PO for a client who has bipolar disorder. The client report that they will only take liquid medication. On hand is valproate elixir 250mg/5 mL. How many mL will the LPN administer with each dose? (Record answer as a whole number. Do not use a trailing zero.)1541012 61. A client is referred to the mental health center by the family health care provider. Over the past year her behaviors include cooking elaborate meals, but only eating tiny portions of the food; wearing loose clothing; has amenorrhea; and has lost 40 pounds. Which medical diagnosis are the history and symptoms most consistent with? Anorexia nervosa Bulimia nervosa Binge eating Eating disorder not otherwise specified  62. Which of the following is a primary characteristic of a person with borderline personality disorder? Demonstrates flexibility and compromiseDemonstrates eagerness to learn new coping skills Demonstrates a cycle of behavior with extremes in relationships  63. A child is brought into the emergency room with physical injures being reported an accident. The nurse should consider if the explanations reasonable if the injury is consistent with the explanation. Which of the following should also be considered? If the injury is consistent with the child’s developmental capabilities If previous hospital admissions have occurred for the same injuries The level of concern shown by the parent or caregiver The time of day or night when admission occurs  64. A nursing students is learning about personality disorders. Which statements by the nursing student shows an understanding of personality disorders? Clients with personality disorders have a difficult time in life as there’s no treatment Having a personality disorder doesn’t impact a client’s life, just how they think Clients with personality disorders have difficulty with relationships and adapting to change in their lives Having a personality disorder means they are able to adapt to life changes easier  65. A client diagnosed with illness anxiety disorder states, “I have so many symptoms, and yet no one can find out what is wrong with me. I can’t do this anymore.” Which of the following would be the priority nursing concerns? Ineffective coping behaviors displayed by the client The need to understand how anxiety influences the disorder The inability to complete basic care needs The possibility of suicidal thinking  66. The nurse is caring for a client with schizophrenia, who states, “We wanted to take the bus, but the airport took all the traffic,” The nurse recognizes this an example of which of the following alterations? Word salad Echolalia Clang association Loose associations  67. Which of the following nursing interventions is the highest priority while working with a client who has a newly diagnosed somatoform disorder? Help the client shift focus from somatic symptoms to feelings Imply that somatic symptoms are not real Help the client suppress feelings of angerCollect for objective data to support the client’s report of each physical symptom  68. A client who is in a severely abusive relationship is admitted to a psychiatric inpatient unit. The client fears for her life. A staff nurse asks. “Why doesn’t she just leave him?” Which is the most appropriate reply? Abused clients only know this way of life, and change is not an option until they have insight Often abused clients feel a sense of powerlessness and are fearful of physical threats These clients have limited skills to make it on their own away from their abuser It is important for you to not become pregnant while taking this medication  69.A nurse is performing an admission assessment for a client who is receiving treatment following situational crisis. Which of the following assessment by the nurse is the highest priority?Determining the client’s current level of anxiety Asking the client to identify the cause of the crisis Identifying the client’s coping skills Identifying the client’s support system  70. A nurse on medical-surgical unit is caring for four clients. Which of the following clients should the nurse expect to experience anticipatory grieving? A client who discovers her pains from appendicitis A client who experiences sudden traumatic amputation of an extremity A client who is in a coma from a traumatic brain injury A client who is diagnosed with metastatic liver cancer  71. What is nursing legal responsibility if child abuse or neglect is suspected?Discuss the findings with the child teacher, principal, and school psychologist Report the suspected abuse or neglect according to state regulations Document the observation and speculations in the medical record Discuss he concerns with parents for an explanation  72. A Client exhibits a pattern of excessive emotional expression with attention-seeking behaviors. She is singing loudly, wearing several scarves around her head, and has colorful, heavy make-up. The nurse recognizes these behaviors as which of the following personality disorders?Histrionic personality Narcissistic personality Schizotypal personality Dependent personality  73. As a client is being discharged after experiencing a crisis. The nurse is reviewing possible positive coping methods. Which statements by the clients show an understanding of positive coping mechanisms? (Select all that apply.)When I feel stressed, I can take a walk around my neighborhood When I’m feeling stressed, having extra snacks will comfort me When I’m feeling stressed, I will set aside some time for reading When I feel stressed, I can do some retail therapy When I feel stressed, I will take a moment to take some deep breaths  74. The provider has ordered impramine for a client who has depression. The order reads 100 mg PO every 12 hours. On hand is impramine 25 mg tablets. How many tablets will the LPN administer with each dose? (Record answer as whole number. Do not use a trailing zero. 4567 75. A client has been diagnosed with depression, and the provider has ordered fluoxetine 30 mg PO. You explain that the client has difficulty swallowing pills, but on hand is fluoxetine 20 mg/5 mL elixir. The provider allows the substitution of elixir. How many mL. will you plan to administer with each dose? (Record answer to the tenth place. Use a leading zero if it applies). 7.53.51.49.176.  76. You are caring for a 12-year-old client diagnosed with oppositional defiant disorder. The client’s mother asks what type of medication is usually prescribed for this diagnosis. What of the following is the most appropriate response by the nurse? Though medications may be used typically the client will outgrow the behavioral problem without any specific treatment plan Thought medications may be used to treat symptoms, the focus will be on behavioral therapy There have been no medication approved for this condition Often times medications such mood stabilizers are used in an “off-label” manner.  77. A client ask the nurse what the difference is between stress and crisis. Which of the following would be the most appropriate nursing response? There is actually no difference between stress and crisis as they are the same experience Thought a person may experience stress, a crisis tends have a more long-term impact on functioning Everyone can handle daily stress, but a crisis means it was too much to handle Everyone experiences stress, but only those with mental illness will have a crisis  78. The nurse Practitioner has ordered diazepam 3 mg IM for a client with anxiety. On hand is diazepam injectable solution 5mg/mL. how many mL will the LPN administer with each dose? (Record answer to the tenth, one decimal place. Use a leading zero if it applies. Do not use a trailing zero. Do not label the answer.) As we reviewed, all of your lab and test results are normal I understand you are frustrated. Let us talk more about those feelings. Let’s work on lowering your anxiety to help you feel betterI’ll make sure to talk to staff about you issues  78. The nurse practitioner has ordered diazepam 3 mg IM for a client with anxiety. On hand is diazepam injectable solution 5mg/mL. how many mL will the LPN administer with ach dose? (Record answer to the tenth, one decimal place. Use leading zero. Do not label the answer.) 0.63.14.31.1 79. The client in a crisis state following an environmental disaster. At the beginning of the initial assessment interview, what should the nurse assist the client initially identify? Documenting the timeline of the event Exploring current feelings Things that would provide closure An action plan to deal with the crisis  80. A woman comes to an emergency department with a broken nose and multiple bruises after being beaten by her husband. She states, “The beatings have been getting worse, and I’m afraid that next time he might kill me.” Which response by the nurse would be most appropriate? Leopards don’t change their spots, and neither will he Let’s discuss some options for you to decide where you could go There are things you can do to prevent him from losing control Why don’t we call the police and let them confront your husband? 81. A nurse is an acute care mental health facility is sitting with a client a client who has schizophrenia. The client whispers to the nurse. “I’m being kept in this prison against my will. Please try to get me out.” Which of the following would be the most appropriate response for the nurse to make? Why do you feel that you need to leaveYou feel that you don’t belong here We are here to help you and give you the care that you need right now. Calm down.Try to take some deep breaths, and I’m sure you’ll fee better  82. A child is admitted to the inpatient psychiatric until with a diagnosis of conduct disorder. The nurse would expect to find which of the following symptoms? High anxiety related to the separation from home and family Constant complaints of physical symptoms such as headaches and abdominal discomfort A history of cruelty towards people and animals Confabulation, when confronted with inappropriate behaviors  83. Which of the following interventions best demonstrates what a nurse can do to provide structure with client who has a personality disorder and is making constant demands of staff? Act on every client request with five minutes Assign two staff members per shift to this client Be consistent in response to client demands Hold quick staff meeting whenever client has a compliant  84. The nurse is caring for a client who is 66 inches tall, wights 100 pounds, and is below ideal body weight. The Client’s blood pressure is 13/88 mm Hg, pulse is 72 beats per minute, potassium level is 2.5 mmol/L. and heart rhythm is abnormal. The client states, “I am really nervous about coming to this unit.” What is the priority nursing concerns? Assuring the client then unit will be welcoming Reviewing the client’s current medication list Repeating the vital signs Reporting the vital signs and laboratory finding to healthcare team  85. The nurse is caring for a client who take antipsychotic medications and has developed muscle rigidity, hyperpyrexia, diaphoresis, and tachycardia. Which of the following adverse effects of antipsychotic medication is most likely causing these symptoms? Serotonin syndrome Tardive dyskinesia Pseudo-parkinsonism Neuroleptic malignant syndrome  86. A nursing student is learning about the levels o f intervention. Which of the following examples would be reflective of tertiary intervention?A client attending a class prior to child being born about parenting skills A client receiving a screening to evaluate for depression A client following up in outpatient clinic after an admission A client needing psychiatric hospitalization during a crisis  87. The nurse is reviewing the laboratory test results of a client with anorexia. Which results would the nurse correctly correlate with the client’s diagnosis? (Select all that apply.) Decreased potassium level Elevated platelet count Decreased calcium level Abnormal thyroid levels Elevated magnesium level  88. A nurse is working with a client with a histrionic personality disorder. Which of the following nursing interventions must be implemented throughout the inpatient stay? Setting appropriate limits on maladaptive behaviors Offering relationship advice Providing multiple option when the client makes frequent requests Having the client approach different staff members for interpretation of unit rules  89. An adult says. “When I was a child, I took medication because I couldn’t follow my teacher’s directions. I stopped taking it when I was 13. I did not manage good grades in high school and barely graduated. I still have trouble getting organized, which causes difficulty doing my job.” Which clinical disorder does this scenario suggest? Acute stress disorder Generalized anxiety disorder Paranoid schizophrenia disorder Adult attention deficit hyperactivity disorder  90. A client with schizophrenia is about to start medication therapy will clozapine. Which of the following nursing actions would take priority? Monitor the client for a high fever Encourage the client to drink enough fluids daily Obtain a baseline white blood cell count Assess for cogwheel rigidity  91. A nurse is caring for a client in the emergency department who had a traumatic amputation of his left arm in an industrial accident. The nurse should expect the client to first experience which of the following of Kubler-Ross’s stages of grief? Bargaining Depression Denial AngerHealth ScienceScienceNursingPRN 1032LLShare Question

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