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ATI Mental Health Proctored 2019, Ati mental health proctored 2019 and practice test

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A nurse is caring for a client who is in mechanical restraints. Which of the following statements should the nurse include in the documentation? (Select all that apply)A. "Client ate most of his break... fast."B. "Client was offered 8 oz of water every hr."C. "Client shouted obscenities at assistive personnel."D. "Client received chlorpromazine 15 mg by mouth at 1000."E. "Client acted out after lunch."A nurse hears a newly licensed nurse discussing a client's hallucinations in the hallway with another nurse. Which of the following actions should the nurse take first?A. Notify the nurse manager.B. Tell the nurse to stop discussing the behavior.C. Provide an in-service program about confidentiality.D. Complete an incident report.A nurse is caring for the parents of a child who has demonstrated changes in behavior and mood. When the mother of the child asks the nurse for reassurance about her son'scondition, which of the following responses should the nurse make?A. "I think your son is getting better. What have you noticed."B. "I'm sure everything will be okay. It just takes time to heal."C. "I'm not sure whats wrong. Have you asked the doctor about your concerns?"D. "I understand you're concerned. Let's discuss what concerns you specifically."A nurse is caring for a client who smokes and has lung cancer. The client reports, "I'm coughing because I have that cold that everyone has been getting." The nurse should identify that the client is using which of the following defense mechanisms?A. Reaction formationB. DenialC. DisplacementD. SublimationA nurse is providing preoperative teaching for a client who was just informed that she requires emergency surgery. The client has a respiratory rate 30/min and says, "This is difficult to comprehend. I feel shaky and nervous." The nurse should identify that the client is experiencing which of the following levels of anxiety?A. MildB. Moderate C. SevereD. PanicA nurse is caring for a client who is experiencing moderate anxiety. Which of the following actions should the nurse take when trying to give necessary information to the client? (Select all that apply.)A. Reassure the client that everything will be okay.B. Discuss prior use of coping mechanisms with the client.C. Ignore the client's anxiety so that she will not be embarrassed.D. Demonstrate a calm manner while using simple and clear directions.E. Gather information from the client using closed-ended questions.A nurse is talking with a client who is at risk for suicide following the death of his spouse. Which of the following statements should the nurse make?A. "I feel very sorry for the loneliness you must be experiencing."B. "Suicide is not the appropriate way to cope with loss."C. "Losing someone close to you must be very upsetting."D. "I know how difficult it is to lose a loved one."A charge nurse is discussing the characteristics of a nurse-client relationship with a newly licensed nurse. Which of the following characteristics should the nurse include in the discussion? (Select all that apply)A. The needs of both participants are met.B. An emotional commitment exists between the participants.C. It is goal-directed.D. Behavioral change is encouraged.E. A termination date is established.A nurse is in the working phase of a therapeutic relationship with a client who has methamphetamine use disorder. Which of the following actions indicates transference behavior?A. The client asks the nurse whether she will go out to dinner with him.B. The client accuses the nurses of telling him what to do just like his ex-girlfriend.C. The client reminds the nurse of a friend who died from a substance overdose.D. The client becomes angry and threatens to harm himself.A nurse is planning care for the termination phase of a nurse-client relationship. Which of the following actions should the nurse include in the plan of care?A. Discussing ways to use new behaviorsB. Practicing new problem-solving skills C. Developing goalsD. Establishing boundariesA nurse is orienting a new client to a mental health unit. When explaining the unit's community meetings, which of the following statements should the nurse make?A. "You and a group of other clients will meet to discuss your treatment plans."B. "Community meetings have a specific agenda that is established by staff."C. "You and the other clients will meet with staff to discuss common problems."D. "Community meetings are an excellent opportunity to explore your personal mental health issues."A nurse is caring several clients who are attending community-based mental health programs. Which of the following clients should the nurse plan to visit first?A. A client who recently burned her arm while using a hot iron at home.B. A client who requests that her antipsychotic medication be changed due to some newadverse effects.C. A client who says he is hearing a voice that tells him he is not worth living anymore.D. A client who tells the nurse he experienced manifestations of severe anxiety before and during a job interview.A community mental health nurse is planning care to address the issue of depression among older adult clients in the community. Which of the following interventions should the nurse plan as a method of tertiary prevention?A. Educating clients on health promotion techniques to reduce the risk of depressionB. Performing screenings for depression at community health programsC. Establishing rehabilitation programs to decrease the effects of depressionD. Providing support groups for clients at risk for depressionA nurse is working in a community mental health facility. Which of the following services does this type of program provide? (Select all that apply)A. Educational groupsB. Medication dispensing programsC. Individual counseling programsD. Detoxification programsE. Family therapy A nurse in an acute mental health facility is assisting with discharge planning for a client who has a severe mental illness and requires supervision much of the time. The client's wife works all day but is home by late afternoon. Which of the following strategies should the nurse suggest as appropriate follow-up care?A. Receiving daily care from a home health aideB. Having a weekly visit from a nurse case workerC. Attending a partial hospitalization programD. Visiting a community mental health center on a daily basisA nurse is caring for a group of clients. Which of the following clients should a nurse consider for referral to an assertive community treatment (ACT) group?A. A client in an cute care mental health facility who has fallen several times while running down the hallwayB. A client who lives at home and keeps "forgetting" to come in for his monthly antipsychotic injection for schizophreniaC. A client in a day treatment program who says he is becoming more anxious during group therapyD. A client in a weekly grief support group who says she still misses her deceased husband who has been dead for 3 monthsA nurse is teaching a client who has an anxiety disorder and is scheduled to begin classical psychoanalysis. Which of the following client statements indicates an understanding of this form of therapy?A. "Even if my anxiety improves, I will need to continue this therapy for 6 weeks."B. "The therapist will focus on my past relationships during our sessions."C. "Psychoanalysis will help me reduce my anxiety by changing my behaviors."D. "This therapy will address my conscious feelings about stressful experiences."A nurse is discussing free association as a therapeutic tool with a client who has major depressive disorder. Which of the following client statements indicates understanding of this technique?A. "I will write down my dreams as soon as I wake up."B. "I may begin to associate my therapist with important people in my life."C. "I can learn to express myself in a nonaggressive manner."D. "I should say the first thing that comes to my mind." A nurse is preparing to implement cognitive reframing techniques for a client who has an anxietydisorder. Which of the following techniques should the nurse include in the plan of care? (Select all that apply)A. Priority restructuringB. Monitoring thoughtsC. Diaphragmatic breathingD. Journal keepingE. MeditationA nurse is caring for a client who has a new prescription for disulfiram for treatment of alcohol use disorder. The nurse informs the client that this medication can cause nausea and vomiting if he drinks alcohol. Which of the following types of treatment is this method an example?A. Aversion therapyB. FloodingC. BiofeedbackD. Dialectical behavior therapyA nurse is assisting with systematic desensitization for a client who has an extreme fear of elevators. Which of the following actions should the nurse implement with this form oftherapy?A. Demonstrate riding in an elevator, and then ask the client to imitate the behavior.B. Advise the client to say "stop" out loud every time he begins to feel an anxiety response related to an elevator.C. Gradually expose the client to an elevator while practicing relaxation techniques.D. Stay with the client in an elevator until his anxiety response diminishes.A nurse wants to use democratic leadership with a group whose purpose is to learn appropriate conflict resolution techniques. The nurse is correct in implementing this formof group leadership when she demonstrates which of the following actions?A. Observes group techniques without interfering with the group processB. Discusses a technique and then directs members to practice the techniqueC. Asks for group suggestions of techniques and then support discussionD. Suggests techniques and asks group members to reflect on their use C. Democratic leadership supports group interaction and decision making to solve problems.A nurse is planning group therapy for clients dealing with bereavement. Which of the following activities should the nurse include in the initial phase? (Select all that apply)A. Encourage the group to work toward goalsB. Define the purpose of the groupC. Discuss termination of the groupD. Identify informal roles of members within the groupE. Establish an expectation of confidentiality within the groupA nurse working on an acute mental health unit forms a group to focus on self-management of medications. At each of meetings, two of the members use the opportunity to discuss their common interest in gambling on sports. This is an example of which of the following concepts?A. TriangulationB. Group processC. SubgroupD. Hidden agendaA nurse is conducting a family therapy session. The adolescent son tells the nurse that he plans ways to make his sister look bad so his parents will think he's the better sibling,which he believes will give him more privileges. The nurse should identify this dysfunctional behavior as which of the following?A. PlacationB. ManipulationC. BlamingD. DistractionA nurse is working with an established group and identifies various member roles. Which of the following should the nurse identify as an individual role?A. A member who praises input from other membersB. A member who follows the direction of other membersC. A member who brags about accomplishmentsD. A member who evaluates the group's performance toward a standard A nurse is preparing to provide an educational seminar on stress to other nursing staff. Which of the following information should the nurse include in the discussion?A. Excessive stressors cause the client to experience distress.B. The body's initial adaptive response to stress is denial.C. Absence of stressors results in homeostasis.D. Negative, rather than positive, stressors produce a biological response.A nurse is discussing acute vs prolonged stress with a client. Which of the following effects should the nurse identify as an acute stress response? (Select all that apply)A. Chronic painB. Depressed immune systemC. Increased blood pressureD. Panic attacksE. UnhappinessA nurse is teaching a client about stress-reduction techniques. Which of the following client statements indicates understanding of the teaching?A. "Cognitive reframing will help me change my irrational thoughts to something positive."B. "Progressive muscle relaxation uses a mechanical device to help me gain control over my pulse rate."C. "Biofeedback causes my body to release endorphins so that I feel less stress and anxiety."D. "Mindfulness allows me to prioritize the stressors that I have in my life so that I have less anxiety."A client says she is experiencing increased stress because her significant other is "pressuring me and my kids to go live with him. I love him, but I'm not ready to do that." Which of the following recommendations should the nurse make to promote a change inthe client's situation?A. Learn to practice mindfulnessB. Use assertiveness techniquesC. Exercise regularlyD. Rely on the support of a close friendA nurse is caring for a client who states, "I'm so stressed at work because of my coworker. He expects me to finish his work because he's too lazy!" When discussing effective communication, which of the following statements by the client to his coworker indicates client understanding?A. "You really should complete your own work. I don't think it's right to expect me to complete your responsibilities."B. "Why do you expect me to finish your work? You must realize that I have my own responsibilities."C. "It is not fair to expect me to complete your work. If you continue, then I will report your behavior to our supervisor."D. "When I have to pick up extra work, I feel very overwhelmed. I need to focus on my own responsibilities."A nurse is providing teaching for a client who is scheduled to receive ECT for the treatment of major depressive disorder. Which of the following client statements indicates understanding of the teaching?A. "It is common to treat depression with ECT before trying medications."B. "I can have my depression cured if I receive a series of ECT treatments."C. "I should receive ECT once a week for 6 weeks."D. "I will receive a muscle relaxant to protect me from injury during ECT."A charge nurse is discussing TMS with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?A. "TMS is indicated for clients who have schizophrenia spectrum disorders."B. "I will provide postanesthesia care following TMS."C. "TMS treatments usually last 5-10 minutes."D. "I will schedule the client for daily TMS treatments for the first several weeks."A nurse is assessing a client immediately following an ECT procedure. Which of the following findings should the nurse expect? (Select all that apply)A. HypotensionB. Paralytic ileusC. Memory lossD. NauseaE. ConfusionA nurse is leading a peer group discussion about the indications for ECT. Which of the following indications should the nurse include in the discussion?A. Borderline personality disorderB. Acute withdrawal related to a substance use disorder C. Bipolar disorder with rapid cyclingD. Dysphoric disorderA nurse is planning care for a client following surgical implantation of a VNS device. The nurse should plan to monitor for which of the following adverse effects? (Select all that apply)A. Voice changesB. Seizure activityC. DisorientationD. DysphagiaE. Neck pain A nurse observes a client who has OCD repeatedly applying, removing, and then reapplying makeup. The nurse identifies that repetitive behavior in a client who has OCD is due to which of the following underlying reasons?A. Narcissistic behaviorB. Fear of rejection from staffC. Attempt to reduce anxietyD. Adverse effect of antidepressant medicationA nurse is caring for a client who is experiencing a panic attack. Which of the following actions should the nurse take?A. Discuss new relaxation techniquesB. Show the client how to change his behaviorC. Distract the client with a television showD. Stay with the client and remain quietA nurse is assessing a client who has generalized anxiety disorder. Which of the following findings should the nurse expect? (Select all that apply)A. Excessive worry for 6 monthsB. Impulsive decision makingC. Delayed reflexesD. RestlessnessE. Need for reassuranceA nurse is caring for a client who has body dysmorphic disorder. Which of the following actions should the nurse plan to take first?A. Assessing the client's risk for self harmB. Instilling hope for positive outcomes C. Encouraging the client to participate in group therapy sessionsD. Encouraging the client to participate in treatment decisionsA nurse is caring for a client who has acute stress disorder and is experiencing severe anxiety. Which of the following statements should the nurse make?A. "Tell me about how you are feeling right now."B. "You should focus on the positive things in your life to decrease your anxiety."C. "Why do you believe you are experiencing this anxiety?"D. "Let's discuss the medications your provider is prescribing to decrease your anxiety."A nurse working on an acute mental health unit is caring for a client who has PTSD. Which of the following findings should the nurse expect? (Select all that apply)A. Difficulty concentrating on tasksB. Obsessive need to talk about the traumatic eventC. Negative self-imageD. Recurring nightmaresE. Diminished reflexesA nurse is involved in a serious and prolonged mass casualty incident in the emergency department. Which of the following strategies should the nurse use to help prevent developing a trauma-related disorder? (Select all that apply)A. Avoid thinking about the incident when it is overB. Take breaks during the incident for food and waterC. Debrief with others following the incidentD. Hold emotions in check in the days following the incidentE. Take advantage of offered counselingA nurse is collecting an admission history for a client who has acute stress disorder (ASD). Which of the following information should the nurse expect to collect?A. The client remembers many details about the traumatic incidentB. The client expresses heightened elation about what is happeningC. The client states he first noticed manifestations of the disorder 6 weeks after the traumatic incident occurred.D. The client expresses a sense of unreality about the traumatic eventA nurse is caring for a client who has derealization disorder. Which of the following findings should the nurse identify as an indication of derealization?A. The client explains that her body seems to be floating above the groundB. The client has the idea that someone is trying to kill her and steal her money C. The client states that the furniture in the room seems to be small and far awayD. The client cannot recall anything that happened during the past 2 weeksA nurse in an acute mental health facility is planning care for a client who has dissociative fugue. Which of the following interventions should the nurse add to the planof care?A. Teach the client to recognize how stress brings on a personality change in the clientB. Repeatedly present the client with information about past eventsC. Make decisions for the client regarding routine daily activitiesD. Work with the client on grounding techniquesA nurse working in an acute mental health facility is caring for a 35-year-old female client who has manifestations of depression. The client lives at home with her partner and two young children. She currently smokes and has a history of chronic asthma. Which of the following factors put the client at risk for depression? (Select all that apply)A. AgeB. GenderC. History of chronic asthmaD. SmokingE. Being marriedA nurse working on an acute mental health unit is admitting a client who has major depressive disorder and comorbid anxiety disorder. Which of the following actions is thenurse's priority?A. Placing the client on one-to-one observationB. Assisting the client to perform ADLsC. Encouraging the client to participate in counselingD. Teaching the client about medication adverse effectsA nurse working in an outpatient clinic is providing teaching to a client who has a new diagnosis of premenstrual dysphoric disorder (PMDD). Which of the following statements by the client indicates understanding of the teaching?A. "I can expect my problems with PMDD to be worst when I'm menstruating."B. "I will use light therapy 30 min a day to prevent further recurrences of PMDD."C. "I am aware that my PMDD causes me to have rapid mood swings."D. "I should increase my caloric intake with a nutritional supplement when my PMDD is active."A charge nurse is discussing the care of a client who has MDD with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? A. "Care during the continuation phase focuses on treating continued manifestations of MDD."B. "The treatment of MDD during the maintenance phase lasts for 6-12 weeks."C. "The client is at greatest risk for suicide during the first weeks of an MDD episode."D. "Medication and psychotherapy are most effective during the acute phase of MDD."A nurse is interviewing a 25-year-old client who has a new diagnosis of dysthymic disorder. Which of the following findings should the nurse expect?A. Wide fluctuations of moodB. Report of a minimum of 5 clinical findings of depressionC. Presence of manifestations for at least 2 yearsD. Inflated sense of self-esteemA nurse is planning care for a client who has bipolar disorder and is experiencing a manic episode. Which of the following interventions should the nurse include in the plan of care? (Select all that apply)A. Provide flexible client behavior expectationsB. Offer concise explanationsC. Establish consistent limitsD. Disregard client complaintsE. Use a firm approach with communicationA nurse is teaching a newly licensed nurse about the use of ECT for the treatment of bipolar disorder. Which of the following statements by the newly licensed nurse indicates understanding?A. "ECT is the recommended initial treatment for bipolar disorder."B. "ECT is contraindicated for clients who have suicidal ideation."C. "ECT is effective for client's who are experiencing severe mania."D. "ECT is prescribed to prevent relapse of bipolar behavior."A nurse is caring for a client who has bipolar disorder. The client states, "I am very rich, and I feel I must give my money to you." Which of the following responses should the nurse make?A. "Why do you think you feel the need to give money away?"B. "I am here to provide care and cannot accept this from you."C. "I can request that your case manager discuss appropriate charity options with you."D. "You should know that giving away your money is inappropriate."A nurse in an acute mental health facility is caring for a client who has bipolar disorder. Which of the following is the priority nursing action? A. Set consistent limits for expected client behaviorB. Administer prescribed medications as scheduledC. Provide the client with step by step instructions during hygiene activitiesD. Monitor the client for escalating behaviorA nurse is discussing relapse prevention with a client who has bipolar disorder. Which ofthe following information should the nurse include in the teaching? (Select all that apply)A. Use caffeine in moderation to prevent relapseB. Difficulty sleeping can indicate a relapseC. Begin taking your medications as soon as a relapse beginsD. Participating in psychotherapy can help prevent a relapseE. Anhedonia is a clinical manifestation of a depressive relapseA nurse is caring for a client who has substance-induced psychotic disorder and is experiencing auditory hallucinations. The client states, "The voices won't leave me alone!" Which of the following statements should the nurse make? (Select all that apply)A. "When did you start hearing the voices?"B. "The voices are not real, or else we would both hear them."C. "It must be scary to hear voices."D. "Are the voices telling you to hurt yourself?"E. "Why are the voices talking to only you?"A nurse is completing an admission assessment for a client who has schizophrenia. Which of the following findings should the nurse document as positive symptoms? (Select all that apply)A. Auditory hallucinationB. Lack of motivationC. Use of clang associationD. Delusion of persecutionE. Constantly waving armsF. Flat affectA nurse is caring for a client who has schizoaffective disorder. Which of the following statements indicates the client is experiencing depersonalization?A. "I am a superhero and am immortal."B. "I am no one, and everyone is me."C. "I feel monsters pinching me all over."D. "I know that you are stealing my thoughts." A nurse is caring for a client on an acute mental health unit The client reports hearing voices that are telling her to "kill your doctor." Which of the following actions should the nurse take first?A. Use therapeutic communication to discuss the hallucination with the clientB. Initiate one-to-one observation of the clientC. Focus the client on realityD. Notify the provider of the client's statementA nurse is speaking with a client who has schizophrenia when he suddenly seems to stop focusing on the nurse's questions and begins looking at the ceiling and talking to himself. Which of the following actions should the nurse take?A. Stop the interview at this point, and resume later when the client is better able to concentrate.B. Ask the client, "Are you seeing something on the ceiling?"C. Tell the client, "You seem to be looking at something on the ceiling. I see something there, too."D. Continue the interview without comment on the client's behavior.A nurse manager is discussing the care of a client who has a personality disorder with anewly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?A. "I can promote my client's sense of control by establishing a schedule."B. "I should encourage clients who have a schizoid personality disorder to increase socialization."C. "I should practice limit-setting to help prevent client manipulation."D. "I should implement assertiveness training with clients who have antisocial personality disorder."A nurse is caring for a client who has avoidant personality disorder. Which of the following statements is expected from a client who has this type of personality disorder?A. "I'm scared that you're going to leave me."B. "I'll go to group therapy if you'll let me smoke."C. "I need to feel that everyone admires me."D. "I sometimes feel better if I cut myself."A nurse is caring for a client who has borderline personality disorder. The client says, "The nurse on the evening shift is always nice! You are the meanest nurse ever!" The nurse should recognize the client's statement as an example of which of the following defense mechanisms? A. RegressionB. SplittingC. UndoingD. IdentificationA nurse is assisting with a court-ordered evaluation of a client who has antisocial personality disorder. Which of the following findings should the nurse expect? (Select allthat apply)A. Demonstrates extreme anxiety when placed in a social situationB. Has difficulty making even simple decisionsC. Attempts to convince other clients to give him their belongingsD. Becomes agitated if his personal area is not neat and orderlyE. Blames others for his past and current problemsA charge nurse is preparing a staff education session on personality disorders. Which ofthe following personality characteristics associated with all of the personality disorders should the charge nurse include in the teaching? (Select all that apply)A. Difficulty in getting along with other members of a groupB. Belief in the ability to become invisible during times of stressC. Display of defense mechanisms when routines are changedD. Claiming to be more important than other personsE. Difficulty understanding why it is inappropriate to have a personal relationship with staff A nurse is caring for a client who has early stage Alzheimer's disease and a new prescription for donepezil. The nurse should include which of the following statements when teaching the client about the medication?A. "You should avoid taking over-the-counter acetaminophen while on donepezil."B. "You can expect the progression of cognitive decline to slow with donepezil."C. "You will be screened for underlying kidney disease prior to starting donepezil."D. "You should stop taking donepezil if you experience nausea or diarrhea."A nurse in a long-term care facility is caring for a client who has major neurocognitive disorder and attempts to wander out of the building. The client states, "I have to get home." Which of the following statements should the nurse make?A. "You have forgotten that this is your home."B. "You cannot go outside without a staff member." C. "Why would you want to leave? Aren't you happy with your care?"D. "I am your nurse. Let's walk together to your room."A home health nurse is making a visit to a client who has Alzheimer's disease to assess the home for safety. Which of the following suggestions should the nurse make to decrease the client's risk for injury? (Select all that apply)A. Install childproof door locks.B. Place rugs over electrical cords.C. Mark cleaning supplies with colored tape.D. Place the client's mattress on the floor.E. Install light fixtures above stairs.A nurse is making a home visit to a client who is in the late stage of Alzheimer's disease.The client's partner, who is the primary caregiver, wishes to discuss concerns about the client's nutrition and the stress of providing care. Which of the following actions should the nurse take?A. Verify that a current power of attorney document is on file.B. Instruct the client's partner to offer finger foods to increase oral intake.C. Provide information on resources for respite care.D. Schedules the client for placement of an enteral feeding tube.A nurse is performing an admission assessment for a client who has delirium related to an acute UTI. Which of the following findings should the nurse expect? (Select all that apply)A. History of gradual memory lossB. Family report of personality changesC. HallucinationsD. Unaltered level of consciousnessE. RestlessnessA nurse is planning a staff education program on substance use in older adults. Which of the following is appropriate for the nurse to include in the presentation?A. Older adults require higher doses of a substance to achieve a desired effect.B. Older adults commonly use rationalization to cope with a substance use disorder.C. Older adults are at an increased risk for substance use following retirement.D. Older adults develop substance use to mask manifestations of dementia. A nurse is assessing a client who has alcohol use disorder and is experiencing withdrawal. Which of the following findings should the nurse expect? (Select all that apply)A. BradycardiaB. Fine tremors of both handsC. HypotensionD. VomitingE. RestlessnessA nurse is planning care for a client who is experiencing benzodiazepine withdrawal. Which of the following interventions should the nurse identify as the priority?A. Orient the client frequently to time, place, and person.B. Offer fluids and nourishing diet as tolerated.C. Implement seizure precautions.D. Encourage participation in group therapy sessions.A nurse is caring for a client who has alcohol use disorder. The client is no longer experiencing withdrawal manifestations. Which of the following medications should the nurse anticipate administering to assist the client with maintaining abstinence from alcohol?A. ChlordiazepoxideB. BupropionC. DisulfiramD. CarbamazepineA nurse is providing teaching to the family of a client who has a substance use disorder. Which of the following statements by a family member indicate an understanding of the teaching? (Select all that apply)A. "We need to understand that she is responsible for her disorder."B. "Eliminating any codependent behavior will promote her recovery."C. "She should participate in an Al-Anon group to help her recover."D. "The primary goal of her treatment is abstinence from substance use."E. "She needs to discuss her feelings about substance use to help her recover."A nurse is preparing to obtain a nursing history from a client who has a new diagnosis ofanorexia nervosa. Which of the following questions should the nurse include in the assessment? (Select all that apply)A. "What is your relationship like with your family."B. "Why do you want to lose weight?"C. "Would you describe your current eating habits?" D. "At what weight do you believe you will look better?"E. "Can you discuss your feelings about your appearance?"A nurse is caring for an adolescent client who has anorexia nervosa with rapid weight loss and a current weight of 90 lb. Which of the following statements indicates the client is experiencing the cognitive distortion catastrophizing?A. "Life isn't worth living if I gain weight."B. "Don't pretend like you don't know how fat I am."C. "If I could be skinny, I know I'd be popular."D. "When I look in the mirror, I see myself as obese."A nurse is performing an admission assessment of a client who has bulimia nervosa with purging behavior. Which of the following is an expected finding? (Select all that apply)A. AmenorrheaB. HypokalemiaC. Mottling of the skinD. Slightly elevated body weightE. Presence of lanugo on the faceA nurse on an acute care unit is planning care for a client who has anorexia nervosa with binge-eating and purging behavior. Which of the following nursing actions should the nurse include in the client's plan of care?A. Allow the client to select preferred meal times.B. Establish consequences for purging behavior.C. Provide the client with a high-fat diet at the start of treatment.D. Implement one-to-one observation during meal times.A nurse is caring for a client who has bulimia nervosa and has stopped purging behavior. The client tells the nurse that she is afraid she is going to gain weight. Which of the following responses should the nurse make?A. "Many clients are concerned about their weight. However the dietitian will ensure thatyou don't get too many calories in your diet."B. "Instead of worrying about your weight, try to focus on other problems at this time."C. "I understand you have concerns about your weight, but first, let's talk about your recent accomplishments."D. "You are not overweight, and the staff will ensure that you do not gain weight while you are in the hospital. We know that is important to you."A nurse is discussing the risk factors for somatic symptom disorder with a newly licensed nurse. Which of the following risk factors should the nurse include? (Select all that apply) Company About Us StuDocu World University Ranking 2021 Doing Good Academi [Show More]

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