Mental health ATI review (Latest 2019/2020) complete Solution Guide.

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NR 326 mental health ATI review. A nurse is caring for a client in a mental health facility. the nurse overhears another staff member make derogatory comments to the client. Which of the following act... ions should the nurse take? A) Confront the staff member. B) Encourage the client to report the incident. C) Document the incident in the client's health record. D) Report the occurrence to the charge nurse. A nurse is caring for a client who has attempted suicide and has alcohol use disorder. Which of the following statements indicates that the client is using a positive coping mechanism? A) "I will limit my drinking to the weekends." B) "I will stay in my room and avoid others when I'm feeling down." C) "I will be dependent on others for the time being." D) "I will attend daily group therapy sessions to practice relaxation techniques." A nurse is planning care for a client who has bipolar disorder and is experiencing mania. Which of the following interventions should the nurse include in the plan of care? A) Encourage the client to participate in group therapy. B) Instruct the client to avoid napping during the day. C) Offer the client high-calorie finger foods frequently. D) Decrease the client's daily fiber intake. A nurse is providing teaching to a client who is to begin undergoing light therapy at home to treat seasonal affective disorder. Which of the following should the nurse include in the teaching? A) Have a family member present during treatment. B) Increase fluid intake. C) Change position slowly. D) Wear sunglasses when outdoors. A nurse in a community health center is teaching families of clients who have posttraumatic stress disorder (PTSD) about expected clinical manifestations. Which of the following manifestations should the nurse include? A) Repeatedly talks about the traumatic episode. B) Sleeps excessively. C) Experiences feelings of isolation. D) Uses repetitive speech. A nurse is creating a plan of care for a client who has been in seclusion after threatening to harm others on the unit. Which of the following interventions should the nurse include in the plan? A) Document the client's behavior every 8 hours. B) Limit the client's fluid intake to 50 mL/hr. C) Renew the prescription for the client every 4 hours. D) Toilet the client every 4 hours. A nurse is planning prevention strategies for intimate partner abuse in the community. Which of the following strategies should the nurse include as a method of secondary prevention? A) Provide teaching about the use of positive coping mechanisms. B) Establish screening programs to identify at-risk clients. C) Refer survivors of intimate partner abuse to legal advocacy program. D) Organize rehabilitation therapy for clients who have experienced intimate partner abuse. A nurse in an outpatient mental health setting is collecting a health history from a client who is taking paroxetine for depression. The client reports to the nurse that he also takes herbal supplements. The nurse should advise the client that which of the following supplements interacts adversely with paroxetine? A) St. John's Wort B) Saw palmetto C) Echinacea D) Ginkgo A nurse is planning care for an adolescent who is being admitted to an acute care unit following a suicide attempt. Which of the following interventions should the nurse identify as the priority? A) Arrange one-to-one observation of the client. B) Encourage interaction with the client's peers. C) Administer medication for depressive disorder. D) Encourage the client to attend a support group. A client who has a diagnosis of depression is attending group therapy. During the group meeting, the nurse asks each member to identify one goal for the day. When it is the client's turn, she does not respond. Which of the following actions should the nurse take before repeating the request to the client? A) Allow the client time to collect her thoughts. B) Prompt the client to give a response. C) Move on to the next client. D) Offer the client a suggestion for a goal. A home health nurse is assessing an older adult client whose sibling is the primary caregiver. Which of the following findings should the nurse identify as a possible indicator of neglect? A) Increased confusion B) Sleep disturbances C) Cluttered environment D) Inappropriate dress While observing group therapy, a nurse recognizes that a client is behaving in a way suggestive of dependent personality disorder. Which of the following behaviors is consistent with this condition? A) The client needs excessive external input to make everyday decisions. B) The client demonstrates a dedication to his job that excludes time for leisure activities. C) The client adheres to a rigid set of rules. D) The client has difficulty starting new relationships unless he feels accepted During morning rounds, a nurse finds a client who has schizophrenia trembling and tearful in her bed. The client reports that a bomb was placed in her room by a family member during visiting hours. Which of the following actions should the nurse take? A) Ask the client to identify the bomb in the room. B) Initiate disaster protocols per facility policies and procedures. C) Assess the client for evidence of perceptual disturbance. D) Convince the client that there is not bomb in her room. A nurse is facilitating a community meeting for acute care clients. One client is constantly talking and using the majority of the groups time. Which of the following interventions should the nurse implement? A) Tell the client that he must talk less or he will be removed from the meeting. B) Ask group members to discuss their feelings about this client's monopolizing behavior. C) End the group meeting and take the client aside to discuss his behavior. D) Focus on other group members and ignore the client who is doing all the talking. A nurse is caring for a child who has conduct disorder and is behaving in a destructive manner, throwing objects and kicking others. Which of the following therapeutic nursing interventions is the priority? A) Encourage expression of feelings. B) Promote attendance at an assertiveness training group. C) Assist the client to perform relaxation breathing. D) Use a therapeutic holding techniques A nurse in an emergency department is caring for a female adolescent who has a diagnosis of bulimia nervosa and had a fainting episode during a ballet performance. Which of the following statements by the mother acknowledges her daughter's diagnosis? A) "She works so hard at ballet. Will she still be able to perform?" B) "She won't let me take the trash from her room. I'm concerned about what she has in there." C) "She told me she was tired, so I did her chores for her today." D) "She is happier with her appearance now that she's lost some weight." 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? A) Slow onset B) Aphasia C) Confabulation D) Easily distracted A client who has a recent diagnosis of bipolar disorder is placed in a room with a client who has severe depression. The client who has depression reports to the nurse, "That man in my room never sleeps and he keeps me up, too." Which of the following is an appropriate action for the nurse to take? A) Move the client who has bipolar disorder to a private room. B) Administer sleep medication to the client who has bipolar disorder. C) Move the client who has severe depression to a private room. D) Administer sleep medication to the client who has severe depression. A nurse is assessing a family's dynamics during a counseling session. The nurse should recognize which of the following findings as an indication of a boundary issue? A) An adolescent family member who questions parental authority. B) A family with three generations in the same household. C) Older children who are responsible for their younger siblings. D) Two adults and their children from prior relationships in the same household. A nurse is planning care for a client who is to undergo electroconvulsive therapy (ECT). Which of the following actions should the nurse include in the plan? A) Administer phenytoin 30 min prior to the procedure. B) Instruct the client to expect a headache following the procedure. C) Place the client in four point restraints prior to the procedure. D) Monitor the client's cardiac rhythm during the procedure. A nurse is planning care for a client who has generalized anxiety disorder. At which of the following levels of anxiety should the nurse plan to teach the client relaxation techniques? A) Panic B) Moderate C) Severe D) Mild A client who has bipolar disorder to be discharged home with a prescription for lithium. Which of the following statements indicates that client teaching regarding the medication has been effective? A) "I should eat a regular diet with normal amounts of salt and fluids." B) "I should discontinue the lithium when I begin to feel better." C) "I need to be careful to avoid becoming addicted to the lithium." D) "I can skip a dose of medication if my stomach is upset." 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? A) The program will help the client accept responsibility for his disorder. B) The client should obtain a sponsor before discharge for an increased chance of recovery. C) The client will need to identify individuals who have contributed to his disorder. D) The program will need a prescription form the client's provider prior to attendance. A nurse is caring for a client who has an anxiety disorder. Which of the following statements by the client indicates successful use of guided imagery? A) "I consciously decrease my breathing rate when I feel anxious." B) "I am riding my bike around the neighborhood every day." C) "I find at least one positive thing in situations that upset me." D). "I imagine myself lying on a quiet beach when I start to feel anxious." A nurse is obtaining a mental health history from an older adult client. Which of the following actions should the nurse plan to take? A) Raise the pitch of the voice when speaking to the client. B) Begin the interview by explaining the plan of care. C) Interview the client in a private setting. D) Ask the client to complete a detailed questionnaire. A nurse is caring for a client who has a recent diagnosis of Alzheimer's disease. The client's partner asks the nurse about expected manifestations. The nurse should teach the partner to expect which of the following manifestations to occur first? A) Inability to recognize family members. B) Chooses clothing that is inappropriate for the weather. C) Exhibits a change in personality. D) Frequently misplaces objects. A nurse in a mental health facility is caring for a client who has schizophrenia. Which of the following places the client at the greatest risk for self-directed injury or injuring others? A) Inability to communicate with others. B) Feelings of absence of self-worth. C) Lack of motivation to perform daily tasks. D) Command hallucinations. A nurse is preparing to discharge an older adult client who attempted suicide to his home where he lives alone and has difficulty performing ADLs. Which of the following referrals should the nurse initiate? (Select all that apply) A) Occupational therapy B) Meal delivery services C) Speech therapy D) Physical therapy E) Home health services Answer: A, B, D, E A nurse on a mental health unit is caring for a group of clients. Which of the following actions by the nurse is an example of the ethical principle of justice? A) Allowing a client to choose which unit activities to attend. B) Attempting alternative therapies instead of restraints for a client who is combative. C) Providing a client with accurate information about his prognosis. D) Spending adequate time with a client who is verbally abusive. A nurse is assessing a client for risk factors for the development of depression. The nurse should identify that which of the following factors places the client at an increased risk for depression? A) The client is married. B) The client recently received a promotion at work. C) The client has COPD. D) The client is a male. A nurse in a mental health clinic is planning care for a client who has a new prescription for olanzapine. Which of the following interventions should the nurse identify as the priority? A) Advise the client to take frequent sips of water. B) Instruct the client to avoid driving during initial therapy. C) Consult a dietitian for a calorie-controlled diet plan. D) Recommend that the client exercise regularly. A charge nurse enters a client's room and observes an assistive personnel (AP) slapping an older client. After moving the client to safety, which of the following actions is the charge nurse's priority? A) Complete an incident report. B) Determine if the client has been physically harmed. C) Provide emotional support to the client. D) Discipline the AP. A nurse is assessing a client who has borderline personality disorder. Which of the following findings should the nurse expect? A) Emotional lability B) Self-sacrificing C) Suspicious of others D) Grandiosity A nurse is preparing to administer chlorpromazine 0.55 mg/kg PO to an adolescent who weighs 110 lb. Available is chloropromazine syrup 10 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies.. Do not use a trailing zero.) Answer: 14 mL A nurse is reviewing the chart of a client who has dissociative amnesia. Which of the following findings should the nurse expect? A) The client was seriously injured while under the influence of alcohol. B) The client has a history of panic attacks. C) The client chose to drop out of college a few months ago. D) The client works a stressful job at an international bank. 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? A) "I will use the same plan of care and interventions for each client who has depression." B) "Each individual nurse will develop a separate plan of care when managing clients who have depression." C) "I will update the plan of care as a client's manifestations of depression change." D) "An assistive personnel can use the plan of care for client teaching." A nurse is caring for a client who have birth to a stillborn baby. Which of the following statements should the nurse make? A) "You probably want to hold your baby." B) "I'll stay with you just in case you want to talk." C) "I know how you must be feeling." D) "It hurts now, but things will be better soon." A nurse is caring for a client who is experiencing a panic attack. Which of the following actions should the nurse take? A) Orient the client to person, place and time. B) Assist the client with deep-breathing exercises. C) Calm the client by using therapeutic touch. D) Have the client sit alone in a quiet room. A nurse is teaching a family member and a client who has a new diagnosis of Alzheimeer's disease and is to start taking donepezil. Which of the following statements should the nurse include in the teaching? A) "Take this medication in the evening at bedtime." B) "Expect this medication reverse the effects of Alzheimer's disease." C) "If you miss a dose double the next dose." D) "You can crush this medication in applesauce." A nurse is planning care for a preschool-age child who has ADHD. Which of the following interventions should the nurse identify as the priority? A) Decrease distractions during meal times. B) Provide positive feedback when the child completes a task. C) Clearly identify consequences for unacceptable behavior. D) Remove unnecessary equipment from the child's surroundings. A nurse on a medical-surgical unit is assessing a client who sustained injuries 12 hours 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? A) Somnolence B) Blood pressure 154/96 mm Hg C) Pinpoint pupils D) Blood glucose 210 mg/dL A nurse is admitting a client who has major depressive disorder and a new prescription for tranylcypromine. Which of the following over-the-counter medications that the client reports taking should alert the nurse to a potential adverse reaction? A) Lansoprazole B) Naproxen C) Magnesium hydroxide D) Phenylephrine A nurse is assessing a client who has schizophrenia. Which of the following findings should the nurse document as a negative symptom of this disorder? A) Delusions B)Neologisms C) Anhedonia D) Echopraxia A nurse is assessing a client who has bulimia nervosa. The nurse should expect which of the following findings? A) Amenorrhea B) Lanugo C) Cold extremities D) Tooth erosion A nurse is caring for a client who has schizophrenia and was prescribed a conventional antipsychotic medication yesterday. Which of the following findings indicates the nurse should administer benztropine 2 mg IM? A) Shuffling gait B) Hypotension C) Decreased WBC count D) Blurred vision A nurse observes a client on a mental health unit pushing on the locked unit door. Which of the following statements should the nurse make? A) "It appears as though you would like to open the door." B) "You will feel more comfortable after you've been here for a while." C) "It is okay to not want to be here." D) "You really shouldn't be pushing on the door." A nurse is caring for a client who has anorexia nervosa. Which of the following criteria requires hospitalization? A) Weight loss 10% of total body weight in 3 months. B) Potassium 3.8 mEq/L C) Temperature 96.1 degrees F D) Heart rate 54/min A nurse in a mental health clinic is caring for a client who has bipolar disorder and reports that she stopped taking lithium 2 weeks ago. The nurse should recognize which of the following as an expected adverse effect that might have caused the client to stop taking the medication? A) Sore throat B) Photophobia C) Hand tremors D) Constipation A nurse is working with a group of parents who recently lost a child. Which of the following actions should the nurse take? A) Encourage the parents to avoid discussing the death with their other children in order to protect their feelings. B) Recommend each parent grieve in private to avoid hindering each other's healing. C) Suggest forming a weekly support group for parents who have experienced the loss of a child. D) Advise the parents to begin counseling if they are still grieving in a few months. A nurse is admitting a client who has anorexia nervosa and is at 60% of ideal body weight. Which of the following interventions should the nurse include in the plan of care? A) Encourage the client to drink 125 mL of fluid each hour while awake. B) Allow the client to eat independently in his room. C) Weigh the client twice weekly. D) Measure the client's vital signs once each day. A nurse is planning care for a client who has depression and has made frequent suicide attempts. Which of the following statements indicates the client has a decreased risk for suicide? A) "I'm relieved now that my financial affairs are in order." B) "It is easier to talk about my feelings now." C) "Suddenly I have enough energy to do anything I want." D) "Thank your for always taking such good care of me." A nurse is caring for a client who has antisocial personality disorder and is receiving behavioral therapy through operant conditioning. Which of the following client behaviors indicates effectiveness of the therapy? A) Controls anger outbursts to avoid being placed seclusion. B) No longer exhibits a fear of social or public situations. C) Refrains from manipulating others to earn dining-room privileges. D) Imitates the therapist's use of a relaxation technique. A nurse is caring for a client who is experiencing alcohol withdrawal. Which of the following medications should the nurse administer first? A) Diazepam 5 mg IV bolus B) Clonidine 0.1 mg transdermal patch C) Naltrexone 380 mg IM D) Bupropion 150 mg PO A nurse in a mental health unit observes a client who has acute mania hit another client. Which of the following actions should the nurse take first? A) Call the provider to obtain an immediate prescription for restraint. B) Prepare to administer benzodiazepine IM. C) Call for a team of staff members to help with the situation. D) Check the client who has was hit for injuries. A nurse is reviewing laboratory results for a client who has schizophrenia and is taking clozapine. Which of the following values should the nurse identify as a contraindication for receiving clozapine? A) WBC 2500/mm^3 B) Hgb 11.5 mg/dL C) Platelets 150,000/mm^3 D) RBC 3.5 million/mm^3 A nurse is reviewing routine laboratory values for several clients who are taking lithium carbonate. Which of the following clients should the nurse assess further for findings indicating lithium toxicity? A) A client who has a fasting blood glucose of 80 mg/dL B) A client who has a sodium level of 128 mEq/L C) A client who has a BUN of 18 mg/dL D) A client who has potassium level of 3.6 mEq/L A nurse is assessing a client who has major depressive disorder and has been receiving amitriptyline for 1 week. Which of the following outcomes should the nurse expect? A) Rapid improvement in affect within 30 to 60 min after taking the medication. B) Greater risk of attempting suicide as affect and energy improve. C) Onset of frequent loose stools. D) Development of physiologic dependence on the medication. A nurse is counseling an adolescent who has anorexia nervosa and reports excessive laxative use and a fear of gaining weight. The client states, "I'm so fat I can't even stand to look at myself." Which of the following therapeutic responses demonstrates the nurse's use of summarizing? A) "You've discussed several concerns about your weight. Let's go back and talk about your belief that you are fat." "You're saying that you think you are fat and are using laxatives because you are afraid of gaining." C) "You don't want to look at yourself because you think you are fat." D) "You and I can work together to overcome your fears of gaining weight." A nurse is caring for a child who is taking methyphenidate. The nurse should monitor the child for which of the following findings as an adverse effect of methylphenidate? A) Weight gain B) Tinnitus C) Tachycardia D) Increased salivation A nurse is interviewing a client at a temporary shelter after surviving the destruction of her home by a tornado. When assessing the client, the nurse should ask which of the following question to determine the client's ability to cope with this situation? A) "Don't you think you'll get through this in time?" B) "To whom do you talk when you feel overwhelmed?" C) "Have you thought about rebuilding your home on the same site?" D) "Would you like me to find a therapist for you to speak with?" A nurse is caring for a client whose child has a terminal illness. The client requests information about how to deal with the upcoming loss. Which of the following statements should the nurse make A nurse is teaching a client who has bipolar disorder and a prescription for lithium. Which of the following instructions should the nurse include in the teaching A nurse is planning care for four clients in a mental health facility. Which of the following clients is at the greatest risk for injury when performing ADLs A nurse is updating the plan of care for a client who has bulimia nervosa and is 5% above his ideal body weight. Which of the following interventions should the nurse include in the plan A nurse who works with newborns is assessing the potential for abuse or neglect. Which of the following family groups should the nurse identify as the highest potential for future child abuse 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 A nurse is caring for four clients in an inpatient mental health facility. Which of the following clients can give informed consent A nurse is admitting a client who has schizophrenia to an acute care setting. When the nurse questions the client regarding his admission, the client states, "I'm red, in the head, and I'm going to bed!" The nurse should document the client's speech pattern as which of the following A nurse is educating the parent of a child who has a new diagnosis of autism spectrum disorder. Which of the following manifestations of this disorder should the nurse include in the teaching A nurse in a mental health unit is admitting a client who is anxious because he often hears voices telling him what to do. Which of the following actions should the nurse take A nurse is caring for an older adult client who begins to cry and states, "I knew God would punish me and I deserve this horrible sickness!" Which of the following responses should the nurse make A nurse is talking with a client who is beginning chemotherapy. The client tells the nurse that she is mourning the loss of her hair. Which of the following actions should the nurse take first A nurse is providing care for a client who has bipolar disorder and is experiencing acute mania. The client's morning lithium level is 1.5 mEq/L. Which of the following laboratory findings should the nurse report to the provider? (Click on the "Exhibit" button below for additional client information. There are three tabs that contain separate categories of data A school nurse is assessing a school-age child who experienced the traumatic loss of a parent 8 months ago. Which of the following findings should the nurse identify as an indication that the child is experiencing post traumatic stress disorder (PTSD) A nurse in the emergency department is caring for a client who has alcohol toxicity and is unresponsive. Which of the following interventions should the nurse take A nurse in an acute mental health facility is receiving change-of-shift report for four clients. Which of the following clients should the nurse assess first A nurse is planning care for a client who constantly threatens 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 A nurse is reviewing the medication administration record for a client who is experiencing the adverse effects of chlorpromazine. The nurse should administer benztropine to relieve which of the following adverse effects A nurse in a mental health facility is planning discharge for a client who has a long history of alcohol use disorder. Which of the following postdischarge activities should the nurse plan to include A nurse is communicating with a client in an inpatient mental health facility. Which of the following actions by the nurse demonstrates the use of active listening A nurse is caring for a client who is undergoing electroconvulsive therapy (ECT) and will receive succinylcholine. The client asks the nurse about this medication. What is an appropriate response by the nurse "Succinylcholine is given to reduce muscle movements during therapy A nurse is preparing to participate in an interdisciplinary conference for a client who has bipolar disorder. Which of the following behaviors is the priority for the nurse to report to the treatment team A nurse in a community health center is counseling a family of two parents and two children. Which of the following statements by a family member indicates manipulative behavior A nurse is caring for a client who is receiving hospice care for an inoperable brain tumor. When completing a spiritual assessment as part of end-of-life care, which of the following interventions should the nurse implement A nurse is planning care for a newly admitted client who has bipolar disorder. Which of the following is the priority action by the nurse A nurse is planning discharge teaching with a family member of a client who has a new diagnosis of depression. Which of the following information about relapse should the nurse include Early identification of changes, such as decreased social involvement, is important A nurse is admitting a female client who has anorexia nervosa. Which of the following manifestations should the nurse expect during the admission assessment A nurse is teaching the partner of a client who has bipolar disorder how to identify manifestations of acute mania. Which of the following findings should the client's partner report to the provider A charge nurse is developing an educational program about schizophrenia. Which of the following manifestations should the nurse include as a negative symptom of schizophrenia A nurse is teaching the parent of a 10-year-old child who has ADHD and a new prescription for dextroamphetamine. Which of the following instructions should the nurse include in the teaching " A client who has paranoid schizophrenia is attending a treatment planning conference with a family member. During the discussion of the medication adherence portion of the plan, the nurse notices that the family member seems distracted. Which of the following actions should the nurse take A nurse is admitting a client who has alcohol use disorder. Which of the following statements by the client indicates that the client is using denial as a defense mechanism A nurse in a provider's office is collecting a health history from the parent of a school-age child who has been taking atomoxetine. Which of the following adverse effects reported by the parent is the priority for the nurse to report to the provider Dark urine A nurse is caring for a client who has moderate Alzheimer's disease. Which of the following nursing interventions assists in orienting the client to reality Talk with the client about scheduled daily activities A nurse is assessing a client who is experiencing opioid withdrawal. Which of the following manifestations should the nurse expect Rhinorrhea A nurse is caring for a client who is in an abusive relationship and is assisting in the development of a safety plan. Which of the following actions is the first component of a safety plan Identify signs of escalation of violence A nurse who is working on a mental health unit should recognize that which of the following are indications for the use of electroconvulsive therapy (ECT)? (Select all that apply is suicidal, has bipolar, has mania A nurse is caring for a client who has a history of substance use disorder and was involuntarily admitted to a mental health facility. When the nurse attempts to administer oral lorazepam, the client refuses to take the medication and becomes physically aggressive. Which of the following actions should the nurse take Do not administer the lorazepam A nurse is caring for a client who has borderline personality disorder. Which of the following goals is the priority when planning care for this client The client will refrain from self-mutilation A nurse is teaching coping strategies to a client who is experiencing depression related to intimate partner abuse. Which of the following statements by the client indicates an understanding of the teaching "I will talk about my feelings with a close friend A nurse in a clinic is assessing a client whose partner died 4 months ago. Which of the following statements indicates that the client is at risk for complicated grief "I feel so empty without my wife that it's hard to get up every morning A nurse is caring for an older adult client who is experiencing delirium. Which of the following interventions should the nurse include in the client's plan of care Permit the client to perform daily rituals to decrease anxiety A nurse is assisting a client who has a terminal illness adjust to progressive loss of independence. Which of the following statements by the client indicates acceptance of her illness "I am going to order a wheelchair for when I'm unable to walk A nurse in the emergency department is admitting a client who reports a headache along with heart palpitations after having a glass of wine with dinner a few hours ago. The client has a history of depression and has a blood pressure of 210/105 mm Hg. Which of the following questions should the nurse ask first "What medications are you currently taking A nurse is providing teaching to the partner of a client who is in a rehabilitation program for alcohol use disorder. The nurse should identify that which of the following statements by the client's partner indicates an understanding of the teaching "I will not take charge of my partner's work responsibilities A nurse is caring for a client who is experiencing a situational crisis. Which of the following findings should the nurse expect The client recently lost a grandparent in a motor vehicle crash A community health nurse is planning an education program about depressive disorders. Which of the following factors should the nurse include as increasing the risk for depression Substance use disorder A nurse is establishing a therapeutic relationship with a client who has antisocial personality disorder. Which of the following strategies should the nurse use when communicating with this client Set realistic limits on the client's behavior A nurse is caring for an older adult client who has dementia and has wandered into the day room looking for her deceased partner. Which of the following actions should the nurse take Talk with the client about activities she enjoyed with her partner A nurse is assessing a client who recently used cocaine. Which of the following findings should the nurse expect Hypertension During a client's initial interview in a mental health inpatient setting, the nurse identifies that the client is maintaining eye contact and leaning forward. Which of the following assumptions should the nurse make based on the client's nonverbal behaviors The client is interested in what the nurse is saying A charge nurse is planning a teaching session regarding the code of ethics for registered nurses. Which of the following information should the nurse include in the teaching The right to treatment ensures individualized care A nurse is teaching the parents of a client about their daughter's diagnosis of bulimia nervosa. Which of the following statements made by the parents indicates an understanding of their daughter's illness "It is important for our daughter to have regular dental checkups A nurse is caring for a client who was admitted following an overdose of amitriptyline. The nurse should monitor the client for which of the following adverse effects associated with this medication Urinary retention A nurse is caring for a client who has alcoholic cardiomyopathy. Which of the following laboratory findings should the nurse expect Increased creatine phosphokinase (CPK A nurse is teaching a client who has a depressive disorder about fluoxetine. Which of the following information should the nurse include in the teaching "You may experience difficulties with sexual functioning while taking this medication A nurse in the emergency department is caring for four clients. Which of the following clients is the nurse required to report as a potential victim of abuse An older adult client who is bedbound and has a stage IV pressure ulcer A nurse is assessing a school-age child who has conduct disorder. Which of the following characteristics should the nurse expect the child to demonstrate Aggression toward animal A nurse is caring for a client who is taking clozapine. For which of the following findings should the nurse withhold the medication The client reports a sore throat A nurse is preparing to administer diazepam 7.5 mg IV bolus to a client for alcohol withdrawal. Available is diazepam injection 5 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero 1.5 [Show More]

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