1) )A nurse is planning care for a client with dementia. Which intervention should the nurse include in the plan of care?

Question Answered step-by-step 1) ) A nurse is planning care for a client with dementia. Which interventionshould the nurse include in the plan of care? a. limit the client’s choices for daily activities b. provide a cognitively stimulating environment c. use confrontation to manage negative behavior d. rotate staff to prevent caregiver role strain 2) ) A nurse is caring for an adolescent female with an eating disorder. The client is 162.6 cm (64in) tall and weighs 38.56 kg ( 85 lb). Upon assessment, which manifestations should the nurse expect? Select all that apply a. Altered body image b. Amenorrhea c. Bradycardia d. excessive exercising 3) A nurse is caring for a child with an autism spectrum disorder. Which findings should the nurse expect? [ select all that apply] a. consistent limit testing b. spinning a toy repetitively c. ritualistic behaviord. delayed language developmente. invites another kid to play4) A nurse is caring for a client with bipolar disorder. Which actions by the client should the nurse interprets as displaying manic behavior? [ Select all that apply] a. talking in rapid continuous speech b. spending large sums of money c. dressing in black or grey color d. sleeping for long periods of time e. interacting with others in a flirtatious way5) A nurse on an inpatient mental health unit is admitting a client who reports feeling depressed, sad, moody, and overly anxious. What should the nurse assess first? a. suicide risk6) A nurse is caring for a group of adolescent clients on a mental health unit. Which client should the nurse identify as the highest risk for a suicide attempt?a. a client who attempted suicide the previous yearb. a client who has stated the is nothing to live forc. a client who was abused and whose father committed suicide d. a client who has a history of depression and drug use7) A nurse in an addiction rehabilitation center is planning care for a new client with a long-standing history of alcohol abuse. Which goal is the highest priority? a. The client will implement alternative strategies for managing anxiety b. the client will acknowledge alcohol dependence and the need for treatment c. The client’s withdrawal from alcohol will be managed without complications d. The client will rebuild damaged interpersonal relationship8) A nurse in a mental health clinic is conducting a staff education session on schizophrenia. Which manifestations should the nurse identify as negative symptoms? [select all that apply] a. Loose associations b. Anhedonia e. Blunted effect9) A nurse is planning care for a client receiving chlorpromazine who is given a pass to attend a family outing on a sunny day. Which is most important for the nurse to include in the instruction about the side effect of chlorpromazine? a. limit alcoholic beverages to one beer onlyb. Drink plenty of fluidsc. wear a hat and a long-sleeved shirtd. suck on hard candies10) A nurse is admitting a client that is exhibiting manic behavior. The client reports recent personal stressors including the death of a parent and a divorce. What is the priority nursing action? a. Identify a support system b. Prevent self-directed violence c. Assist the client in identifying coping behaviors d. Encourage self-care11) A nurse is caring for a client who has a depressive disorder, is in alcohol withdrawal, and report job loss. What is the priority nursing action? a. Determine the presence and degree of suicidal b. Assist the client to identify negative effects of chemical dependency c. Refer the client to a mental health care provider for evaluation and treatment d. Identify support groups in the community for long term treatment12) A nurse in an acute mental health facility is creating a plan of care for a new client who has a historic personality disorder. Which of the following is the priority intervention for the nurse to make? a. promote appropriate behavior during therapy sessions b. Encourage client input in the treatment plan c. Communicate with the client using concrete language d. Demonstrate assertive behavior13) A nurse in a hospital is caring for a client with agoraphobia. Which statement by the client indicates understanding the goals of treatment? a. I will join a book club in my neighborhood b. I plan to sit on a park bench for a few minutes each day c. I should avoid entering elevators and other closed spaces d. I can try participating in group therapy every week 14) A nurse is discussing obsessive-compulsive disorder (OCD) with a newly licensed nurse. Which statement by the nurse indicates an understanding of the underlying reason clients with OCD perform ritualistic behaviors? a. The client performs ritualistic behavior to boost self-esteem b. The ritualistic behavior temporarily relieves anxiety c. The client performs ritualistic behavior to decrease feelings of shame d. The ritualistic behavior provides sexual satisfaction15) ) A nurse asks a client that is suicidal to make a safety plan, whereby the client will make a promise to report any thoughts of self-harm to the nurse. The client declines to make the safety plan. What nursing action will best ensure this client’s safety? a. remove any objects from the environment that could be used for self-harm b. Provide a relaxed and accepting environment to develop trustc. Assign a staff member to stay with the client at all times d. Lock the doors to the unit and secure all windows so they cannot open16) ) A nurse is providing discharge teaching to a client who has bipolar disorder and will be discharged with a prescription for lithium. The nurse should teach the client which of the following factors puts her at risk for lithium toxicity? a. The client runs 4 miles outdoors every afternoon during peak sun-times b. The client eats 2 to 3 gm of sodium-containing foods daily c. the client eats food high in tyramine17) A nurse is providing a community health education class about suicide prevention. Which of the following should the nurse identify as risk factors for suicide? Select all that apply a. Substance use disorder b. age greater than 55 c. Currently married d. female gender e. schizophrenia18) A nurse is providing care for a client who has anorexia nervosa. Which of the following nursing interventions should the nurse take? a. provide privacy when friends visit b. Allow the client to eat at any time c. Compliment the client for weight gain d. schedule regular weigh-in times19) A nurse in a mental health facility is planning care for a client with obsessive-compulsive disorder (OCD) and is newly admitted to the unit. which action should the nurse plan to take regarding the client’s compulsive behaviors? a. Confront the client about the senseless nature of the repetitive behavior b. Isolate the client for a period of time c. Set strict limits on the behaviors so that the client can conform to the unit rules and schedules d. Plan the client’s schedule to allow time for rituals Health Science Science Nursing NR 326 Share QuestionEmailCopy link Comments (0)