online solution: QuestionAnswered step-by-step1.A nurse is speaking with the

QuestionAnswered step-by-step1.A nurse is speaking with the partner of a client who is beginning…1.      A nurse is speaking with the partner of a client who is beginning treatment for obsessive-compulsive disorder. Which of the following statements by the partner indicates an understanding of the treatment plan?             “I should expect my partner to begin exhibiting paranoid behaviors.”             “To prevent stress, we should avoid trying to make a schedule for daily activities.”             “I should ignore the stressors that cause my partner to perform the ritualistic behaviors.”             “For now, we should schedule enough time for my partner to complete rituals.” 2.      A nurse is preparing to discharge a client who has depression. Which of the following information should the nurse plan to reinforce with the client regarding relapse?             “You should identify how you react to stressful events.”             “Use systematic desensitization to help prevent relapse.”             “Your antidepressant medication will make you feel better in a few days.”             “Try snapping a rubber band on your wrist when depressive thoughts occur.” 3.      A client who delivered a healthy newborn 4 weeks ago calls her provider’s office and tells the nurse, “This baby constantly cries. My partner works all the time, and I can’t take any more.” Which of the following responses is the nurse’s priority?             “Do you have a friend who could help you?”             “Having a newborn mint be stressful. Do you have other children?             “Have you discussed this with your partner?             “Tell me about your baby. Where is she now?” 4.      A nurse is speaking with the partner of a client who is beginning treatment for obsessive-compulsive disorder. Which of the following statements by the partner indicates an understanding of the treatment plan?             “I should expect my partner to begin exhibiting paranoid behaviors.”             “To prevent stress, we should avoid trying to make a schedule for daily activities.”             “I should ignore the stressors that cause my partner to perform the ritualistic behaviors.             “For now, we should schedule enough time for my partner to complete rituals. 5.      A nurse is caring for multiple clients on a mental health unit. Which of the following clients should the nurse attend to first?             A client in the dayroom who is screaming at other clients about what is on the television             A client who is standing in her room, yelling obscenities and throwing her clothes             A client who is repeatedly approaching the nurses station to request medication for his anxiety             A client who has bipolar disorder and is continuously pacing at the end of the hall 6.      nurse is caring for a client who states. “I’m overwhelmed, and no one understands. I can’t take it anymore.” Which of the following responses should the nurse make first?             “Tell me more about how you are feeling.”             “Do you have anyone you can talk to about your feelings?”             “Are you thinking of harming yourself?”             “Are you saying that no one understands your concerns?” 7.      A nurse in an inpatient mental health facility is caring for a client who states, “I do not want anyone to know I am in a mental hospital.” Which of the following responses should the nurse make?             “We have to report your admission to the National Alliance on Mental liness.”             “We have to inform your immediate family members that you are here.”             “We have to obtain your permission to discuss your care with others.”             “We have to notify your insurance company that you are here.” 8.      A nurse is contributing to the plan of care for a client who is to start therapy with fluoxetine. Which of the following is an expected outcome for this client?             Improved mood             Reduction in hand tremors             Absence of seizures             Decreased hallucinations 9.      A nurse is reinforcing teaching with the caregiver of a client who has Alzheimer’s disease. The caregiver reports that the client awakens at night and wanders. Which of the following strategies should the nurse suggest?             Place a lock at the top of doors leading outside.             Encourage the client to nap during the day.             Use light restraints while the client is in bed.             Administer an antianxiety medication before bedtime. 10.  A home health nurse is caring for a client who has Alzheimer’s disease and lives with her adult child. The child is concerned for the client’s safety because the client wandered away from home several nights ago. Which of the following recommendations should the nurse make?             Provide a high-stimulation environment.             Encourage the client to take naps in the late afternoon.             Provide complex activities to exercise muscles.             Establish a place for the client to walk inside the house. 11.  A nurse is assisting with the admission of a client who has antisocial personality disorder. The client states. “You’re so nice. Can I go to the hospital gift shop just one time and then answer all your questions?” Which of the following responses should the nurse make?             “We need to focus on completing this task right now.”             “Why do you think it is necessary flatter me to obtain this privilege?”             “I can allow you to go quickly, but we must set a time limit.”             “I really appreciate your kind comment. 12.  nurse is reinforcing teaching with a client who is grieving the recent loss of their partner. Which of the following interventions should the nurse make?             Use sympathy to develop a trusting relationship with the client.             Inform the client that the acute phase of the grief process should last at least 6 months.             Advise the client to maintain the daily routine they shared with their partner.             Encourage the client to talk about the death of their partner. 13.  A nurse is caring for a client who has major depressive disorder. The client tells the nurse, “I should be dead. I have been a failure.” Which of the following responses should the nurse make?             “I see many positive things about you.”             “You’re not the only client who feels this way.”             “You are feeling like a failure?             “How can you feel that way when you have so much to live for?” 14.  A nurse is caring for a client who has a new diagnosis of cancer. The client states. “I can’t think about my health until after my son is married next week.” The nurse should identify the client’s statement as an indication of which of the following maladaptive defense mechanisms?             Projection             Reaction formation             Suppression             Splitting 15.  A nurse is caring for a client who has agreed to a verbal safety contract following a self-mutilation attempt. Which of the following behaviors indicates that the contract has been effective?             The client displaces their feelings of self-harm until they talk to the provider.             The client notifies the nurse when they want to harm themselves.             The client goes to their room alone when they feel overwhelmed.             The client suppresses their feelings when they are angry.  16.  A nurse is beginning a therapeutic relationship with a client who has paranoid personality disorder. Which of the following strategies should the nurse plan to use?             Ask the client why he is suspicious of others.             Demonstrate a neutral demeanor.             Use an overly friendly approach.             Be vague when answering the client’s questions about instructions: 17.  A nurse in an acute care facility is assisting with the admission of a client who is experiencing alcohol withdrawal. The nurse should observe the client for which of the following findings?             Tachycardia             Hypotension             Nystagmus             Rhinorrhea 18.  A nurse in a mental health facility is caring for a client who has antisocial personality disorder and alcohol dependency. The nurse should encourage the client to participate in which of the following groups?             Crisis intervention             Dual diagnosis treatment             Psychodrama             Codependency support. 19.  A nurse is caring for a client who has become aggressive and requires the placement of wrist restraints to maintain the client’s safety. Which of the following actions should the nurse take?             Use square knots to secure the client’s restraint.             Observe the circulation of the client’s extremities.             Tie the restraint to the rail of the client’s bed.             Obtain the client’s vital signs every 4 hr. 20.  nurse is assisting with teaching a group of older adult clients about behavioral expectations. Which of the following actions should the nurse take to help eliminate barriers to learning?             Schedule the teaching sessions for a long time to promote participation.             Ensure the teaching sessions occur right before bedtime.             Use “I” statements rather than you” statements.             Assist the clients with establishing long-term goals. 21.  A nurse is collecting data from an adult client in an outpatient mental health clinic. The nurse should identify which of the following events as a potential cause of a maturational crisis?             A child leaving for college             Motor-vehicle crash             Divorce            Loss of job 22.  A home health nurse is caring for a client who has Alzheimer’s disease and lives with her adult child. The child is concerned for the client’s safety because the client wandered away from home several nights ago. Which of the following recommendations should the nurse make?             Provide a high-stimulation environment.             Encourage the client to take naps in the late afternoon             Provide complex activities to exercise muscles.             Establish a place for the client to walk inside the house. 23.  A nurse is contributing to the plan of care for a client who is experiencing a panic level of anxiety. Which of the following interventions should the nurse include? (Select all that apply.)             Take the client to a group therapy session,             Encourage the client to visit with friends.             Offer to take a walk with the client             Remain with the client             Speak to the client using a calm tone of voice 24.  A nurse is discussing positive manifestations of schizophrenia with a newly licensed nurse. Which of the following statements should the nurse include as an example of flight of ideas?             “I can’t find my shoes. Is it lunchtime? I hope it doesn’t rain tomorrow.”             “Sing a song. What went wrong? Let’s all beat feet to the track meet.”             “Big dog length of duration hopefully leads German flashlights to the mailbox.             “We have the power to make the sun go down if we wear our nighttime clothes.” 25.  A nurse is collecting data from a child who takes methylphenidate. Which of the following findings indicates effective management of the medication’s adverse effects?             The child’s BUN level is 12 mg/dL             The child sleeps fewer total hours per day.             The child’s weight has increased from the previous visit.             The child has a reduced attention span. 26.  A nurse is speaking with the sibling of a client who refuses to see visitors. Which of the following actions should the nurse take?             Refer the sibling to the client’s provider.             Arrange for the sibling to visit the client in the dayroom.             Encourage the client to visit with the sibling.             Tell the sibling the client does not want visitors. 27.  A nurse is assisting with the plan of care for a client who has generalized anxiety disorder. Which of the following actions should the nurse include in the plan?             Glue detailed directions             Facilitate verbalization of feelings             Avoid discussing triggers of anxiety.             Encourage dependent behaviors. 28.  A nurse is caring for a group of clients in a pediatric clinic. Which of the following clients is at highest risk for physical abuse?             An adolescent who is preparing to leave home for college             A preschooler who is reluctant to share             A toddler who has cystic fibrosis             A school-age child who wants to go away to summer camp 29.  A nurse is reinforcing teaching with a newly licensed nurse about client confidentiality. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?             “A client retains the legal right to privacy of health information even after they have died.”             “A provider may speak to a client’s employer regarding a substance use disorder.             “I can discuss a client’s information with staff who have provided care in the past.”             “The provider must give consent to discuss health information with the client’s family.” 30.  A nurse is contributing to the plan of care for a client who experiences panic attacks. Which of the following strategies should be included for implementation during an attack?             Assist the client with evaluating their coping mechanisms             Encourage the client to set goals.             Minimize environmental stimuli             Explore with the client what precipitates an attack. 31.  A nurse is collecting data from a child who takes methylphenidate. Which of the following findings indicates effective management of the medication’s adverse effects?             The child’s BUN level is 12 mg/dL.             The child sleeps fewer total hours per day.             The child’s weight has increased from the previous visit.             The child has a reduced attention span. 32.  A nurse is contributing to the plan of care for a client who has bipolar disorder and whose admission was voluntary. For which of the following interventions should the nurse confirm that the client has given informed consent?             Taking an experimental medication             Participating in a group exercise program             Receiving light therapy             Attending a cognitive behavioral therapy class 33.  A nurse in a community health center is caring for a client who states, “My partner passed away 6 months ago.” Which of the following indicates a maladaptive response to grieving?             The client sleeps 6 hr per night.             The client attends a grief support group.             The client is unable to work.             The client is giving away her partner’s clothes. 34.  A nurse is collecting data from a client who states, “I am so worried about everything, and I can’t seem to sit still, even when I eat.” Which of the following responses should the nurse make?            “Why do you think this is so upsetting for you?”             “It is common to be worried about some things, but you will feel better soon.”             “Can you tell me about what is worrying you?”            “Even though you are worried, it is important to eat to maintain your strength.” 35.  A nurse in a community health center is caring for a client who states. “My partner passed away 6 months ago.” Which of the following findings indicates a maladaptive response to grieving?              The client sleeps 6 hr per night.            The client attends a grief support group,             The client is unable to work.            The client is giving away her partner’s clothes. 36.  A nurse is caring for a client who is experiencing a situational crisis. Which of the following actions should the nurse take first?             Reinforce teaching on the client’s use of coping skills.             Identify if the client has thoughts of self-harm.             Encourage the client to use personal support systems.             Assist with a client referral for social services.  37.  nurse in a long-term care facility is collecting data from an older adult client who has a respiratory infection. Which of the following findings indicates that the client is developing delirium?             Pinpoint pupils             Pale, dry skin             Disorganized thinking             Decreased blood pressure  38.  A nurse is discussing positive manifestations of schizophrenia with a newly licensed nurse. Which of the following statements should the nurse include as an example of flight of ideas?             “I can’t find my shoes. Is it lunchtime? I hope it doesn’t rain tomorrow.”             “Sing a song. What went wrong? Let’s all beat feet to the track meet.”             “Big dog length of duration hopefully leads German flashlights to the mailbox.”            “We have the power to make the sun go down if we wear our nighttime clothes.” 39.  A charge nurse is reinforcing teaching with a newly licensed nurse about the clinical manifestations of dependent personality disorder. Which of the following manifestations should the nurse include in the teaching?             Exhibits extreme perfectionism             Enjoys spending time alone             Displays confrontational behavior             Unable to make simple decisions 40.  A nurse is reinforcing teaching with a client who is about to start taking sertraline to treat depression. Which of the following information should the nurse reinforce with the client?             “You have to avoid eating foods that contain tyramine, such as wine and cheese.”             “You should avoid taking St. John’s wort while taking this medication.”             “Your provider will have to monitor your blood glucose levels routinely.”             “You can adjust your dosage depending on the level of symptoms you have.”  41.  A nurse is caring for a client who has a new prescription for fluphenazine to treat schizophrenia. The nurse should identify that which of the following is an adverse effect of this medication?            Bradycardia            Increased salivation            Akathisia            Increased libido 42.  A nurse is caring for a newly admitted client who has obsessive-compulsive disorder. Which of the following actions should the nurse take first?             Discuss the benefits of relaxation exercises with the client.             Administer an antianxiety medication.             Explain the use of response prevention to the client.             Calculate the client’s score on the Hamilton Rating Scale for Anxiety,Health ScienceScienceNursingNR 122Share Question