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1) A nurse is performing an admission assessment for a client who appears withdrawn and fearful. • Inform the client that this admission is confidential 2) A nurse is caring for an adolescent client who has anorexia nervosa. • “You’re afraid you have caus$17.99
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1) A nurse is performing an admission assessment for a client who appears withdrawn and fearful. • Inform the client that this admission is confidential 2) A nurse is caring for an adolescent client who has anorexia nervosa. • “You’re afraid you have caus
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Course
Nursing
Institution
Nursing
1) A nurse is performing an admission assessment for a client who appears withdrawn and fearful.
• Inform the client that this admission is confidential
2) A nurse is caring for an adolescent client who has anorexia nervosa.
• “You’re afraid you have caused physical injury to yourself?
...
1) A nurse is performing an admission assessment for a client who appears withdrawn and
fearful.
Inform the client that this admission is confidential
2) A nurse is caring for an adolescent client who has anorexia nervosa.
“You’re afraid you have caused physical injury to yourself?
3) A nurse is caring for a client following a fire that destroyed her home and killed on of her
children.
Have you thought of harming yourself?
4) A nurse is checking laboratory values for a hospitalized young adult client who has
bipolar disorder and is taking lithium.
Serum creatinine 2.1
5) A nurse is providing information to a client who is seeking voluntary admission to a mental
health facility.
You will still need to give informed consent for treatments after admission
6) A nurse is developing a plan of care for an adolescent client who has conduct disorder.
Initiate a behavioral contract with the client
7) A hospice nurse is talking with the family of a client who recently died from cancer
following a series of chemotherapy treatments.
Displacement
8) A nurse in an acute care facility is providing teaching for the adult child of an older adult
client who is admitted with a urinary tract infection and delirium
I expect that my father will no longer be confused when he is discharged
9) A nurse is caring for a client who is experiencing a manic episode.
Encourage the client to rest each hour
10) A nurse is leading a medication education group for several clients. (select all that apply)
Move others away from the client
Offer the client a PRN dose of Lorazepam
Ask the client open-ended questions about the behavior
11) A charge nurse is planning an in-service for a group of newly licensed nurses about the use of
restraints.
Record the client’s behavior every 15 minutes while in restraints
12) A nurse is assessing a client who has bulimia nervosa.
Dental caries
13) A nurse is providing teaching to a client who has bipolar and has been taking lithium for 4
months.
Limit outdoor exercise during hot weather.
14) A nurse on a mental health unit is conduction one-on-one session with a client who suddenly
becomes silent.
I’ve notices you have become quiet. Please share with me what you are thinking
15) A nurse is caring for a client who appears extremely agitated and believes that pacing
the floor a specific number of times is necessary or “something terrible will happen”
, MENTAL HEALTH
ASSESSMENT Q &
A.Approved
It must be hard for you to have to pace the floor. Let’s talk about your feelings
16) A nurse is discussing therapeutic communication with a group of newly licensed nurses
And after that?
17) A nurse in a community program for clients who experience partner violence is planning
secondary prevention strategies.
Coordinating community resources for a hospitalized client
18) A nurse is caring for an adult client who was involuntarily admitted following a suicide
attempt.
I cannot discuss your spouse’s health information with you without his consent.
19) A nurse is planning to teach a group of clients about techniques to change unwanted
behaviors.
Role playing
20) A home health nurse is caring for a new client who has hoarding disorder that involves food.
Assist the client with completing the hoarding scale self-report
21) A nurse is caring for a client who is experiencing mania and is place in seclusion due to
escalating behavior.
Check the client’s physical needs every 15 min while in seclusion
22) A nurse is assisting in obtaining informed consent from a client who is scheduled for Vagus
nerve stimulation
Ensure the client signs the form voluntarily
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