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Adult Health Exam Questions And Verified Detailed Answers
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Adult Health Exam Questions And VerifiedDetailed Answers
The nurse is working with a client who is determined to be suffering from depression.
Which of the following behaviors, if manifested by the client, would provide the nurse
with an indication that this client requires suicide precautions initiated? - ANSWER The
client asks to have the opportunity to speak with an attorney to finalize some unfinished
business.
A client who was admitted to the mental health unit 1 month ago with agoraphobia is
cooperative, sharing with peers, and makes appropriate suggestions during group
discussions. The nurse would conclude that this client's behavior is most consistent
with which behavior? - ANSWER Improvement
A client is being prepared for electroconvulsive therapy. Which intervention should the
nurse include in the plan of care for the night before the ECT treatment? ANSWER The
client washes the hair and dries it, removing all hair spray and creams.
A mental health nurse is working the evening shift and receives report about a client
who was admitted to the nursing unit. The nurse is informed that the client was admitted
by involuntary status. Based on this type of admission the nurse would expect which
statement is an aspect of the client's care? ANSWER The client is in need of psychiatric
treatment.
A client of the mental health unit repeatedly washes their hands throughout the day. The
nurse identifies that these Maladaptive repetitive behaviors develop for what purpose? -
ANSWER The client unconsciously is trying to control unpleasant thoughts or feelings.
While providing one-to-one supervision, a client who attempted suicide states the
following to the nurse, "I can never do anything right. I'm such a loser. It didn't even
work when I tried to kill myself." What is the appropriate nursing response? - ANSWER
"You don't think you can ever do anything right?"
, A client is admitted to the psychiatric nursing unit. During data collection from the
client, the nurse realizes that the client was admitted on an involuntary status. Based on
this type of admission, the nurse expects which? - ANSWER The client presents a harm
to self.
The nurse determines that an alcoholic client's wife is benefiting from attending an
Al-Anon group when the nurse hears the wife say which? - ANSWER "I no longer feel
that I deserve the beatings my husband inflicts on me."
The nurse caring for a client who has been diagnosed with stage 3 Alzheimer's disease
and should expect to observe which behaviors in this client? Select all that apply. -
ANSWER Misplacing a valuable object, Difficulty coming up with the right word
The psychiatric nurse is confronted by a neighbor while shopping at the local grocery
store. The neighbor says to the nurse, "How is Carol doing? She is my best friend and is
seen at your clinic every week." What is the correct nursing response? - ANSWER "I
cannot discuss any client situation with you."
A female client presents to the emergency department stating that she has been
assaulted. She is hyperventilating, pacing, and speaking at a rapid rate, and
complaining of a headache. The nurse appropriately identifies that this client is
demonstrating which level of anxiety? ANSWER Severe
The nurse notices a "paranoid stare" while conversing with the client experiencing
PTSD. The client becomes agitated and stands to pace the room. Which of the following
responses by the nurse would be most beneficial? - ANSWER Share the observation with
the client and allow the client to acknowledge his or her feelings.
The nurse is assisting in planning care for a client being admitted to the nursing unit
who has attempted suicide. Which priority nursing intervention should the nurse include
in the plan of care? - ANSWER One-to-one suicide precautions
The nurse working in the long-term care facility understands which concept related to
depression in the older client? - ANSWER Depression in the older client is often
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