Lukejaydenpro

A nursing instructor is teaching about specific phobias. Which student statement indicates to the instructor that teaching has been effective? 1. “These clients recognize their fear as excessive and frequently seek treatment.” 2. “These clients have a panic level of fear that is overwhelming and unreasonable.” 3. “These clients experience symptoms that mirror a cerebrovascular accident.” 4. “These clients experience the symptoms of tachycardia, dysphagia, and diaphoresis.” ...

The nurse educator is lecturing a group of nursing students on depression in adolescents. Which statement indicates that teaching has been effective? 1. “Adolescents are not likely to suffer from depression.” 2. “Depressed adolescents always seek immediate treatment.” 3. “Many symptoms are attributed to normal adjustments of adolescents.” 4. “Suicide is not common among depressed adolescents.” ____ 2. When planning care for a depressed client, which correctly written out...

A paranoid client presents with bizarre behaviors, neologisms, and thought insertion. Which nursing action should be prioritized to maintain this client’s safety? 1. Assess for medication nonadherence. 2. Note escalating behaviors and intervene immediately. 3. Interpret attempts at communication. 4. Assess triggers for bizarre, inappropriate behaviors. ____ 2. A client diagnosed with schizoaffective disorder is admitted for social skills training. Which information should be included ...

What should be the priority nursing diagnosis for a client experiencing alcohol withdrawal? 1. Risk for injury R/T central nervous system stimulation 2. Disturbed thought processes R/T tactile hallucinations 3. Ineffective coping R/T powerlessness over alcohol use 4. Ineffective denial R/T continued alcohol use despite negative consequences ____ 2. A nurse evaluates a client’s patient-controlled analgesia (PCA) pump and notices 100 attempts within a 30-minute period. Which is the best...

A geriatric nurse is teaching the client’s family about the possible cause of delirium. Which statement by the nurse is most accurate? 1. “Taking multiple medications may lead to adverse interactions or toxicity.” 2. “Age-related cognitive changes may lead to alterations in mental status.” 3. “Lack of rigorous exercise may lead to decreased cerebral blood flow.” 4. “Decreased social interaction may lead to profound isolation and psychosis.” ____ 2. A client diagnosed w...

A nurse discovers a client’s suicide note that details the time, place, and means to commit suicide. What should be the priority nursing intervention and the rationale for this action? 1. Administering lorazepam (Ativan) prn, because the client is angry about the discovery of the note 2. Establishing room restrictions, because the client’s threat is an attempt to manipulate the staff 3. Placing this client on one-to-one suicide precautions, because the more specific the plan, the more lik...

A nursing instructor is teaching about recovery as it applies to mental illness. Which student statement indicates that further teaching is needed? 1. “The goal of recovery is improved health and wellness.” 2. “The goal of recovery is expedient, comprehensive behavioral change.” 3. “The goal of recovery is the ability to live a self-directed life.” 4. “The goal of recovery is the ability to reach full potential.” ____ 2. Which situation presents an example of the basic c...

A highly agitated client paces the unit and states, “I could buy and sell this place.” The client’s mood fluctuates from fits of laughter to outbursts of anger. Which is the most accurate documentation of this client’s behavior? 1. “Rates mood 8/10. Exhibiting looseness of association. Euphoric.” 2. “Mood euthymic. Exhibiting magical thinking. Restless.” 3. “Mood labile. Exhibiting delusions of reference. Hyperactive.” 4. “Agitated and pacing. Exhibiting grandiosity. Mo...

During a therapeutic group, which nursing action demonstrates a laissez-faire leadership style? 1. The nurse mandates that all group members reveal an embarrassing personal situation. 2. The nurse asks for a show of hands to determine group topic preference. 3. The nurse sits silently as the group members stray from the assigned topic. 4. The nurse shuffles through papers to determine the facility policy on length of group. ____ 2. During a community meeting, a nurse encourages clients ...

Which statement is most accurate regarding the assessment of clients diagnosed with psychiatric problems? 1. Medical history is of little significance and can be eliminated from the nursing assessment. 2. Assessment provides a holistic view of the client, including biopsychosocial aspects. 3. Comprehensive assessments can be performed only by advanced practice nurses. 4. Psychosocial evaluations are gained by subjective reports rather than objective observations. ____ 2. Which statement...