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RN Mental Health Online Practice 2019 B Flashcards | Quizlet
RN Mental Health Online Practice 2019 B
Terms in this set (60)
A nurse is taking with a group
suggest forming a weekly support group for parents
of parents who have recently
who have experienced the death of a child
experienced the death of a
child. Which of the following
actions should the nurse take?
A nurse in a community health
guided imagery
center is working with a group
of clients who have posttraumatic stress disorder.
Which of the following
interventions should the nurse
include to reduce anxiety
among the group members?
A nurse is planning care for a
monitor the client's cardiac rhythm during the
client who is to undergo
procedure
electroconvulsive therapy
(ECT). Which of the following
actions should the nurse
include in the plan?
A nurse is planning prevention
establish screening programs to identify at-risk
strategies for partner violence
clients
in the community. which of the
following strategies should the
nurse include as a method of
secondary prevention?
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a nurse in a mental health
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command hallucinations
facility is caring for a client who
has schizophrenia. Which of the
following findings places the
client at the greatest risk for
self-directed injury or injuring
others?
A nurse is caring for a child
tachycardia
who is taking methylphenidate.
The nurse should monitor the
child for which of the following
findings as an adverse effect of
methylphenidate?
A nurse observes a client on a
"It appears as though you would like to open the
mental health unit pushing on
door."
the locked door. Which of the
following statements should
the nurse make?
A nurse is assisting a client who
"I am going to order a wheelchair for when I'm
has a terminal illness adjust to
unable to walk."
progressive loss of
independence. Which of the
following statements by the
client indicates acceptance of
her illness?
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A nurse is preparing to
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giving away possessions
participate in an
interdisciplinary conference for
a client who has bipolar
disorder. Which of the
following behaviors is the
priority for the nurse to report
to the treatment team?
A nurse is teaching the partner
inability to sleep
of a client who has bipolar
disorder how to identify
manifestations of acute mania.
which of the following findings
should the client's partner
report to the provider?
a nurse on an acute mental
a client who is experiencing delusions of
health facility is receiving
persecution
change-of-shift report for four
clients. Which of the following
clients should the nurse assess
first?
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A nurse is counseling an
"You're saying that you think you are fat and are
adolescent who has anorexia
using laxatives because you are afraid of gaining
nervosa and reports excessive
weight."
laxative use and a fear of
gaining weight. The client
states, "I'm so fat I can't even
stand to look at myself." Which
of the following therapeutic
responses demonstrates the
nurse's use of summarizing?
A nurse in a mental health clinic
stay with the client when flashbacks occur
is caring for a client who has
post-traumatic stress disorder
(PTSD) after returning from
military deployment. Which of
the following is the priority
action for the nurse to take?
A nurse is discussing a 12-step
the client should obtain a sponsor before discharge
program with a client who has
for an increased chance of recovery
alcohol use disorder and is in
an acute care facility
undergoing detoxification.
Which of the following
information should the nurse
include in the teaching?
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A client who has a recent
move the client who has bipolar disorder to a
diagnosis of bipolar disorder is
private room
placed in a room with a client
who has severe depression. the
client who has depression
reports to the nurse, "My
roommate never sleeps and
keeps me up, too." Which of
the following actions should
the nurse take?
a nurse is performing an
inform the client that this admission is confidential
admission assessment on a
client and notices that the
client appears withdrawn and
fearful. To establish a trusting
nurse-client relationship, which
of the following actions should
the nurse take first?
A nurse is teaching strategies
"I will talk about my feelings with a close friend."
to a client who is experiencing
depression related to partner
violence. Which of the
following statements by the
client indicates an
understanding of the teaching?
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A school nurse is assessing a
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lack of interest in an upcoming holiday
school-age child who
experienced the traumatic loss
of a parent 8 months ago.
Which of the following findings
should the nurse identify as an
indication that the child is
experiencing post-traumatic
stress disorder (PTSD)?
A nurse on a mental health unit
spending adequate time with a client who is
is caring for a group of clients.
verbally abusive
Which of the following actions
by the nurse is an example of
the ethical principle of justice?
A nurse is performing a
easily distracted
cognitive assessment to
distinguish delirium from
dementia in a client whose
family reports episodes of
confusion. Which of the
following assessement findings
supports the nurse's suspicion
of delirium?
A nurse is assessing a client
tooth erosion
who has bulimia nervosa. The
nurse should expect which of
the following findings?
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A nurse is teaching the
"It is important for our child to have regular dental
guardians of a client about
checkups."
their adolescent child's
diagnosis of bulimia nervosa.
Which of the following
statements made by the
guardians indicates an
understanding of their child's
illness?
A nurse at a provider's office is
use a screening tool to evaluate the client for
interviewing an older adult
depression
client. Which of the following
actions should the nurse plan
to take?
A nurse is caring for an older
permit the client to perform daily rituals to decrease
adult client who is
anxiety
experiencing delirium. Which
of the following interventions
should the nurse include in the
client's plan of care?
A nurse is planning care for a
nonmaleficence
client who has made repeated
physical threats toward others
on the unit. Although the client
does not want to leave the unit,
the nurse requests the provider
to transfer the client to a unit
that is equipped to manage
violent behavior. Which of the
following ethical principles
should the nurse apply in this
situation?
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a nurse is facilitating a
ask group members to discuss their feelings about
community meeting for acute
this client's monopolizing behavior
care clients. One client is
constantly talking and using
the majority of the group's time.
which of the following
interventions should the nurse
implement?
a nurse is assessing a family's
older children who are responsible for their
dynamics during a counseling
younger siblings
session. The nurse should
recognize which of the
following findings as an
indication of a boundary issue?
a nurse is admitting a client
phenylephrine
who has major depressive
disorder and a new
prescription for
tranylcypromine. which of the
following over-the-counter
medications that the client
reports taking should alert the
nurse to a potential adverse
reaction?
a nurse is receiving change-of-
a client who is taking clozapine and reports a sore
shift report for four clients.
throat and chills
Which of the following clients
should the nurse plan to see
first?
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a nurse is caring for a client
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increased creatinine phosphokinase (CPK)
who has alcoholic
cardiomyopathy. which of the
following laboratory findings
should the nurse expect?
a nurse is caring for a client
assist the client with deep-breathing exercises
who is experiencing a panic
attack. Which of the following
actions should the nurse take?
a charge nurse on a mental
"clients who are admitted involuntarily maintain the
health unit is discussing client
right to give informed consent for procedures."
rights with a newly licensed
nurse. Which of the following
statements should the charge
nurse make?
a nurse is planning discharge
assertive community treatment
teaching for a client who has
severe schizoaffective disorder.
The nurse should identify that
which of the following
treatment options can offer
interdisciplinary services for
the client at home?
a nurse on a mental health unit
call for a team of staff members to help with the
observes a client who has
situation
acute mania hit another client.
which of the following actions
should the nurse take first?
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a nurse is planning care for a
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offer the client high-calorie finger foods frequently
client who has bipolar disorder
and is experiencing mania.
Which of the following
interventions should the nurse
include in the plan of care?
a nurse is caring for a child
reduce environmental stimuli
who has conduct disorder and
is behaving in a destructive
manner, throwing objects, and
kicking others. which of the
following therapeutic nurse
interventions is the priority?
a nurse on a medical-surgical
BP 154/96 mmHg
unit is assessing a client who
sustained injuries 12 hr ago
following a motor-vehicle
crash. the client's admission
blood alcohol level was 325
mg/dL. which of the following
findings should indicate to the
nurse that the client is
experiencing alcohol
withdrawal?
a nurse is assessing a client
rhinorrhea
who is experiencing opioid
withdrawal. which of the
following manifestations
should the nurse expect?
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a nurse in a community health
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experiences feelings of isolation
center is teaching families of
clients who have posttraumatic stress disorder
(PTSD) about expected clinical
manifestations. which of the
following manifestations
should the nurse include?
a nurse is updating the plan of
identify the client's trigger foods
care for a client who has
bulimia nervosa and a 5%
above their ideal body weight.
which of the following
interventions should the nurse
include in the plan?
a nurse is educating the parent
language delay
of a child who has a new
diagnosis of autism spectrum
disorder. which of the following
manifestations of this disorder
should the nurse include in the
teaching?
a nurse is caring for an older
"let's talk about what is upsetting you."
adult client who begins to cry
and states, "i knew God would
punish me and I deserve this
horrible sickness!" which of the
following responses should the
nurse make?
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a nurse is reviewing laboratory
RN Mental Health Online Practice 2019 B Flashcards | Quizlet
WBC count 2,500.mm3
results for a client who has
schizophrenia and is taking
clozapine. which of the
following values should the
nurse identify as a
contraindication for receiving
clozapine?
a nurse is assessing a client for
the client has COPD
risk factors for the
development of depression.
the nurse should identify that
which of the following factors
places the client at an
increased risk for depression?
a nurse in a mental health clinic
stay with a client who has anorexia nervosa for 1 hr
is planning care for four clients.
after meal times
which of the following tasks
should the nurse delegate to
an assistive personnel (AP)?
a nurse is teaching a group of
apply restraints when other means of managing the
newly licensed nurses about
client's behavior have failed
the use of mechanical
restraints. which of the
following information should
the nurse include in the
teaching?
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a nurse is planning discharge
early identification of changes, such as decreased
teaching with a family member
social involvement, is important
of a client who has a new
diagnosis of depression. Which
of the following information
about relapse should the nurse
include?
a nurse is caring for a client
identify signs of escalation of violence
who is in an abusive
relationship and is assisting in
the development of a safety
plan. which of the following
actions is the first component
of a safety plan?
a nurse is planning care for a
mild
client who has generalized
anxiety disorder. at which of
the following levels of anxiety
should the nurse plan to teach
the client relaxation
techniques?
a nurse is assessing a client
greater risk of attempting suicide as affect and
who has major depressive
energy improve
disorder and his been
receiving amitriptyline for 1
week. which of the following
outcomes should nurse
expect?
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a nurse is caring for four clients
a 35-year-old client who has major depressive
in an emergency department.
disorder
the nurse should identify that
which of the following clients
can give informed consent?
a nurse in an emergency
"she won't let me take the trash from her room. I'm
department is caring for a
concerned about what she has in there."
female adolescent who has a
diagnosis of bulimia nervosa
and had a fainting episode
during a ballet performance.
Which of the following
statements by the parent
acknowledges the client's
diagnosis?
a nurse is preparing to
occupational therapy
discharge to home an older
meal delivery services
adult client who attempted
physical therapy
suicide. the client lives alone
home health services
and has difficulty performing
ADLs. which of the following
referrals should the nurse
initiate?
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a nurse is reviewing the
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acute dystonia
medication administration
record for a client who is
experiencing adverse effects
of chlorpromazine. the nurse
should administer benztropine
to relieve which of the
following adverse effects?
a nurse is creating a plan of
renew the prescription for the client every 4 hr
care for a client who has been
placed in seclusion after
threatening to harm others on
the unit. which of the following
interventions should the nurse
include in the plan?
a nurse is teaching a newly
"I will update the plan of care as a client's
licensed nurse about nursing
manifestations of depression change."
care plans for clients who have
depressive disorder. which of
the following statements by the
newly licensed nurse indicates
an understanding of the
teaching?
a nurse is preparing to
1.5
administer diazepam 7.5 mg IV
bolus to a client for alcohol
withdrawal. available is
diazepam injection 5 mg/mL.
how many mL should the nurse
administer?
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a nurse is providing teaching to
"i will not take charge of my partner's work
the partner of a client who is in
responsibilities."
a rehabilitation program for
alcohol use disorder. the nurse
should identify that which of
the following statments by the
client's partner indicates an
understanding of the teaching?
a nurse in the emergency
an older client who is bed bound and has a stage IV
department is caring for four
pressure ulcer
clients. which of the following
clients is the nurse required to
report as a potential victim of
abuse?
a nurse is caring for a client
"i'll stay with you just in case you want to talk."
who gave birth to a stillborn
baby. which of the following
statments should the nurse
make?
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