RN Mental Health Online Practice 2019 A A nurse is caring for a group of clients. For which of the following situations should the nurse complete an incident report?(ANS- A client was administered one-half of the prescribed dose of medication
a nurse is caring for a group of clients. Which of the following findings is the nurse required to report?(ANS- A client who has borderline personality disorder threatened to harm their roommate
A nurse is caring for a client who has borderline personality disorder. Which of the following goals is the priority when planning care for this client?(ANS- The client will refrain from self-mutilation
a nurse is discussing the home care of a client who has advanced Alzheimer's disease with he client's partner, who is planning to go out of town for several days.Which of the following resources should the nurse recommended to the caregiver?(ANS- Respite care
A nurse is caring for an older adult client who has dementia and has wandered into the day room looking for their deceased partner. Which of the following actions should the nurse take?(ANS- Talk with the client about activities they enjoyed with their partner
A nurse is admitting a client who has schizophrenia to an acute care setting. When the nurse questions the client regarding their admission, the client states, "I'm red, in the head, and I'm going to bed!" The nurse should document the client's speech pattern as which of the following?(ANS- Clang association
A nurse is assessing a client who has schizophrenia. Which of the following findings should the nurse document as a negative symptom of this disorder?(ANS- Anhedonia 1 / 2
A nurse is delegating client care tasks to a licensed practical nurse (LPN) and an assistive personnel. Which of the following tasks should the nurse assign to the LPN?(ANS- Change the dressing of a client who has borderline personality disorder and superficial self-inflicted wounds
A nurse is assessing a school-age child who has conduct disorder. Which of the following characteristics should the nurse expect the child to demonstrate?(ANS- Aggression toward animals
A nurse in a mental health clinic is planning car for a client who has a new prescription for olanzapine. Which of the following interventions should the nurse identify as the priority?(ANS- Instruct the client to avoid driving during initial therapy
A nurse is caring for a client who has a history of substance use disorder and was involuntarily admitted to a mental health facility. When the nurse attempt to administer oral lorazepam, the client refuses to take the medication and becomes physically aggressive. Which of the following actions should the nurse take?(ANS- Do not administer the lorazepam
A nurse is caring for a client who has schizophrenia and is experiencing psychosis.The nurse should identify that which of the following findings indicates a potential psychiatric emergency?(ANS- The client reports command hallucinations
A nurse is assessing a client who has borderline personality disorder. Which of the following findings should the nurse expect?(ANS- Emotional lability
While observing group therapy, a nurse recognizes that a client is behaving in a way suggestive of dependent personality disorder. Which of the following behaviors is consistent with this condition?(ANS- The client needs excessive external input to make everyday decisions
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