3. A nurse is monitoring a client

3. A nurse is monitoring a client following electroconvulsive therapyWhich of the following manifestations should the nurse expect during the immediate recovery period? Short Term memory loss Absence seizures Increased Anxiety Sensitivity to light 4.A nurse is caring for a newly admitted client who has schizophrenia and hearing lossWhich of the following actions should the nurse take first when communicating with the client? Face the client when speaking so the client can read lips Determine how the client prefers to communicate Contact a sign language interpreter to communicate with the Evaluate the understanding of the message 5.A nurse overhears assistive personnel (AP) in the cafeteria discussing a client’s diagnosis of anorexia nervosa. The nurse should inform the that they have breached which of the following legal acts? Good Samaritan Act Patient Protection and Affordable Care Occupational and Health Act Health insurance Portability and Accountability Act 6.A nurse is caring for a client who has an anxiety disorder. The client transforms their anxiety into physical manifestations. The nurse should recognize that the client is exhibiting which of the following manifestations? Reaction formation Intellectualization Somatization Sublimation 7. A nurse is contributing to the plan of care for a client who has acute deliriumWhich of the following interventions should the nurse include in the plan of care? Keep the client’s room dark at night Limit the clients need to make decisions Provide a high-stimulation environment for the client Discourage visitation from the client’s family 8.nurse is caring for a client who has a history of experiencing intimate partner violenceWhich of the following characteristics should the nurse as risk factors for committing violence against others (Select all that apply Low self esteem Family history of abuse Poor coping skills History of substance use Skilled at problem-solving 9. A nurse is reviewing the treatment plan of a client who is receiving anger management therapy Which of the following questions should the nurse ask the client to evaluate the effectiveness of the treatment plan? Have you been attending your anger management group? Do you feel like your anger is becoming more manageable? Did you learn any coping strategies from your counselor? What do you do when something makes you angry ? 10.A nurse is contributing to the plan of care for a client who has bipolar disorder and whose admission was voluntaryFor which of the following interventions should the nurse confirm that the client has given informed consent Participating in a group exercise program Receiving light therapy Attending a cognitive behavioral therapy class Taking an experimental medication 11. A nurse is assisting with the plan of care for a client who has Alzheimer’s disease. Which of the following interventions should the nurse recommend including in the plan? Ensure that the client’s bed alarm is plugged into an outlet Ask the client challenging questions to determine orientation Raise all of the side rails on the client’s bed to decrease the risk for injury Place the client in a room near an elevator 12.nurse is reviewing the laboratory findings of a client who is taking lithiumWhich of the following findings should the nurse report to the provider Sodium 125 mEg/L Lithium 0.8 mEq/L Bun 15 mg/dL Hemoglobin 14g/dl 13.nurse is encouraging a who has bipolar disorder to decide what activities to participate in that dayWhich of the following ethical principles is the nurse following Justice Beneficence Nonmaleficence Autonomy 14. A nurse is contributing to the plan of care for a client who is experiencing delusions of persecutionWhich of the following actions should the nurse plan to take? Challenge the client’s beliefs about being persecuted Engage the client in competitive group activities Acknowledge if parts of the delusion are accurate Schedule a different caregiver each day when possible 15. A nurse in a substance treatment facility is contributing to the plan of care for a newly admitted client. Which of the following interventions should the nurse recommend? (Click on the exhibit tabs for additional information about the client. There are three tabs that contain separate categories of data.) 57-year-old male client who has a 10 year history of alcohol use disorder reports consuming 30 beers per day Reports last alcohol intake was 6 hr prior to admission Graphic Record BP 198/90 mm Hg Heart rate 110 / min Respiratory rate 24 / min Complete a CAGE questionnaire every 4 hr. Assist with a client referral to Al-Anon Administer disulfiram Implement seizure precautions SCIENCE HEALTH SCIENCE NURSING NSG MISC

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