41)A nurse is caring for a client

41)A nurse is caring for a client who has major depressive disorder. The client tells the nurse, should be dead. I have been a failure.” Which of the following responses should the nurse make? A)”I see many positive things about you.” B)”You’re not the only client who feels this way. C)”You are feeling like a failure? D)”How can you feel that way when you have so much to live for?” 42)A nurse is caring for a client who has agreed to a verbal safety contract following a self- mutilation attempt. Which of the following behaviors indicates that the contract has been effective? A)The client displaces their feelings of self- harm until they talk to the provider. B)The client notifies the nurse when they want to harm themselves. C)The client goes to their room alone when they feel overwhelmed. D)The client suppresses their feelings when they are angry. 43)A nurse is beginning a therapeutic relationship with a client who has paranoid personality disorder. Which of the following strategies should the nurse plan to use? A)Ask the client why he is suspicious of others. B)Demonstrate a neutral demeanor. C)Use an overly friendly approach. D)Be vague when answering the client’s questions about instructions: 44)A nurse in an acute care facility is assisting with the admission of a client who is experiencing alcohol withdrawal. The nurse should observe the client for which of the following findings? A)Tachycardia B)Hypotension C)Nystagmus D)Rhinorrhea 45)A nurse in a mental health facility is caring for a client who has antisocial personality disorder and alcohol dependency. The nurse should encourage the client to participate in which of the following groups? A)Crisis intervention B)Dual diagnosis treatment C)Psychodrama D)Codependency support. 46)A nurse is caring for a client who has become aggressive and requires the placement of wrist restraints to maintain the client’s safety. Which of the following actions should the nurse take? A)Use square knots to secure the client’s restraint. B)Observe the circulation of the client’s extremities. C)Tie the restraint to the rail of the client’s bed. D)Obtain the client’s vital signs every 4 hr. 47)nurse is assisting with teaching a group of older adult clients about behavioral expectations. Which of the following actions should the nurse take to help eliminate barriers to learning? A)Schedule the teaching sessions for a long time to promote participation. B)Ensure the teaching sessions occur right before bedtime. C)Use “I” statements rather than you” statements. D)Assist the clients with establishing long- term goals. 48)A nurse is collecting data from an adult client in an outpatient mental health clinic. The nurse should identify which of the following events as a potential cause of a maturational crisis? A)A child leaving for college B)Motor-vehicle crash C)Divorce D)Loss of job

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