31)A client who delivered a healthy newborn
31)A client who delivered a healthy newborn 4 weeks ago calls her provider’s office and tells the nurse, “This baby constantly cries. My partner works all the time, and I can’t take any more. Which of the following responses is the nurse’s priority? A)”Do you have a friend who could help you?” B)”Having a newborn mightt be stressful. Do you have other children? C)”Have you discussed this with your partner? D)”Tell me about your baby. Where is she now?” 32)A nurse is caring for multiple clients on a mental health unit. Which of the following clients should the nurse attend to first? A)A client in the dayroom who is screaming at other clients about what is on the television B)A client who is standing in her room, yelling obscenities and throwing her clothes C)A client who is repeatedly approaching the nurses station to request medication for his anxiety D)A client who has bipolar disorder and is continuously pacing at the end of the hall 33)nurse is caring for a client who states. “I’m overwhelmed, and no one understands. I can’t take it anymore.” Which of the following responses should the nurse make first? A)”Tell me more about how you are feeling. B)”Do you have anyone you can talk to about your feelings?” C)”Are you thinking of harming yourself?” D)”Are you saying that no one understands your concerns?” 34)A nurse in an inpatient mental health facility is caring for a client who states, “I do not want anyone to know I am in a mental hospital.” Which of the following responses should the nurse make? A)”We have to report your admission to the National Alliance on Mental liness. B)”We have to inform your immediate family members that you are here. C)”We have to obtain your permission to discuss your care with others. D)”We have to notify your insurance company that you are here.” 35)A nurse is contributing to the plan of care for a client who is to start therapy with fluoxetine. Which of the following is an expected outcome for this client? A)Improved mood B)Reduction in hand tremors C)Absence of seizures D)Decreased hallucinations 36)A nurse is reinforcing teaching with the caregiver of a client who has Alzheimer’s disease. The caregiver reports that the client awakens at night and wanders. Which of the following strategies should the nurse suggest? A)Place a lock at the top of doors leading outside. B)Encourage the client to nap during the day. C)Use light restraints while the client is in bed. D)Administer an antianxiety medication before bedtime. 37)A home health nurse is caring for a client who has Alzheimer’s disease and lives with her adult child. The child is concerned for the client’s safety because the client wandered away from home several nights ago. Which of the following recommendations should the nurse make? A)Provide a high-stimulation environment. B)Encourage the client to take naps in the late afternoon. C)Provide complex activities to exercise muscles. D)Establish a place for the client to walk inside the house. 38)A nurse is assisting with the admission of a client who has antisocial personality disorder. The client states. “You’re so nice. Can I go to the hospital gift shop just one time and then answer all your questions?” Which of the following responses should the nurse make? A)”We need to focus on completing this task right now.” B)”Why do you think it is necessary flatter me to obtain this privilege?” C)”I can allow you to go quickly, but we must set a time limit.” D)”I really appreciate your kind comment. 39)nurse is reinforcing teaching with a client who is grieving the recent loss of their partner. Which of the following interventions should the nurse make? A)Use sympathy to develop a trusting relationship with the client. B)Inform the client that the acute phase of the grief process should last at least 6 months. C)Advise the client to maintain the daily routine they shared with their partner. D)Encourage the client to talk about the death of their partner. 40)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?
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