49)A home health nurse is caring for

49)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. 50)A nurse is contributing to the plan of care for a client who is experiencing a panic level of anxiety. Which of the following interventions should the nurse include? (Select all that apply.) A)Take the client to a group therapy session, B)Encourage the client to visit with friends. C)Offer to take a walk with the client D)Remain with the client E)Speak to the client using a calm tone of voice 51)A nurse is discussing positive manifestations of schizophrenia with a newly licensed nurse. Which of the following statements should the nurse include as an example of flight of ideas? A)”I can’t find my shoes. Is it lunchtime? I hope it doesn’t rain tomorrow.” B)”Sing a song. What went wrong? Let’s all beat feet to the track meet.” C)”Big dog length of duration hopefully leads German flashlights to the mailbox. D)”We have the power to make the sun go down if we wear our nighttime clothes.” 52)A nurse is collecting data from a child who takes methylphenidate. Which of the following findings indicates effective management of the medication’s adverse effects? A)The child’s BUN level is 12 mg/dL B)The child sleeps fewer total hours per day. previous visit. C)The child’s weight has increased from the D)The child has a reduced attention span. 53)A nurse is speaking with the sibling of a client who refuses to see visitors. Which of the following actions should the nurse take? A)Refer the sibling to the client’s provider. B)Arrange for the sibling to visit the client in the dayroom. C)Encourage the client to visit with the sibling. D)Tell the sibling the client does not want visitors. 54)A nurse is assisting with the plan of care for a client who has generalized anxiety disorder. Which of the following actions should the nurse include in the plan? A)Glue detailed directions B)Facilitate verbalization of feelings C)Avoid discussing triggers of anxiety. D)Encourage dependent behaviors. 55)A nurse is caring for a group of clients in a pediatric clinic. Which of the following clients is at highest risk for physical abuse? A)An adolescent who is preparing to leave home for college B)A preschooler who is reluctant to share C)A toddler who has cystic fibrosis D)A school-age child who wants to go away to summer camp 56)A nurse is reinforcing teaching with a newly licensed nurse about client confidentiality. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? A)”A client retains the legal right to privacy of health information even after they have died.” B)”A provider may speak to a client’s employer regarding a substance use disorder. C)”I can discuss a client’s information with staff who have provided care in the past.” D)”The provider must give consent to discuss health information with the client’s family.”

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