Hi tutors, can you please answer the

Hi tutors, can you please answer the following questions for me? Which action would the nurse take when a newly admitted client with an obsessive-compulsive disorder frequently performs a hand-washing ritual? 1. Allow the client sufficient time to carry out the ritual. 2. Promote reality by showing that the ritual serves little purpose. 3. Try to ascertain the meaning of the ritual by discussing it with the client. 4. Interrupt the ritual to demonstrate that the ritual does not control what happens. 2. Which activity would the nurse ask an older adult client to do when testing short-term memory? 1. Subtract serial sevens from 100. 2. Copy one simple geometric figure. 3. State three random words mentioned earlier in the examination. 4. Name two common objects when the nurse points to them. 3. Which action would the nurse take when shortly after admission to a mental health unit an adolescent falls to the floor and exhibits tonic-clonic movements but still continues to chew gum? 1. Remove the chewing gum. 2. Document the observation. 3. Send another client for help. 4. Insert a tongue blade between the teeth. 4.Which approach would the nurse use for a delusional client who refuses to eat because of a belief that the food is poisoned? Refusing to argue about the food being poisoned Tasting the food in the client’s presence Showing the client that other people are eating without being harmed Telling the client that tube feedings will be started if meals are refused 5. Which approach would the nurse use for a client with an inoperable temporal lobe tumor who is experiencing frightening auditory hallucinations, especially when alone? Moving the client to a room closer to the nurses’ station Suggesting that the client turn on the radio or television when alone Working out a schedule for visitors so the client will never be alone Having family or friends remain with the client until the hallucinations stop 6. To determine the effectiveness of therapy, which behavior would the nurse assess for in a client with generalized anxiety disorder? Participating in activities Learning how to avoid anxiety Taking medications as prescribed Recognizing when anxiety is developing 7. Which symptom indicates a possible drug interaction in a client taking monoamine oxidase inhibitors (MAOIs) for depression? Select all that apply. One, some, or all responses may be correct. Diarrhea Dystonia Dry mouth Dyskinesia Hypotension Constricted pupils 8. Which comment by the suicidal college student would indicate relief from suicidal thinking?1″ I can be a burden to others.” 2″I feel very alone sometimes.” 3″I plan to go to school next semester.” 4″I don’t know whether I can talk about my feelings.” 9. Which action would the nurse take first when managing interpersonal relationships with a client who has schizophrenia? 1Allow the client to be alone with quiet activities. 2Insist that the client join group meetings and activities with other clients. 3Establish a one-on-one relationship and then bring the client into group activities. 4Encourage dependence by the client initially, but set limits on the extent of this behavior. 10. Which initial by the nurse would be most therapeutic to alleviate the anxiety of the client who is pacing the floor and appears extremely anxious? 1″What’s made you so upset?” 2″Where would you like to walk with me?” 3″Shall we sit down to talk about your feelings?” 4″How would you like to go to the gym to work out?” 11. A client with depression presents with feelings of sadness and is having difficulty sleeping. Which additional signs and symptoms would the nurse monitor for? Select all that apply. One, some, or all responses may be correct. 1. Rigidity with a narrowing of perception 2. Alternating episodes of fatigue and high energy 3. Diminished pleasure in activities 4. Excessive socialization5Alteration in appetite 12. Which action would the nurse take for a client with a neurocognitive disorder due to acquired immunodeficiency syndrome (AIDS)? Assess frequently for pain. Plan for remotivational therapy. Arrange for long-term custodial care. Provide basic intellectual stimulation. 13. Which response would be appropriate for a nurse to say when interviewing a newly admitted depressed client whose thoughts are focused on feelings of worthlessness and failure? “Tell me how you feel about yourself.” “Let’s talk about what has been bothering you.” “Why do you feel so bad about yourself?” “What can we do to help you while you’re here?” 14. Which information would the nurse include in client teaching regarding electroconvulsive therapy (ECT)? The treatment will not cause pain because you will receive anesthesia. the treatment is totally safe with the new methods of administration. You may ask any , but it is better not to talk about the therapy. You may experience unrecoverable short-term and long-term memory loss. 15. Which approach would the nurse use for a client who describes delusions in minute detail?Changing the topic to reality-based events Continuing to discuss the delusion with the client Getting the client involved in a social project with peers Disputing the perceptions with the use of logical thinking 16. Which initial action would the nurse take for a young client with anorexia nervosa who phones home just before each mealtime and then refuses to eat food that has gotten cold? Insist that the client eat the food. Revoke the client’s phone privileges. Hang up the phone when meals are served. Schedule a family meeting to discuss the problem. 17. Which response would best reflect that the anxious client’s cognitive abilities have been affected by the anxiety when asked, “What brought you to the emergency department tonight”?1″It’s obvious why I came to the emergency department.” 2″The ambulance brought me to the emergency department.” 3″Why do you want to know why I came to the emergency department?” 4″What do you mean by ‘What brought you to the emergency department’?” 19.Which action would the nurse take for a client with major depression who is tearful and refuses to eat dinner after a visit with a friend? 1Allow the client to skip the meal. 2Offer an opportunity to discuss the visit. 3Reinforce the importance of adequate nutrition. 4Provide the client with adequate quiet thinking time. 20. Which response would the nurse make while speaking to a client with schizophrenia who keeps interjecting sentences that have nothing to do with the main thoughts being expressed?1″You aren’t making any sense; let’s talk about something else.” 2″You’re so confused; I can’t understand what you’re saying to me.” 3″Why don’t you take a rest? We can talk again later this afternoon.” 4″I’d like to understand what you’re saying, but I’m having difficulty following you.” 21.Which action would the nurse take for a client’s family who is worried that the client will continue to act out at the halfway house? 1Let the social worker talk with the family. 2Cancel the discharge plans until the family is reassured. 3Have the client promise the nurse and family not to act out. 4Discuss the concern at a meeting with both the client and the family present. 22.Which instructions would the nurse include regarding how to help prevent or identify impending relapse for a group of clients who experience bipolar disorder, manic episodes? Select all that apply. One, some, or all responses may be correct. 1Watch for changes in libido. 2Keep dietary changes to a minimum. 3Maintain a regular sleeping schedule. 4Plan multiple varied activities every day. 5Monitor yourself for increased irritability or mood instability. 23.Which action would the nurse take when caring for a client having an acute episode of anxiety? Select all that apply. One, some, or all responses may be correct. 1Staying with the client’ 2Giving brief directions 3Using short, simple sentences 4Linking the client’s behavior to feelings 5Teaching a cognitive therapy principle 6Having the client write an assessment of strengths 24.Which technique would be appropriate for clients who exhibit mild neurocognitive impairment?1Reality orientation 2Behavioral confrontation 3Reflective communication 4Reminiscence group therapy 25.Effective therapeutic communication would directly affect which outcomes for a client who has schizophrenia? Select all that apply. One, some, or all responses may be correct. 1Becomes capable of part-time employment 2Effectively expresses emotional and physical needs 3Demonstrates wellness reflective of physical potential 4Demonstrates an understanding of the mental health disorder 5Recognizes the issues most important to managing this disorder 26.Which instruction would the nurse suggest to a 14-year-old girl who suspects her friend is using self-induced vomiting to keep weight down? 1Confront her friend with her suspicions. 2Talk to the school nurse about her concerns. 3Inform the girl’s mother about her daughter’s behavior. 4Watch a while longer before doing anything that might ruin the friendship. 27.Which intervention would the nurse include in a plan of care for a client with an anxiety disorder? 1Promoting the suppression of anger by the client 2Supporting the verbalization of feelings by the client 3Encouraging the client to limit anxiety-related behaviors 4Restricting the involvement of the client’s family during the acute phase 28.When a client is expressing severe anxiety by sobbing in the fetal position on the bed, which action would be the nurse’s priority? 1Ensuring a safe therapeutic milieu 2Monitoring and documenting vital signs 3Eliminating the cause of the client’s anxiety 4Providing an intense therapy session 29.Which long-term outcome would the nurse use for a child who has conduct disorder? 1Avoids verbally aggressive behavior for 4 months 2Verbalizes 10 alternative methods to address anger 3Is sent to the principal’s office 5 times in 5 weeks 4Has no physically aggressive episodes for 3 months 30.Which information about the client with obsessive-compulsive disorder would best validate the client’s improvement at work? 1States spending less time on ritualistic behaviors while at work 2Discusses techniques used to provide distraction from obsessive thoughts 3Reports spending an increased amount of time with friends in pleasurable activities 4Receives a letter from a supervisor at work stating job performance has improved SCIENCE HEALTH SCIENCE NURSING NUR 3290

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