Reference no: EM134012835

Question

1. A nurse works with a depressed client in a long-term facility. Which action by the nurse would be most therapeutic for the client?

Tell the client to be more cheerful

Postpone talking with the client until the client can be sociable

Observe the client after meals to detect self-induced vomiting

See that the client gets exercise

2. A 5year old client on the pediatric unit is running up and down the hall. Which intervention would be appropriate?

Telephone the child's parent or guardian to come to stay with the child

Notify the supervisor

Inform the child that there will be no dessert if the running continues

Tell the child that running is not allowed in the hospital.

3. A client's spouse is at the bedside when the client has a cardiac arrest. Nearby staff members institute cardiopulmonary resuscitation CPR. Which action should a nurse take with regard to the spouse?

Ask the spouse to leave the room.

Direct the spouse to remain on the far side of the room

Escort the spouse out of the room to a private area.

Place a chair right outside of the room for the spouse to sit on.

4. A client who is to have a chest X-ray says to a nurse the idea of radiation scares me. Which comment.made by the nurse would encourage the client to continue?

I have annual X-rays, and I'm fine

Everyone has X-rays

The diagnostic value of X-rays outweighs their danger

You fear that radiation from an X-ray is dangerous.

5. A client taking anti-psychotic medication for several days develops a fever. , tremors, urine incontinence, and muscle rigidity. Which action should a nurse take first?

Assess the client for extrapyramidal side effects of the medication

Sit calmly with the client to reduce the client's trembling

Hold the next dose of the antipsychotic medication

Increase the client's oral fluid intake.

6. A client comes to a nurse in the emergency department and whispers you see that man over there. He's flirting with me. Make him stop, or I will have its head. The nurse notices that the man who flirted seems to be completely involved in comforting a baby. Which action by the nurse would be therapeutic?

Take the complaining client to another area of the emergency department

Recognize that this complaint is designed to get the nurse to care for the complaining client immediately

Assure the complaining client that the person indicated is not the least bit interested

Grasp the complaining client's arm and indicate that every effort will be made to provide protection

7. A nurse has given a client instructions regarding a prescribed monoamine inhibitor which statement by the client would indicate that the client understood the instructions.

I need to avoid red wine and hard cheeses.

I should try to drink eight glasses of water and eat fresh green vegetables every day.

I should drink fruit and juice and eat four savings of bread every day

I need to avoid drinking milk and eating fruit

8. Which behavior identified in a client who has chronic low self-esteem indicates improvement?

The client cleans the dining room after meals

The client initiates a conversation with a peer

The client attends all required unit group activities

The client reports having more energy

9. A client with bipolar disorder is admitted to the hospital after stopping medications at home. The client is loud and hyperactive and has a flight of ideas. Which approach should a nurse focus on first?

Communicating clearly with the client

Reducing unit stimuli

Decreasing the client's hyperactivity

Improving client medication compliance

10. While a nurse is taking a client's blood pressure, the client is making motions in the air. The client says look at those pretty butterflies. The client nurse should document this behavior in which way?

The client said look at the pretty butterflies.

The client was hallucinating while the nurse was taking the client's blood pressure.

The client stated, Look at the butterflies while making picking motions in the air.

The client is demonstrating bizarre behavior.

11. A client is disorganized delusional, and loosely associated with which goal a nurse should work towards first.

The client will interact with the nurse

The client will speak logically

The client will recognize that delusions are false

The client will connect with peers