Reference no: EM133320774
Assignment:
1. While assessing a client with the diagnosis of schizophrenia who wears dentures, the nurse observes that the client's tongue is "worming". The client also demonstrates an inability to articulate words clearly. Which additional assessment is most important for the nurse to obtain?
A. Usual level of activity and average sleep pattern.
B. Dentures to determine if they are poorly fitted.
C. Body weight over the past three months.
D. Blood pressure when sitting and standing.
2. An adolescent male who was arrested a month ago for gang-related activities has a court order to attend weekly group therapy sessions at the mental health clinic. Today his mother calls the clinic nurse to report that her son became angry last night and put his fist through a window. Which intervention is most important for the nurse to implement?
A. Reinforce the need for the adolescent to attend group therapy sessions.
B. Refer the mother for psychiatric evaluation for anxiety and depression.
C. Tell the mother to describe her feelings of helplessness to her son.
D. Advise the mother to call the police if violent behavior occurs again.
3. The charge nurse of the psychiatric unit observes clients in the day area. Which client is exhibiting symptoms of a conversion disorder?
A. An adolescent who becomes extremely anxious about going outside.
B. An older adult who continuously complains of a headache and back pain.
C. A young woman who suddenly goes blind with no indication of organic pathology.
D. A middle-aged man who is complaining of shortness of breath and is diaphoretic.
4. Which individual should the nurse consider at highest risk for suicide?
A. A single working mother with three pre-school aged children.
B. A retired older male whose significant other has passed away.
C. An adolescent male whose parents recently divorced.
D. A nurse who works in an pediatric emergency department.
5. The nurse is assessing a client whose spouse died of a stroke two weeks ago and who reports having numbness and tingling on the right side of the body. The nurse should consider the client's symptoms may likely be due to which condition?
A. Preoccupation.
B. Disorganization.
C. Reexperience
D. Somatization
6. client on the mental health unit has been scowling and rapidly pacing up and down the hall for several minutes. Which behaviors are most important for the nurse to monitor?
A. Argumentativeness and use of profanity.
B. Periodic sighing and shaking the head.
C. Repeated requests for attention from the nurse.
D. Decreased activity level and change in affect.
7. During a one-to-one session, the nurse begins to become angry with the client. Which action should the nurse take?
A. Share similar experiences the nurse has had in the past.
B. Terminate the session before the feelings escalate.
C. Resolve the feelings with the client after discharge.
D. Identify the client's transference of feelings of annoyance.
8. The nurse is taking the history of an young adult female who is 5 feet 3 inches (160 cm) tall and weighs 90 pounds (40.9 kg). Which reported finding is most important for the nurse to address immediately?
A. Absence of menstrual cycle.
B. Severe constipation.
C. Seen walking fast outdoors.
D. Intermittent palpitations.
9. The nurse develops a plan of care for a female client who scratches her wrists in attempts to deal with anxiety. Which client outcome is most important to include in the plan of care?
A. Takes all antianxiety medications as prescribed.
B. Participates in individual and group therapy.
C. Demonstrates effective ways to cope with anxiety.
D. Learns methods of relaxation to reduce anxiety.