- A child is diagnosed as being on the autistic spectrum. Which clinical manifestations should
the nurse expect? (Select all that apply)
A. Inability to express themselves
B. Repetitive body movements
C. Inability to maintain eye contact
D. Appropriate nonverbal communication
E. Hallucinations - A client is prescribed lorazepam 0.5mg PO four times a day (QID) and 1 mg PO every 8
hours PRN. The maximum daily dose of lorazepam should not exceed 4 mg daily. This client
would be able to receive PRN doses as the maximum number of PRN lorazepam doses.
2 - A nurse is providing care for a client who has anorexia nervosa. Which of the following
nursing interventions should the nurse take?
A. Compliment the client for weight gain
B. Provide privacy when friends visit
C. Allow the client to eat at any time
D. Schedule regular weigh in times - A nurse reports an incident of suspected child abuse. One of the child’s parents becomes
upset and demands to know the reason for the nurse’s action. Which of the following
responses by the nurse is appropriate?
A. “As a nurse, I am required by law to report suspected child abuse.”
“I am unable to discuss this, but I can contact my supervisor to speak with you.”
“The provider will be coming to explain the situation.”
“I reported the incident to my supervisor, who decided to contact the authorities.” - A client weighs 215 lb. What is the client’s weight in kg?
97.7 - A child diagnosed on the autism spectrum may experience repetitive behaviors. Which of
thefollowing are examples of repetitive behavior which could be observed? (Select all that
apply)
A. Language delays
B. Limited function play
C. Spinning in circles
D. Avoiding body contact
E. Flapping their hands - The nurse is caring for a client who has just been injured by her male partner. The client
states this is the first time he has been physically abusive, but he apologized and has since
sent her flowers. What is the intervention by the nurse?
Suggest the client and her partner both take time to evaluate the relationship
Ask the client about the level of stress she is experiencing
Give the client a list of anger management resources
D. Teach the client the cycle of battering - A client is admitted with a diagnosis of dependent personality disorder. Which question by
thenurse indicates an understanding of the essential features of the disorder?
B.
C.
D.
A.
B.
C.
“Do you have problems expressing your feelings?’
“Do you feel awkward in social situations?”
“Do you find you don’t want praise for your accomplishments?”
D. “Are you afraid of being alone?” - Which statement by the nurse in the emergency department indicates a firm knowledge base
regarding intimate partner violence?
“Abused women are attracted to abusive men.”
“Verbal abuse always proceeds to physical abuse.”
“Abused individuals have a dependent personality disorder.”
D. “Power and control are the central dynamics of abuse.” - A nurse is assessing a parent who lost a 12-year-old child in a car crash two years ago.
Which of the following findings indicates the client is exhibiting manifestations of prolonged
grieving?
Volunteers at a local children’s hospital
Visits the child’s grave every week after worship services
C. Leaves the child’s room exactly as it was before the loss
Talks about the child in the past tense - The nurse has determined that systematic desensitization is the therapy being used to treat
the client with acrophobia. How is this demonstrated?
Visualizing going up steep places
B. Gradual exposure to higher areas
C. Discussing past trauma at certain heights
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