1.A nurse is collecting data from a client who is experiencing alcohol withdrawal. Which
of the manifestation should the nurse expect?
Answer: Diaphoresis
- A nurse in a long-term care center is caring for an adult client who has Alzheimer’s
disease and whose partner died several years ago. The client appears upset and aslsthe
nurse when his partner will visit again. The nurse states,”It seems like you are feeling
lonely. Let’s take a walk outside and talk.’ Which of the following communication
strategies is the nurse using?
Answer: Validation therapy - A nurse is reinforcing teaching with a client who has schizophrenia and a new
prescription for chlorpromazine. Which of the following statementsshould the nurse
include in the teaching?
Answer:” The voices you have been hearing should decrease.” - A nurse isreinforcing teaching with a client who has generalized anxiety disorder and
is to start therapy with buspirone. Which of the following statementsshould the nurse
identify as an indication that the client understands the information?
Answer: “I should expect some improvement of my symptoms in about 10 days - A nurse is caring for a client who has major depressive disorder(MDD). The client
states.”I have nothing to live for anymore. I just can’t go on.” Which of the following
responses should the nurse make?
Answer: Are you thinking about ending your life - A nurse at an outpatient mental health clinic is assisting with a group therapy session.
One of the participants is having difficulty staying seated and states loudly to the
therapist.”I know more than you do about the people in this room!” The nurse should
identify that which of the following findings is the likely explanation for the client’s
behavior?
Answer: Hypomania - A nurse is assisting with a mental status examination for a client who has
schizophrenia. Which of the following statementsshould the nurse make to gather
information about the client’s ability to think abstractly?
Answer: How is an orange similar to an apple