Mental Health Nursing- NCLEX PN

Mental Health Nursing- NCLEX PN Leave the first rating Terms in this set (10) Science MedicineNursing Save a nurse provides care for a client who has depression and anorexia.Which actions should the nurse take?(Select all that apply) a)weigh client daily

• monitor eating patterns
• encourage the client to sit with

family while eating

• offer small portions of high

calorie food frequently e)include client preferences when developing an eating plan.

• monitor eating patterns
• encourage the client to sit with family while

eating

• offer small portions of high calorie food

frequently e)include client preferences when developing an eating plan.

a client who practices Judaism reports a disruption in sleep patterns following the death of a loved one.the nurse should recommend which intervention to promote spiritual health?

• delay discussion of recent loss
• limit family visitation to brief times
• encourage the client to spend

time alone

• offer to contact the clients

personal rabbi offer to contact the clients personal rabbi a nurse reinforces teaching regarding the benefits of a bereavement support group for a client who has experienced the death of a spouse. Which benefits should the nurse include? (select all that apply)

• provides mutual support
• offers networking resources
• decreases feelings of isolation
• integrates role-playing to act out

emotions

• allows an opportunity to meet a

new companion

• provides mutual support
• offers networking resources
• decreases feelings of isolation

a nurse provides care for a client who is experiencing symptoms of alcohol withdrawal 12 hr after admission. Which intervention is the priority?

• offer food and fluids
• document observations
• dim lights and reduce noise
• implement seizure precautions.

implement seizure precautions a nurse provides care for a client who has alopecia after 4 weeks of chemotherapy. Which statement reflects acceptance of body image?

• i miss brushing my hair
• my family loved my long hair
• imagine losing all of your hair
• the new wig looks like my own

hair The new wig looks like my own hair a nurse provides care for a client who is in a residential treatment program following cocaine withdrawal. Which findings indicate symptoms of relapse? (Select all that apply)

a) Euphoria

b) Insomnia

c) Tachycardia

d) Hypotension

e) Constricted pupils

a) Euphoria

b) Insomnia

c) Tachycardia

a nurse provides care for a client who has dependent personality disorder. which behavior should the nurse expect?

• maintains a rigid schedule
• engages in splitting behaviors
• views self as inferior to others

d) Struggles with initiating projects

struggles with initiating projects a lpn provides care to a client who recently received methadone. Which finding must the nurse report to the RN immediately?

a) Pulse oximetry 90%

• urine output 25 mL/hr

c) Temperature 37.3 C (99.1 F)

• blood pressure 100/62 mm Hg

Pulse oximetry 90 % A client who has schizophrenia screams " don't strangle me with that thing in your hand!" which response by the nurse indicates a focus on reality orientation?

• don't worry. I wont hurt you
• this is a stethoscope. I use it to

listen to your lungs

• you are being paranoid. that is a

symptom of your illness

• you sound frightened. you will

feel better after taking your medication this is a stethoscope. I use it to listen to your lungs