Download NURSING NUR 222 CATTT QUESTIONS & ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 20 and more Exams Nursing in PDF only on Docsity! NURSING NUR 222 CATTT QUESTIONS & ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED Anurseinan alcoholtreatmentfacility iscaringforaclientwhostates,“Myjob issostressfulthattheonly way I can cope is to drink.” The nurse should recognize that the client is displaying which of thefollowingdefensemechanisms? A. Introjection(Unconsciousadoptionoftheideas orattitudesofothers) B. Repression C. Rationalization D. Intellectualization Repression ● Unconsciously puttingunacceptableideas,thoughts,andemotionsout ofawareness ● ADAPTIVEUSE:Apersonpreparingtogiveaspeechunconsciouslyfor getsaboutthetimewhen hewasyoungandkidslaughedathimwhile onstage. ● MALADAPTIVEUSE:Aperson whohasafear ofthedentist Rationalization ● Creatingreasonableandacceptableexplanationsfor unacceptablebehavior ● ADAPTIVEUSE:Anadolescent boysays,“shemustalreadyhaveaboyfriend”whenrejected by agirl ● MALADAPTIVEUSE:Ayoungadultexplainshehadtodrivehomefr NURSING NUR 222 CATTT QUESTIONS & ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED NURSING NUR 222 CATTT QUESTIONS & ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED omapartyafterdrinkingalcohol becausehehadtofeedhisdog Intellectualization ● Separation ofemotionsandlogicalfactswhenanalyzing orcopingwitha situationorevent ● ADAPTIVEUSE:Alawenforcementofficerblocks outtheemotionalaspectofacrimesohecanobjectivelyfocusonthei nvestigation. ● MALADAPTIVEUSE:Aperson wholearnshehas aterminalillnessfocuseson creatingawillandfinancial mattersratherthanacknowledginghisgrief. A charge nurse is orienting a newly licensed nurse and observes the newly licensed nurse imitating herbehaviors.Thenurseshouldrecognizethis behavioras whichof thefollowing defensemechanisms? A. Suppression(Voluntarilydenyingunpleasantthoughtsandfeelings) B. Identification(Consciousorunconsciousassumptionofthecharacter isticsofanotherindividualorgroup) C. Compensation(Emphasizingstrengthstomakeupforweaknesses) D. Reactionformation(Overcompensatingordemonstratingthe oppositebehaviorofwhatisfelt) NURSING NUR 222 CATTT QUESTIONS & ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED NURSING NUR 222 CATTT QUESTIONS & ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED bythecourt.Theguardiancansign theinformedconsentforthe client. A nurse is obtaining a medical history from a client who is requesting a prescription for bupropion forsmokingcessation.Whichofthefollowingassessmentfindingsintheclien t’shistory shouldthenursereporttotheprovider? A. Kneearthroplasty1 monthago B. HepatitisBinfection C. Recenthead injury(Avoidadministeringtoclientsatriskfor seizures,suchasaclient who hasaheadinjury) D. Hypothyroidism Bupropion=ATYPICALANTIDEPRESSANT,inhibitsDopamineuptake ○ AlternativetoSSRIsforclientsunabletotoleratesexualdysfunctio nsideeffects ○ Complications :Headache, drymouth,GIdistress,constipation,increasedheart rate,nausea,restlessness,insomnia ■ Suppressionofappetite=weightloss,contraindicatedf orthosewhohaveanorexiaorbulimia Anurseisassessingaclientwhohashistrionicpersonality disorder.Whichofthefollowingfindingsshouldthe nurse expect? NURSING NUR 222 CATTT QUESTIONS & ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED NURSING NUR 222 CATTT QUESTIONS & ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A. Lackofremorse B. Splittingofstaff C. Attention-seeking D. Identitydisturbance Histrionic ● “POKPOK”-Characterizedbyemotionalattention- seekingbehavior,inwhichthepersonneedstobethe centerofattention;oftenseductiveandflirtatious. NURSING NUR 222 CATTT QUESTIONS & ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED NURSING NUR 222 CATTT QUESTIONS & ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED Anurseisprovidingteachingtothedaughterofan olderclientwhohasobsessive-compulsive disorder. Whichofthefollowingstatementsby thedaughterindicatesanunderstanding oftheteaching? A. “Iwillprovidemymotherwithdetailedinstructionsabouthowtoper formself-care.”(Givesimpledirections) B. “Iwilllimitmymother’sclothingchoiceswhensheisgettingdressed. ”(Ifclientisindecisive,limittheclient'schoices;ifclientstillunableto makeadecision,give clientone outfittowear) C. “Iwill wakemymotherupacoupleof timesinthenighttocheckonher.” D. “Iwilldiscouragemymotherfromtalkingaboutherphysicalcomplaints .” OCD ● Theclient attemptstosuppresspersistentthoughtsorurgesthatcauseanx ietythroughcompulsiveorobsessive behaviors,suchasrepetitivehand washing. ● Obsessionsorcompulsionsaretime-consumingandresultin impairedsocialandoccupationalfunctioning. Anurseisprovidingcrisisinterventionforaclient whowasinvolvedin NURSING NUR 222 CATTT QUESTIONS & ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED NURSING NUR 222 CATTT QUESTIONS & ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED unabletoperformactivitiesofdaily living. RISKFACTORSFORMALADAPTIVEGRIEVING ●●Beingdependentupon thedeceased ●●Unexpected deathatayoungage,throughviolence,orb yasociallyunacceptablemanner ●●Inadequate copingskillsorlackofsocialsupport ●●Pre- existingmentalhealthissues,suchas depressionorsubstance usedisorder Anurseinaninpatientmentalhealth facilityisassessingaclientwhohasschizophrenia and istaking haloperidol(anti-psychotic,1stgen).Whichofthefollowingclinicalfindings isthenurse’spriority? a. Headache b. Insomnia(sedation) c. Urinaryhesitancy(anticholinergiceffect) d. HighFever(neurolepticmalignantsyndrome) NURSING NUR 222 CATTT QUESTIONS & ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED NURSING NUR 222 CATTT QUESTIONS & ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED Rationale:A.E.:NeurolepticmalignantsyndromeLife- threateningmedicalemergency.Manifestationsinclude sudden high-grade fever, blood pressure fluctuations, dysrhythmias, muscle rigidity,diaphoresis, drooling, andchangeinlevelofconsciousnessdevelopingintocoma Anurseisplanningcareforaclient whohasobsessivecompulsive disorder.Whichofthefollowingrecommendationsshouldthe nurseincludeintheclient’splanofcare? a. Realityorientationtherapy(re-orienttoreality) b. Operantconditioning(receivespositiverewardsforpositivebehavior) c. Thoughtstopping(say“stop”whencompulsivebehaviorsarise&substit utew/positivethought) d. Validationtherapy (acknowledgingpt’sfeelings) Rationale:OCD- pthasintrusivethoughtsofunrealisticobsessions&triestocontrolthoughtsw /compulsivebehaviors A nurse is caring for a client who is in the manic phase of bipolar disorder. Which of the following actionsshouldthe nursetake? a. Provideindepth explanationofnursingexpectations(inabilitytofocus- NURSING NUR 222 CATTT QUESTIONS & ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED NURSING NUR 222 CATTT QUESTIONS & ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED giveconciseexplanations) b. Encourage theclienttoparticipateingroupactivities(decreasestimulation) c. Avoidpowerstrugglesbyremainingneutral(donotreactpersonallytop t’scomments) d. Allowtheclienttoset limitsforhisbehavior(nursesetslimits) Anurseiscaringforaclientwhohas acocaineusedisorder.Which ofthefollowingmanifestationsshouldthe nurse expecttheclienttohave duringwithdrawal? a. Handtremors-intoxication b. Fatigue c. Seizures-intoxication d. Rapidspeech Rationale:Pg: 97WITHDRAWALMANIFESTATIONS●Depression,fatigue,craving,excesss leeping orinsomnia, dramatic unpleasant dreams, psychomotor retardation, agitation● Not life-threatening, butpossibleoccurrenceofsuicidalideation Cocaine=STIMULANT→OPPOSITEofHEROIN ● Withdrawal=oppositeeffects NURSING NUR 222 CATTT QUESTIONS & ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED NURSING NUR 222 CATTT QUESTIONS & ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED Anurseinanacutecaremental healthfacilityisplanningdischargecareforaclient whosustainedatraumatic brain injury. For which of the following needs should the nurse collaborate with a clinicalpsychologist? a. Theclientneedstobegin agrouptherapyprogrampriortodischarge. b. Theclientneeds tofinda placetoliveafterdischarge. c. theclientneedsaprescriptionformedicationto promotenighttimesleepwhilein thefacility d. Theclientneeds to relearnhowtoperformskillsthatrequirefinemotorcoordination. A nurse is teaching a client who has schizophrenia about her new prescription for risperidone. Which ofthefollowingstatementsshouldbenurseincludeinthe teaching? a.Youshoulddiscontinuethismedication ifyoudevelop musclerigidity B. Youwillexperienceweightlosswhiletakingthismedication C. Youwillnoticesymptomsimprovewithin24hoursof takingthismedication D. Youshouldincreaseyourconsumptionofcomplexcarbohydrates(RiskofM etabolicSyndrome) NURSING NUR 222 CATTT QUESTIONS & ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED NURSING NUR 222 CATTT QUESTIONS & ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED Anurseistalkingtoaclientfollowingagrouptherapysession.Theclient tellsthenursethatoneoftheother clients in the group made an inappropriate comment. Which of the following responses should thenursemake? a. Yousoundupsetabouttoday’ssession b. Iagree thatthecomment wasinappropriate c. Whydo you think thathesaidthatto you? d. Ithinkyou shouldignorethecomment Anurseisreviewingthelaboratoryreportofaclientwhoistakingcarbamaz epineforbipolardisorder. Whichofthefollowinglaboratoryresultsshouldthenursereporttotheprovid er?Ch23p.133 a. RBC4.7/mm b. Platelets90,000/mm c. Urinespecific gravity1.029 d. UrinepH5.6 MoodStabilizingAntiepilepticdrugs Complications:CNSeffects,Blooddyscrasias,Teratogenesis,Hypoosmolarity (Monitorforedema,UO,HTN),SkinDisorders(Dermatitis, rash,Steven Johnson) Anurseinanoutpatientclinicisassessingaclient whohasanorexia NURSING NUR 222 CATTT QUESTIONS & ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED NURSING NUR 222 CATTT QUESTIONS & ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED nervosa.Whichofthefollowingfindings indicatestheneedforhospitalization? a. Temperature35.6(96.1)Templessthan36C(96.8F) b. Heartrate56/min (Lessthan40/min) c. Potassium3.8meq/L d. Weight10%belowidealweight(Weightlossgreaterthan30%ofbodyw eightover6 months) NURSING NUR 222 CATTT QUESTIONS & ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED NURSING NUR 222 CATTT QUESTIONS & ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED c. Alaninetransaminase(ALT)20IU/L d. Skinrash Rationale:page133:adverseeffects:doubleorblurredvision,dizziness,HA, nausea,vomiting,SERIOUSSKINRASHES like Stevens-Johnson syndrome. Instruct the client to withhold the medication, and notify theproviderifarashoccurs Anurseisassessingayoungadultfemaleclientforschizophrenia.Which ofthefollowingfindingsshouldthenurseidentifyasariskfactorforthiscond ition? a. Birthorder b. Environmentalstress c. Gender d. Depression Anurseiscaringforaclient inainpatient mentalhealth facility.Theclienttellsthenursethatthegovernmentisreadinghermai l.Which ofthefollowingresponsesshouldthe nursemake? NURSING NUR 222 CATTT QUESTIONS & ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED NURSING NUR 222 CATTT QUESTIONS & ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED a. “Allofyourletterscomesealed,sothatseemsunlikely.” b. “Why doyouthinkthegovernmentwantstoreadyourmail.” c. “Itmustbefrighteningtothinkthatsomeoneis readingyourmail.” d. “You knowthat's nottrue,becauseitisagainstthelawforothersto readyourmail.”Rationale: therapeuticcommunication Anurseisassessingaclientwhoisrestlessandconstantlymutterstohi mself.Whichofthefollowingfindings shouldleadthe nursetosuspectdelirium? a. Theclient’sspeechisslowandrepetitious b. Theclientisunabletorecognizeobjects c. Theclient’smanifestationdevelopedsuddenly d. Theclienthasafla taffectRationale: page90. NURSING NUR 222 CATTT QUESTIONS & ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED NURSING NUR 222 CATTT QUESTIONS & ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A nurseiscaringforaclient whohasborderlinepersonalitydisorder.Whichofthefollowing outcomesshouldthe nurseincludeinthetreatmentplan? a. Theclient willattend topersonalhygiene b. Theclientwillverbalizeimprovedmood c. Theclient willreporta decreasedinhallucinations d. Theclient willcommunicateneeds. Rationale:Presumptiveoutcomeforthetreatmentplan. AnurseIs planningcare foraclient who hasanorexianervosaandisadmittedtoaninpatienteatingdisorder NURSING NUR 222 CATTT QUESTIONS & ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED NURSING NUR 222 CATTT QUESTIONS & ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED therapyusedforclientswhoexhibitself-injuriousbehavior.It focuses ongradual behavior changesandprovidesacceptanceandvalidation (NAMI),isa grassroots organizationwiththegoalsofimprovingthequality oflifeforpersonswithmentalillnessand providing researchtobetter treatoreradicate mentalillness. Anurseisassessingaclient who has bipolardisorderandwhosemotherbroughthertothe emergencydepartment.Whichofthefollowingisthehighestpriorityfinding ? a. Theclient reportsnotattendinggrouptherapy. b. Theclientreportsnottakingmedicationforthepast2weeks. c. Theclientspeaksto thenurseinademandingtone. d. Theclientreportssleeping2to3hr per night. Demanding/decreasedsleep-expectedfindingformanic episode-couldbe resultofpatientnottakingmedicationsforpast2weeks. Anurseiscaringforaclient who isstarting treatmentforsubstanceusedisorder.Whichofthefollowingactions indicates the nurse is practicing the ethical principle of nonmaleficence? (Leadership p. 64 doublecheck) a. Withholdingaprescribedmedicationthatiscausingadverseeffectsforthec NURSING NUR 222 CATTT QUESTIONS & ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED NURSING NUR 222 CATTT QUESTIONS & ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED lient b. Providingtheclient withqualitycareregardlessof abilitytopay for thetreatment c. Educatingtheclientaboutlegalrightsconcerningtreatment. d. Beingtruthfulwiththeclientaboutthemanifestationsofwithdrawal. Beneficence -- doinggood Justice - fairandequal treatmentforall Veracity-beinghonest A nurse is providing teaching for a newly licensed nurse about the constructive use of defensemechanisms.Whichofthefollowingexamplesshould thenurseincludeintheteaching?(p.29/30doublecheck) a. Astudentwhoisupsetwith herteacherwritesastoryaboutanexcellentstudent NURSING NUR 222 CATTT QUESTIONS & ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED NURSING NUR 222 CATTT QUESTIONS & ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED b. Aschool-agechildwhosemotherdied2 yearsago talks aboutherinpresenttense c. Anadultwhowassexuallyabusedasachildisunabletoremember theincident d. Awomanwhohasa healthconcernpostponesamedicalappointmentuntilafter avacation Sublimation- dealingwithunacceptablefeelingsorimpulsesbyunconsciouslysubstitutin gacceptableformsofexpression. A nurse is attending an interdisciplinary treatment team meeting for a client who has bipolar disorderwith rapidcycling andisbeingpreparedfordischarge.Theclienthas beenadmittedtotheinpatientunit ofamentalhealthfacilityfourtimesinthelastyear.Whichofthefollowingrefe rralsismostappropriatefortheclientatthistime? a. Privatecounseling b. Supportgroup c. Assertivecommunitytreatment d. Vocationalrehabilitationservices NURSING NUR 222 CATTT QUESTIONS & ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED NURSING NUR 222 CATTT QUESTIONS & ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED ofthefollowinggroups? a. Co-dependentssupportgroup b. Dualdiagnosistreatmentgroup c. Desensitizationtherapy(Anxiety) d. Dialectical behavior treatment group used for clients who exhibit self-injurious behavior. Itfocusesongradualbehaviorchanges andprovides acceptanceandvalidation Codependentpersonreactsinover- responsiblewaysthatallowthedependentindividualtocontinue thesubstanceuseoraddictiondisorder. ● Apartnercanactasanenablerbycallingtheclient’semployerwith anexcuseofillnesswhentheclientisintoxicated Anurseiscaringforaclient followingaphysical assault.Theclientstates“idon'trememberwhathappened to me” The nurse should recognize that the client is using which of the following defensemechanism? a. Rationalization b. Repression c. Denial NURSING NUR 222 CATTT QUESTIONS & ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED NURSING NUR 222 CATTT QUESTIONS & ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED d. Displacement(Shifting feelingsrelated toanobject,person,orsituationtoanotherlessthreatening object,person, orsituation) Repression-unconsciously puttingunacceptableideas,thoughts,andemotionsoutofawareness. Anurseispreparingtoadministerhaloperidol7mgIMtoaclientwhoiss everelyagitated.Availableishaloperidolinjection5mg/mL.Howmany mLshould thenurseadminister? 1.4mL Acharge nurseisdiscussingthecareofaclient who hasasubstanceusedisorderwithastaff nurse.Which of the following statements by the staff nurse should the charge nurse identify ascountertransference? a. Theclientis just likemy brotherwhofinally overcamehishabit b. Theclientgenerallyshareshisfeelings duringgrouptherapysessions NURSING NUR 222 CATTT QUESTIONS & ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED NURSING NUR 222 CATTT QUESTIONS & ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED c. Theclient askedme togoonadatewith him,butIrefused d. Theclient needstoacceptresponsibilityforhissubstanceuse Countertransferenceoccurswhenahealthcareteammemberdisplaceschar acteristicsofpeopleinherpastonto aclient. A nurse is teaching a client who has a new prescription for phenelzineto treat depression. The nurseinstructstheclienttoavoidfoodswithtyraminetoprevent whichof thefollowing? a. Serotoninsyndrome b. Hypertensivecrisis c. Urinaryretention d. Cardiactoxicity Hypertensivecrisis: severeHTNasaresultof intensivevasoconstrictionandstimulationoftheheartandcanresultfromint akeofdietarytyramine. Manifestations:headache,nausea,increasedHR,increasedBP Tyramine- richfoodsincludeagedcheese,pepperoni,salami,avocados,figs,bananas,sm okedfish,protein,somedietarysupplements, somebeers,andredwine. A nurse is caring for a client who has a personality disorder and is NURSING NUR 222 CATTT QUESTIONS & ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED NURSING NUR 222 CATTT QUESTIONS & ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED ssnessandinabilitytosleep;depressed mood or irritability; increased heart rate, blood pressure, respiratory rate, and temperature;diaphoresis;tonic-clonicseizures;andillusions. Anurseiscaringforaclientwhohasschizophreniaanddisplaysseveresymp tomsofthedisorder. Whichof thefollowingactionsshouldthe nursetake?P. 80ch15 a. Usemedicationtodecreasefrequencyofauditoryandvisualhallucinati ons NURSING NUR 222 CATTT QUESTIONS & ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED NURSING NUR 222 CATTT QUESTIONS & ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED b. Assist the client to identify somatic and thought broadcasting delusions (Identify symptomtriggers,suchasloudnoises(cantriggerauditoryhallucinat ions incertainclients)andsituationsthatseemtotriggerconversations abouttheclient’sdelusions. c. Managetheclient’sloud,rambling,andincoherentcommunicationpatt erns d. Directtheclienttoperformherowndailyhygieneandgroomingtasks- promoteselfcare Somaticdelusions- believesthathisbodyischanginginanunusualway,suchasgrowingathirdar m.Thoughtbroadcasting-believesthatherthoughtsare heardbyothers. Schizophrenia: The client has psychotic thinking or behavior present for at least 6 months. Areas offunctioning,includingschoolorwork,self- care,andinterpersonalrelationships,aresignificantlyimpaired. A nurse is caring for a client who was involuntarily committed and is scheduled to receiveelectroconvulsivetherapy.Theclientrefusesthetreatmentandwi lldiscusswhywiththehealthcareteam. Whichof thefollowing actionsshouldthe nursetake?Ch10p.51 NURSING NUR 222 CATTT QUESTIONS & ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED NURSING NUR 222 CATTT QUESTIONS & ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED a. Documenttheclient’srefusalofthetreatmentinthemedicalrecord. b. Telltheclienthecannotrefusethetreatmentbecausehe wasinvoluntarilycommitted c. Informtheclient theECTdoesnotrequireclientconsent d. Asktheclientfamilytoencouragetheclient toreceiveECT Clientsadmittedunder involuntarycommitmentarestillconsideredcompetentandhavetherightto refuseTX,. A nurse in the emergency department is caring for a client who reports feeling sad, worthless, andhopeless9months afterthedeath of her son.Whichofthefollowingactionsshouldthenursetakefirst? P.179ch 30 a. Encourage theclienttoattendagrief support group b. Discusstheclient’s copingskills c. Requesta mentalhealthconsultfortheclient d. Ask the client if she has thought about harming herself- given - she’s showing signs ofdepressionandnoreasontolivesoweaskedif she'sgoingtocommitsuicide.Feelingsofpowerlessnessandisolati on anddeathofalovedonearerisk factors.Eh diwow.hahah NURSING NUR 222 CATTT QUESTIONS & ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED NURSING NUR 222 CATTT QUESTIONS & ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED Anurseisplanningcarefora clientwhohasarecentdiagnosisofantisocialpersonalitydisorder. Whichof thefollowing outcomesshouldthenurseinthecareplan?Ch16 p.85a. Theclienttreatsothers withrespect b. Theclient recognizetheimportanceofothers c. Theclient reduces selfdramatization d. Theclient conformstosocialnormsregardingclothingchoices Antisocialpersonalitydisorder:disregardforothersw/ exploitation,lackofempathy,repeatedunlawfulactions, deceit, & failure to accept personal responsibility; sense of entitlement, manipulative, impulsive, &seductive;nonadherencetotraditionalmorals&values;verballycharming &engaging A nurse is caring for a client who is prescribed massage therapy to treat panic disorder. The client states“I can't stand to be touched by another person”. Which of the following response should the nurse make? Ch11p. 58 a. Whydon'tyouliketobetouchedbyothers?(don’task“why”questions) b. Iwillrequestthatthemassagetherapistwearglovesduringyourtreatm ent(stillbeingtouched) NURSING NUR 222 CATTT QUESTIONS & ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED NURSING NUR 222 CATTT QUESTIONS & ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED c. Iwilltellyourproviderthatyouwouldlikeatreatotherthanmassage(av oidtrigger) d. Don'tworryaboutit.Youranxiety willlessenoncethemassagebegins(falsereassurance,minimi zingfeelings) A nurse in a group home facility is caring for a client who is developmentally disabled. The client hasbeenstealingbelongingsfromtheothersclients. Whichofthefollowingtechniques shouldthenurseuse? a. Crisisinterventiontodecreaseanxiety b. Aversiontherapytoprovidedistraction(Pairingofamaladaptivebeh aviorwithapunishmentorunpleasantstimulitopromotea changeinthebehavior) c. Systematic desensitizationtoextinguishthebehavior(Anxiety) d. Positivereinforcementtoincreasedesiredbehavior Anurseinamentalfacilityiscaringforanewlyadmitted client.Whichofthefollowingresourcesshouldthenurserecommendto help theclientadapttothehealthcaresetting? a. Acommunitymeeting NURSING NUR 222 CATTT QUESTIONS & ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED NURSING NUR 222 CATTT QUESTIONS & ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED b. Amediation group c. Asymptommanagementgroup d. Aselfhelpmeeting A nurse is teaching the caregiver of a client who has advanced Alzheimer’s disease about home safety.Whichof thefollowingstatementsbythecaregiverindicatesanunderstandingofthet eaching? a. Iwillgivehis most recentphototo thepolice b. Iwillplaceaslidingboltlockjust abovethedoorknob(lockspreventwanderingoutside) c. Iwillensurethebedroomisdarkwhileheissleepingatnight(welllit environment) d. Iwillnotifylawenforcementwithin2hoursif hecannotbefound Anurseisbeginningatherapeutic relationshipwith a client.Thenurseshouldplantoaccomplishwhichofthefollowingtasksduri ng theworkingphase? a. Establishboundariesbetween thenurseandtheclient b. Evaluateprogresstowardpredeterminedgoals c. Informtheclientabout confidentialityrights NURSING NUR 222 CATTT QUESTIONS & ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED NURSING NUR 222 CATTT QUESTIONS & ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED C. Clinicalnursespecialist D. Recreationaltherapist Anurseiscaringforaclientwhoreportsthatheisangrywithhispartner because shethinksheistryingto gain attention.When the nurse attempts to talk to the client, he becomes angry and tells her to leave.Whichofthefollowingdefensemechanismsistheclientdemonstratin g?(ATIp.21) A. Rationalization B. Compensation C. Denial D. Displacement Displacement-shiftingfeelingsr/ ttoanobject,personorsituationtoanotherlessthreateningobject,person,or situation A nurse is creating a plan of care for a client who has major depressive disorder.Which of thefollowinginterventionsshouldthe nurseincludein theplan? NURSING NUR 222 CATTT QUESTIONS & ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED NURSING NUR 222 CATTT QUESTIONS & ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A. Encouragephysicalactivityfortheclientduringthe day. B. Keepabrightlightonintheclient’s roomat night. C. Identifyandschedulealternativegroupactivitiesfortheclient. D. Discouragetheclientfromexpressingfeelingsofanger. A nurse is planning care for a client who has dementia. Which of the following interventions should thenurseincludeinthe plan? a. Removeclocksfrom theclient’s room(nowanttoorient totime) b. Confronttheclientwhenheexhibitsinappropriate behavior(avoidconfrontation) c. Givedetailed instructionsforcompletionofselfcareactivities(breakinstructi onsintoshorttimeframes) d. Providefingerfoodstoenhancecaloricintake(ensureadequate food/fluidintake) A nurse is developing a teaching plan for the family of an older adult client who is to receive transcranialmagnetic stimulation. Which of the following information should the nurse include in the teaching plans? NURSING NUR 222 CATTT QUESTIONS & ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED NURSING NUR 222 CATTT QUESTIONS & ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED P.52ch10 a. The client might have a headache after treatment(a/e mild discomfort and tingling sensation atthesiteofthe electromagnet) b. Theclient willrequireintubationafter treatment(client isalertduringtheprocedure) c. Theclient is atriskforaspirationduringtreatment(nothingisplacedinthemo uth,onlyanoninvasivemagnetinthehead) d. Theclientwillexperienceaseizureduringtreatment(RARE)(ECT) Anurseiscaringforaclientwhoisexperiencingapanicattack. Whichofthefollowingactionsshouldthenursetake? NURSING NUR 222 CATTT QUESTIONS & ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED