QuestionAnswered step-by-step1. A male client diagnosed with a personality disorder brags to the…1

QuestionAnswered step-by-step1. A male client diagnosed with a personality disorder brags to the…1. A male client diagnosed with a personality disorder brags to the nurse how he has to fight off female attention at work and earns the highest income at his company. These statements would be reflective of which personality disorder?Obsessive-compulsive personality disorderAvoidant personality disorderSchizotypal personality disorder Narcissistic personality disorder  2. A nurse reports to the interdisciplinary team that a client with an antisocial personality disorder lies to other client, verbally abuse a client with Alzheimer’s disease, and flatters the primary nurse. This client detached and superficial during counseling sessions. Which behavior most clearly warrants limit setting? Lying to other clients Flattering the nurse Verbal abuse of another client Detached superficiality during counseling  3. While working with family members of a dying client, which actions should be taken by the nurse during care? (Select all that apply)Ensuring the family members make all decisions for the client Encourage the family to freely express emotions Provide information and answer question related to the care of the client Prevent family from performing any physical care for the client Request the family to provide all funeral arrangement before death for an easier transition  4. A client tells the nurse that her brother just told her that he has inoperable pancreatic cancer. Which response would convey empathy? Has he should ask for second opinion to be sure Pancreatic cancer has many treatment options, but I’m sorry to hear that I know just how you feel. My neighbor died from pancreatic cancerThat’s difficult. How does that make you feel? 5. You are the nurse responsible for assessing for extrapyramidal side effects in a client who has been taking chlorpromazine. Which of the following side effects would be evaluated for? Amenorrhea AkathisiaWeight gainTardive dyskinesia Dystonia 6. A 21-year-oldcollege student who was sexually assaulted at a party was seen in the local emergency department and referred to a counseling center for follow-up. During the discharge process, which of the following would be an important nursing intervention? Offer notify the client’s family of the event to provide additional support Provide the referral information both verbally and in writing Offer to stay with the client until stability is regained Advise the client to not dwell on the attack  7. A nurse caring for a client has diagnosed with end stage liver cancer. Which of the following responses is an indication the client is in the denial phase of the grief process? The doctor has been so good to me. I know he has tried everything he can. It is just my timeI have done everything the doctor asked, this isn’t fair The doctor says I only have a few months to live, but I know he is just trying to me to take my medication I bet if I change my lifestyle, I will get better news next time  8. An adult employee using the employee assistance program confided in the nurse she is currently in a physically abusive relationship. Which of the following would be the most appropriate to provide the client? Information regarding self-defense classesProvide local lawyers to assist with a divorce Encourage client to the change the assault and battery Provide a number for a local shelter for a local shelter for battered women   9. A nursing instructor is teaching student about the difference between the symptoms of anorexia nervosa and the symptoms of bulimia nervosa. Which student statement indicates that learning has occurred? Client diagnosed with anorexia nervosa experience extreme nutrition deficits, whereas client diagnose with bulimia nervosa do notClients diagnosed with bulimia nervosa experience amenorrhea, whereas clients diagnosed with Anorexia do not Clients diagnosed with bulimia nervosa experience hypotension, edema, and lanugo, whereas client diagnosed with anorexia nervosa do not Client diagnosed with anorexia nervosa have eroded tooth enamel, whereas clients diagnosed with bulimia nervosa do not  10. A nurse is caring for a client who one-day is postoperative following a left radical mastectomy. Which of the following behaviors should alert the nurse to the possibility that the client is having difficulty adjusting to the loss of her breast? Refusing to look at the dressing or surgical incision Requesting pain medication every three hours Asking questions about the information on her postoperative care pamphlet Performing arm exercise once or twice day  11. A client tells the nurse of the recent deaths of a spouse of 50 years as well as an adult child in an automobile accident. The client has no other family and only a few friends in the community. What is the priority nursing concerns? The client’s risk for experiencing spiritual distress The recent losses could increase the risk for risk for suicide The ability to provide self-care with no support system The increased risk for ineffective coping  12. A client diagnosed with a personality disorder insists that her grandfather, through reincarnation, has come back to life as a pet dog. The thought process described would be a characteristic of which cluster of personalities? Cluster A- odd or eccentric Cluster B- erratic or emotional Cluster C- fearful r anxious Cluster D- dramatic or deceitful  13. When considering the need for monitoring, which intervention should the nurse implement for a client with anorexia nervosa? Weight the client at random times to monitor weight closely Congratulate clients for weight gain and behaviors that promote weight gain Promote exercise as method to increase appetiteObserve the client during and after meals/snacks to ensure no maladaptive behaviors are used  14. While caring for teenage client with attention deficit hyperactivity disorder who is at high risk for self-harm due to poor judgment, high risk-taking behaviors, and impulsivity. Which of the following is the priority nursing intervention? Schedule a regular nurse-client session daily to discuss daily goals Develop a no-harm contract with the client and encourage participation in all unit activities Have the client sit within direct line of sight with staff only during mealtimes Have a staff member assigned for one-on-one observation at all times  15. the nurse on an inpatient pediatric psychiatric unit is admitting a client diagnosed with autism spectrum disorder. Which of the following would the nurse expect? A strong connection with family An active imagination Abnormalities in physical appearance Absence of language  16. A client has schizophrenia. The nurse Practitioner has ordered olanzapine 7.5 mg PO. On hand is olanzapine 2.5 mg tablets. How many tablets will the LPN give with each dose? (Record answer as a whole number. Do not use a trailing zero. Do not label the answer.)3458 17. The nurse on an inpatient pediatric psychiatric unit is admitting a client diagnosed with autism spectrum disorder. Which of the following findings would the nurse expect?  KlflsdjfSldfkdjfSlkfdjfDslfdjlf 18. A child diagnosed with oppositional defiant disorder begins to yell at staff members when asked to leave group therapy because of inappropriate behaviors. Which intervention would be most appropriate? Assist the child in recognizing how to separate feelings from relationsAccompany the child to a quiet area to decrease external stimuli Institute seclusion following the facilities protocol Allow the child to remain in the group therapy and continue to monitor  19. A salesperson has had difficulty keeping a job because of arguing with co-workers and accusing them of conspiracy. Today the salesperson was hospitalized threatening a co-worker. When greeted by the nurse, the person shouts, “They’re all plotting to destroy me. Isn’t that true?” which of the following would be the most therapeutic response? No that is not true. The staff doesn’t have time to plot against you Everyone there is trying to help you. Clearly no one wants to harm you Thinking that people want to destroy you must be very frightening That is absurd. Staff members are health care workers, not members of the mob.  20. A client with an eating disorder states, “If I gain weight, I will keep going until I am huge.” This statement is an example of which cognitive distortion? All or nothing Fortune telling PersonalizationEmotional reasoning  21. A 16-year-old client has been admitted to the hospital with a diagnosis of anorexia nervosa. In planning care for the client, the nurse knows that which of the following would be a priority nursing action? Monitor vital signs and weight Schedule two hours of exercise daily Administer medications for constipation Monitor the client or periodic binging  22. A child drowned while swimming in a local lake 2 years ago. Which behavior best indicates the child’s parents are mourning in an effective way? They forbid their other children from going swimmingThey keep a place set for the deceased child at the family dinner table They sealed their child’s room and will not allow anyone to change it They throw flowers on the lake at each anniversary date of the accident  23. A nurse is discussing ageism with a newly licensed practical nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the concept? Ageism allows us to respect our elders as many cultures do Ageism is believing a stereotype based upon someone’s age Ageism refers to the additional physical needs of the elderly Ageism refers to the understanding all elderly clients become demented  24. The nurse is caring for a client with attention deficit hyperactivity disorder. The child has been prescribed methylphenidate. Which of the following symptoms are side effect the nurse will monitor for? (Select all that apply). Decreased blood pressure Decreased appetite Sedation InsomniaHeadache 25. While working in a community outpatient program, the nurse provides educational classes on developing positive coping mechanisms. This would be an example of which intervention type?Primary intervention Secondary intervention Tertiary intervention Community intervention  25. The nurse is preparing a presentation about the risks and complications of anorexia nervosa for a local community group of parents with adolescents. Which complication o this eating disorder should she identify as the most serious? There is a high risk of mortality The development of comorbidities such as anxiety The experience of poor family relationships The risk of social isolation hides their behaviors 26. The nurse states, “It’s time for lunch diagnosed with schizophrenia replies, “It’s time for lunch, lunch, lunch.” The nurse recognizes this is an example of which of the following speech alterations? Loos associations Word salad Echolalia Clang association  27. You are caring for a 38-year-old client previously diagnosed with somatic symptom disorder. When interacting with you, the client continues to focus on his severe headaches. In planning care for this client, which of the following interventions would be the most appropriate? Call for a meeting with client and family to confront him about his diagnosis Educate the client on alternative therapies to deal with pain Shift focus from the clint’s somatic concerns to feelings and effective coping skillsImprove reality testing by telling the client that you do not believe that the headaches are real  28. A child diagnosed with oppositional defiant disorder is spiteful, vindictive, and argumentative and has a history of aggression towards others. Which of the following would be a priority nursing concern?Impaired social skills during group therapy Ineffective coping in dealing with negative behaviors Poor impulse control leading towards violence of others Refusal to engage actively in the treatment plan  29. The provider orders lorazepam 1 mg PO for client who has difficulty swallowing pills. On hand is lorazepam elixir 2 mg/mL. How many mL should the nurse administer with each dose? (Record answer to the tenth, one decimal place. Use leading zero if it applies. Do not use a trilling zero. 0.50.20.30.4 30. A female client has been diagnosed with somatic disorder. As the nurse is talking with the client and her family, which of the following statements suggest there are secondary gains as part of the disorder?The family agrees the physical symptoms began after she lost her jobClient states that even though medical tests have not found anything wrong, she is convinced her headaches are indicative of a brain tumor The mother reports someone is with the client at all times because of her symptoms The client states she noticed feeling hotter than usual the last time she had a headache 31. After the death of a spouse, an adult repeatedly says, “I should have made him go to the doctor when he said he didn’t feel well” The nurse recognizes this statement is an example of which response to grief? Depression Anger Guilt Shock 32. During an assessment interview, a client diagnosed with antisocial personality disorder spits, curses, and refuses to answer questions. Which is the most appropriate nursing statement to address this behavior? You are very disrespectful. You need to learn to control yourself I understand that you are angry, but this behavior will not be tolerated What behaviors could you modify to improve this situation?What medications have helped you in the past for your disorder?  33. A family member is asking how to explain cluster B personality disorders. How should the nurse describe cluster B personal disorder? Fearful and anxious Erratic, dramatic, and emotional Odd and eccentric Superficial, superstitious, and seductive  34. The nurse is evaluating the effectiveness of an antipsychotic on positive symptoms of psychosis. Which of the following would be classified as positive symptoms of psychosis? Bizarre behavior Illogical speech Delusions Flat affect  35. Upon seeking assistance at a crisis center after a tornado destroyed the client’s home and their pets are missing. While talking with the client, the nurse recognizes server level of anxiety. What would be the priority nursing action? Reducing the client’s anxiety levelContact out of area family Suggest hospitalization to provide a safe environment Arrange for hotel reservation for a safe The nurse re e 36. The nurse understands that, following a crisis, a client may function better than before the crisis. This happens due to which of the following events? Learning disaster preparedness methods for similar events Reconnecting with estranged family membersA change in opinion as to what constitutes a crisisAcquiring and strengthening coping skills  37. While providing health teaching for a client with binge-purge bulimia, what information is most important for the nurse to prioritize? Self-monitoring of daily food and fluid intake Establishing the desired daily weight gain Symptoms of hypokalemia Self-esteem maintenance  38. Which nursing approach should be used to maintain a therapeutic relationship with a client diagnosed with borderline personality disorder (BPD)?Being firm, consistent, and empathetic, while addressing specific client behaviorsPromoting client self-expression by implementing laissez-faire leadershipUsing authoritative leadership to help clients learn to positive behaviors Overlooking inappropriate behaviors to avoid promoting secondary gains  39. The psychiatrist prescribes haloperidol lactate 7 mg PO for a client who has psychosis. On hand is haloperidol lactate 2 mg/mL elixir. How many mL will, the LPN administer with each dose? (Record answer to the tenth, one decimal place. Use a leading zero if it applies. Do not use a trailing zero.3.54.12.41.1 40. The nurse observes dental deterioration when assessing a client diagnosed with bulimia nervosa. Which of the following best explains this assessment finding? Emesis from purging corrodes the tooth enamel Purging causes the depletion of dietary calcium Food is rapidly ingested without proper mastication The lack of poor dental and oral hygiene  41. Which information should a nurse working in the employee assistance program provide to an employee who admits being in physically violent relationship? Have a firearm ready to be able to defend themselves Research lawyers who can aid in divorce proceedings Have available access to the number of a shelter for battered women File charges of assess to the number of a shelter for battered women  42. A 17-year-old outpatient, has been diagnosed with intermittent explosive disorder. While caring for the client, the nurse would monitor for which of the following behaviors? An anger outburst out of proportion to the situation at handTo resist following directions from an authoritative figure An inability to focus and follow directions when instructed to complete a task To refuse to follow the unit rules and be verbally abusive  43. During medication administration, the client states, “I don’t know why you check if I take pills. Nurse Sally never does that to me.” The nurse recognizes this is an example of which of the following behaviors? Assertive communication Manipulation in the form of staff splitting Passive-aggressive traits Paranoia  44. A nurse planning to administer haloperidol to a client who has acute psychosis. The nurse should monitor the client for which adverse effects of the medication. Excess salivation Increased agitation Diarrhea Dystonia  45. The psychiatrist has ordered haloperidol 5 mg IM. On hand is haloperidol 50 mg/mL. How many mL will the LPN administer with each dose? (Record answer to the ten, one decimal place. Use a leading zero if it applies. Do not use a trailing zero. Do not label the answer. 0.1004433 46. A client becomes frustrated and angry when trying to get this MP3 player and headset to function properly and angrily throws it across the room, nearly hitting a peer with it. Which intervention would be most appropriate? Tell the client that any further outbursts will result in a loss of privileges Offer to help the client learn how to operate his music player and headset Point out the consequences of such behavior and note that it cannot be tolerated Limit the client’s exposure to frustrating experiences until he attains improved coping skills  48. the LPN is taking off the recent orders for a new client. One order is for triazolam 0.625 mg PO for insomnia. On hand is triazolam 0.125 mg tablets. How many tablets will the LPN administer with each dose? (Record answer to the nearest who number. Use a leading zero if it applies. Do not use a trailing zero. 5432 49. A nurse is reviewing the medication histories of clients. Which of the following clients may develop extrapyramidal symptoms from medication therapy? A client who is in the third trimester of pregnancy and taking iron supplements An older adult client who has pancreatitis and is taking enzymes A client who has schizophrenia and is taking antipsychotic medicationAn adult client who has type 2 diabetes mellitus and is taking insulin  50. A kindergarten student is frequently violent toward other children. The school nurse notices bruises and burns of the child’s face and grams. Which other symptoms should indicate to the nurse that the child might have been physically abused? The child shrinks at the approach of adults The child begs or steals food or money The child attends school regularly The child is delayed in physical and emotional development Health ScienceScienceNursingPRN 1032LLShare Question

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