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Questions and Answers
A nurse is planning care for a client with borderline personality disorder who has a history of self-mutilation. Which of the following interventions should the nurse include in the plan of care?
A nurse is planning care for a client with borderline personality disorder who has a history of self-mutilation. Which of the following interventions should the nurse include in the plan of care?
- Establish a no-harm contract with the client (correct)
- Allow the client to keep sharp objects in their possession as a sign of trust
- Encourage the client to isolate when feeling urges to self-harm
- Place the client in seclusion when self-harm thoughts arise
A nurse is teaching a newly hired nurse about client rights in an inpatient psychiatric facility. Which of the following statements by the new nurse indicates an understanding of client rights?
A nurse is teaching a newly hired nurse about client rights in an inpatient psychiatric facility. Which of the following statements by the new nurse indicates an understanding of client rights?
- "Clients can be restrained whenever they become verbally aggressive."
- "Clients must have a family member present to give informed consent."
- "Clients with involuntary commitment status do not have the right to refuse medication."
- "Clients have the right to participate in their treatment planning." (correct)
Which of the following nursing actions demonstrates the ethical principle of fidelity?
Which of the following nursing actions demonstrates the ethical principle of fidelity?
- Keeping a promise to return to the client's room at an agreed-upon time (correct)
- Providing truthful information to a client about their treatment
- Treating all clients with fairness, regardless of their background
- Allowing a competent client to refuse medication
A nurse is assessing a child with autism spectrum disorder (ASD). Which of the following findings should the nurse expect?
A nurse is assessing a child with autism spectrum disorder (ASD). Which of the following findings should the nurse expect?
A nurse is teaching a group of parents about time-out as a disciplinary technique for their children. Which of the following statements by a parent indicates an understanding of time-out?
A nurse is teaching a group of parents about time-out as a disciplinary technique for their children. Which of the following statements by a parent indicates an understanding of time-out?
A nurse is developing a plan of care for a client with panic disorder. Which of the following interventions should the nurse include?
A nurse is developing a plan of care for a client with panic disorder. Which of the following interventions should the nurse include?
A nurse is providing care to a client who has difficulty expressing their needs and often feels taken advantage of by others. Which of the following interventions should the nurse recommend?
A nurse is providing care to a client who has difficulty expressing their needs and often feels taken advantage of by others. Which of the following interventions should the nurse recommend?
A nurse is caring for a client with moderate dementia who becomes agitated when it is time to take a bath. Which of the following strategies should the nurse use?
A nurse is caring for a client with moderate dementia who becomes agitated when it is time to take a bath. Which of the following strategies should the nurse use?
A nurse is planning care for a client with obsessive-compulsive disorder (OCD) who engages in excessive handwashing. Which of the following interventions should the nurse implement?
A nurse is planning care for a client with obsessive-compulsive disorder (OCD) who engages in excessive handwashing. Which of the following interventions should the nurse implement?
A nurse is assessing a client in the emergency department who has cocaine intoxication. Which of the following findings should the nurse expect?
A nurse is assessing a client in the emergency department who has cocaine intoxication. Which of the following findings should the nurse expect?
A nurse is teaching a client about the differences between selective serotonin reuptake inhibitors (SSRIs) and monoamine oxidase inhibitors (MAOIs). Which of the following statements should the nurse include?
A nurse is teaching a client about the differences between selective serotonin reuptake inhibitors (SSRIs) and monoamine oxidase inhibitors (MAOIs). Which of the following statements should the nurse include?
A nurse is assessing a client with anorexia nervosa. Which of the following findings should the nurse expect?
A nurse is assessing a client with anorexia nervosa. Which of the following findings should the nurse expect?
Flashcards
No-harm contract
No-harm contract
Agreement where the client promises not to engage in self-harm.
Client participation in treatment
Client participation in treatment
Clients have the right to be involved in decisions about their care.
Fidelity in client care
Fidelity in client care
Keeping promises and being loyal to the client.
ASD speech patterns
ASD speech patterns
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Time-out explanation
Time-out explanation
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Panic disorder intervention
Panic disorder intervention
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Assertiveness training
Assertiveness training
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Bathing dementia patients
Bathing dementia patients
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OCD care: Setting Limits
OCD care: Setting Limits
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Cocaine intoxication
Cocaine intoxication
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SSRIs vs. MAOIs
SSRIs vs. MAOIs
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Anorexia nervosa finding
Anorexia nervosa finding
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Study Notes
- Study notes for students taking nursing exams
Plan of Care for Client at Risk for Self-Mutilation
- A nurse should establish a no-harm contract with a client who has borderline personality disorder and a history of self-mutilation.
Evaluating a Staff Nurse’s Understanding of Client Rights
- Clients have the right to participate in their treatment planning in an inpatient psychiatric facility.
Ethical Practice: Identifying Fidelity in Client Care
- Keeping a promise to return to the client’s room at an agreed-upon time is an example of fidelity in client care.
Behaviors Associated With Autism Spectrum Disorder
- A nurse assessing a child with autism spectrum disorder (ASD) should expect to find delayed or absent speech development.
Evaluating Understanding of Time-Out Disciplining
- Parents should explain the reason for time-out in simple terms as a disciplinary technique for their children.
Creating a Plan of Care for a Client Who Has Panic Disorder
- Staying with the client and offering reassurance during an attack is an appropriate intervention for a client with panic disorder.
Recommending Assertiveness Training
- Role-playing exercises should be recommended for a client who has difficulty expressing their needs.
Technique to Use When Caring for a Client Who Has Dementia
- When caring for a client with moderate dementia who becomes agitated when it is time to take a bath, a nurse should offer the client two simple choices regarding bathing.
Planning Care for a Client Who Has Obsessive-Compulsive Disorder
- A nurse should set limits on the amount of time the client may engage in handwashing when planning care for a client with obsessive-compulsive disorder (OCD) who engages in excessive handwashing.
Manifestations of Cocaine Intoxication
- A nurse assessing a client in the emergency department who has cocaine intoxication should expect to find agitation and increased energy.
Adverse Effects/Contraindications/Side Effects/Interactions of Major Differences Between Classes of Antidepressants
- Selective serotonin reuptake inhibitors (SSRIs) have fewer dietary restrictions compared to monoamine oxidase inhibitors (MAOIs).
Eating Disorders
- A nurse who is assessing a client with anorexia nervosa should expect to find lanugo.
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