1. While caring for an older client, the nurse observes multiple bruises over the client’s legs, arms, back, and gluteal areas. When the client contact, the nurse suspects elder abuse. What action should the nurse indica
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1. While caring for an older client, the nurse observes multiple bruises over the client’s legs, arms, back, and gluteal areas. When the client contact, the nurse suspects elder abuse. What action should the nurse indicate?
2. A client who is homeless is diagnosed with schizophrenia and admitted on an involuntary basis to e mental health hospital 4 days ago. The client stopped taking prescribed antipsychotic drugs approximately one month ago. Since hospitalization the client continues to have poor judgment and refuses all medications. What action should the nurse take?
3. After receiving treatment for anorexia, a student asks the school nurse for permission to work in the school cafeteria as part of the school’s wok study program. What action should the nurse take?
4. A male client comes to the emergency center because he has an erection that will not resolve. The client reports that he is taking trazodone (desyrel) for insomnia. Which information is most important for the nurse to ask this client?
5. On admission to the mental health unit, a client diagnosed with schizophrenia tells the nurse that he is the son of God. Based on this statement, which intervention should the nurse include in this client’s plan of care?
6. The nurse on the day shift receives report about a client with depression who was in bed most of the weekend. The nurse walks into the client’s room in the morning and finds the client in bed. What intervention I best for the nurse to implement?
7. Which client information indicates the need for the nurse to use the CAGE questionnaire during the admission interview?
8. A female client admitted to the mental health unit stats to shout and scream at the nurse. What is he best approach for the nurse to take?
9. A woman is brought to the psychiatric clinic by her husband. He reports that his wife is reluctant to leave home because of what she describes as a fear of open places and crows. Which nursing problems applies to the client’s behavior?
10. A client is receiving benztropine mesylate (Cogentin) for drug-induced extrapyramidal syndrome (EPS). Which finding indicates that the RN should further evaluate the client? 11. A male client in the mental health unit is guarded and vaguely answers the nurse’s questions. He isolates in his room and sometimes opens the door to peek into the hall. Which problem can the RN anticipate?
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