- A nurse in a mental health unit is planning care for a client who is receiving treatment for self-inflicted injuries. Which of the following interventions is the priority when planning care for this client?
A. Promoti
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- A nurse in a mental health unit is planning care for a client who is receiving treatment for self-inflicted injuries. Which of the following interventions is the priority when planning care for this client?
A. Promoting and maintaining client safety
B. Discussing reasons for the client's behavior
C. Helping the client recognize feelings
D. Teaching the client alternative coping strategies
27- A nurse is caring for a client with borderline personality disorder who has been engaging in self-mutilation. The nurse should encourage the client to participate in which of the following groups?
A. Co-dependents support group
B. National Alliance on Mental Illness
C. Dialectical behavior treatment group
D. Dual diagnosis treatment group
40- A nurse is counseling a client following a recent death in the family. Which of the following situations should the nurse identify as a risk factor for maladaptive grieving?
A. The death was a result of violence.
B. The client expresses anger over the loss.
C. This is the client's first experience of the loss of a family member.
D. The client demonstrates reorganization of behavior
54- A nurse is caring for a client who presents with a fractured wrist. The nurse suspects intimate partner violence. Which of the following interventions is the nurse's priority?
A. Help the client develop a safety plan
B. Teach the client empowerment skills
C. Provide information about a support group for intimate partner abuse
D. Make a follow-up appointment with the primary provider
57- A nurse in an outpatient facility is assessing a 3-month-old infant who has lost weight and has injuries that indicate physical abuse. When preparing to interview the parent, which of the following actions should the nurse plan to take?
A. Insist that the parent tell the nurse how the child was injured
B. Tell the parent that a child protective agency must be notified
C. Show disapproval to the parent regarding the infant's condition
D. Call at least 2 other staff members to sit in the room during the interview
93- A nurse in an emergency department is caring for a client who states, “I tripped over the dog again." The nurse notes the client has multiple lacerations and ecchymoses and sees in the client's medical record that she visited 2 months ago for similar injuries. Which of the following actions should the nurse take?
A. Ask the client what she believes she did to deserve being physically abused
B. Avoid documenting subjective verbatim statements from the client regarding injuries
C. Talk to the client about making a safety plan
D. Explain the cycle of violence to the client
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