HESI Mental Health > EXAM > ATI RN CAPSTONE MENTAL HEALTH PRE-ASSESSMENT COMPREHENSIVE ASSESSMENT FORM A 2024/2025 COMPLETE QUES (All)
ATI RN CAPSTONE MENTAL HEALTH PRE-ASSESSMENT COMPREHENSIVE ASSESSMENT FORM A 2024/2025 COMPLETE QUESTIONS AND ANSWERS GUARANTEED PASS | RATED A+
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ATI RN CAPSTONE MENTAL HEALTH PRE-ASSESSMENT COMPREHENSIVE ASSESSMENT FORM A 2024/2025 COMPLETE QUESTIONS AND ANSWERS GUARANTEED PASS | RATED A+ A nurse is assessing a parent who lost a 12-year-ol... d child in a car crash 2 years ago. Which of the following findings indicates the client is exhibiting manifestations of prolonged grieving? a. Leaves the child's room exactly as it was before the loss. b. Volunteers at a local children's hospital. c. Talks about the child in the past tense. d. Visits the child's grave every week after worship services. - Answer>>> a. Leaves the child's room as it was before the loss. Grieving becomes dysfunctional when the client is unable to resume regular activities of daily living or experience emotions other than sadness or depression. An example of dysfunctional grieving is making the loved one's room a shrine for more than a year. The nurse is assessing the client for Chvostek's sign. Which of the following actions should the nurse take? a. Apply a BP cuff to the client's arm b. Place a stethoscope bell over the client's carotid artery c. Ask the client to lower their chin to their chest d. Tap lightly on the client's cheek - Answer>>> d. Tap lightly on the client's cheek Tap over the facial nerve just below and anterior to the ear to elicit Chvostek's sign. A positive sign = Facial twitching on the side of the face A nurse is planning care for a client following the insertion of a chest tube and drainage system. Which of the following actions should be included in the place of care? SATA a. Encourage the client to cough and deep breathe b. Check for continuous bubbling in the suction chamber c. Strip the chest tube drainage tubing every 4 hr d. Clamp the chest tube once a day e. Obtain a chest x-ray - Answer>>> a, b, e Cough and deep breathe = promotes oxygenation and lung re-expansion Continuous bubbling in the suction chamber = suction is maintained CXR = Chest tube placement A nurse is caring for a client who has a chest tube and drainage system in place. The nurse observes that the chest tube was accidentally removed. In what order should the nurse perform the following actions? a. Assess respiratory status b. Apply sterile gauze to the insertion site c. Obtain a CXR d. Place tape around the insertion site - Answer>>> b, d, a, c [Show More]
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