A nurse in a mental health facility is caring for a group of clients. After assessing the clients, which of the following clients requires an update to their plan of care to ensure client safety?

A client who has anorexia nervosa and expresses a fear of gaining weight

A client who has bipolar disorder and is exhibiting poor impulse control

A client who has schizophrenia and is exhibiting clang associations in their speech

A client who has Alzheimer's disease and is having difficulty remember names of family members

Answer and Explanation

The Correct Answer is B

A.   While a client with anorexia nervosa may require close monitoring and support, expressing a fear of gaining weight does not necessarily indicate an immediate safety concern that requires an update to the plan of care.

B.   Bipolar disorder can involve manic episodes characterized by impulsivity and risk-taking behaviors. Exhibiting poor impulse control indicates a potential safety concern that requires an update to the plan of care to ensure the client's safety and the safety of others.
C.   Clang associations in speech are a symptom of disorganized thinking commonly seen in schizophrenia. While it may indicate a need for intervention, it does not necessarily require an immediate update to the plan of care for safety reasons.
D.   Difficulty remembering names of family members is a symptom of Alzheimer's disease and may require ongoing support and management but does not present an immediate safety concern that requires an update to the plan of care.

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Free Nursing Study Resources

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"A"},"G":{"answers":"A"},"H":{"answers":"A"}}

Explanation

Electroconvulsive therapy (ECT) is contraindicated in the acute phase of alcohol withdrawal due to the increased risk of seizure activity.

Group therapy is anticipated as it can provide peer support, coping strategies, and psychoeducation, which are beneficial for individuals with alcohol use disorder.

Performing the Alcohol Use Disorders Identification Test (AUDIT) is anticipated to assess the severity of alcohol use disorder and guide treatment planning.

Methadone may be anticipated as part of the treatment plan for managing alcohol withdrawal symptoms and cravings.

Ordering a complete blood count and basic metabolic profile is anticipated to assess the client's overall health status and detect any abnormalities related to alcohol use.

A nutritional consult is anticipated to address the client's weight loss and minimal appetite, providing dietary recommendations and support.

Propranolol may be anticipated to manage autonomic symptoms of alcohol withdrawal, such as tremors and tachycardia.

Diazepam may be anticipated to manage alcohol withdrawal symptoms, including agitation, anxiety, and seizures.

A. Blames others for own mistakes B. Has difficulty concentrating on set tasks C. Difficulty falling or staying asleep D. Holds persistent negative belief about self E. Talks excessively

Correct Answer is ["B","C","D"]

Explanation

A. Blaming others for one's own mistakes is not typically associated with PTSD. Individuals with PTSD may have heightened irritability or anger, but this does not necessarily translate to blaming others.
B. Difficulty concentrating on tasks is a common symptom of PTSD as individuals may be easily distracted by intrusive thoughts related to their trauma.
C. Difficulty falling or staying asleep is another symptom often reported by individuals with PTSD, which can be attributed to hyperarousal and intrusive thoughts.
D. Holding persistent negative beliefs about oneself is indicative of the negative alterations in cognition and mood associated with PTSD.
E. Talking excessively is not a common finding in PTSD. While some individuals may speak more when anxious, it is not a diagnostic criterion for PTSD.

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A nurse in a mental health facility is caring for a group of clients. After assessing the clients, which of the following clients requires an update to their plan of care to ensure client safety?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is experiencing alcohol withdrawal. Exhibits A nurse is planning care for a client who has alcohol use disorder. For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the client.

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"A"},"G":{"answers":"A"},"H":{"answers":"A"}}

Explanation

A nurse is assessing a client who has post-traumatic stress disorder. Which of the following findings should the nurse expect? (Select all that apply.)

Correct Answer is ["B","C","D"]

Explanation

A nurse is beginning a therapeutic relationship with a client. The nurse should plan to accomplish which of the following tasks during the working phase?

A nurse is caring for a client who has been taking quetiapine for 1 week and reports dizziness. The client asks the nurse if the dizziness indicates an allergic reaction to the medication. Which of the following responses should the nurse make?

A nurse is providing teaching about self-care behaviors to a client who has major depressive disorder. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is planning care for an adolescent who has autism spectrum disorder. Which of the following outcomes should the nurse include in the plan of care?

A nurse is teaching a client who is to start taking fluoxetine. The nurse should instruct the client that which of the following supplements Interacts adversely with fluoxetine?

A nurse observes the caregiver of a client who has Alzheimer's disease throwing magazines on the floor and crying. Which of the following actions should the case manager take first?

A nurse is leading a crisis intervention group for adolescents who witnessed the suicide of a classmate. Which of the following actions should the nurse take first?