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Question
On which dimension would the nurse most likely focus data collection if the nurse was assessing the client from primarily a 19th century perspective?1. Spiritual
2. Physical
3. Social
4. Emotional
Answer
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Related questions
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A client is standing in the hallway on the phone arguing with the caller. As the client becomes increasing loud and argumentative, an appropriate action for the nurse to take would be to:1. Move the other clients away from the area providing the client privacy to continue the conversation.2. Stand next to the client and say in a calm, firm voice, "If you cannot lower your voice, you will lose your phone privileges indefinitely."3. Walk up to the client and softly say, "This conversation appears to be getting you upset, tell this person that you will talk later and come sit with me to discuss what is bothering you."4. Do nothing. The client does not pose any danger as the person the client is angry with is not physically present.
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A client who is a construction supervisor has a history of becoming violent when the client's workers do not complete their work within the established deadline. Police have been called to the worksite multiple times for behaviors including loud shouting and destruction of property. The most appropriate expected outcome related to resolving this problem would be for the client to:1. Identify personal needs.2. Refrain from impulsive behavior.3. Refrain from self-injury and from injuring others.4. Identify alternative methods for expressing anger.
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The nurse suspects that a male client may become violent. Which verbal cue might have indicated this? The client:1. Receives news that his wife is filing for divorce and begins sobbing inconsolably.2. Demands, "Give me my medicine now or you"ll be sorry."3. Begins pacing the hall exhibiting clenched jaw and fists.4. States, "I don"t know why people seem afraid of me."
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A client with a history of epilepsy has recently experienced more frequent seizures, often followed immediately by episodes of aggressive behavior. Which biological abnormality is likely to be present in this client?1. A mutation on the genes that encode components of the serotonin system2. Serum toxicity resulting from chronic exposure to lead3. A deficit of gamma-aminobutyric acid4. A problem with the amygdala/temporal lobe
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Which statement by a client would suggest that the ABCs of crisis counseling have been met?1. "I am really glad we did this counseling."2. "I will call you if I need you."3. "I now know some better ways of coping."4. "I will miss working with you."
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Introspective or meditative techniques may be useful for clients who:1. Are highly anxious.2. Have multiple problems.3. Are severely depressed, delusional, or hallucinating.4. Are mentally and emotionally healthy.
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Taking into consideration the client's level of motivation and ability to manage complex instructions, a nurse counsels a client seen for repeated episodes of anxiety to consider adding the use of complementary and/or alternative modalities to help manage the anxiety. The nurse may suggest which of the following CAM modalities?1. Kudzu2. Running3. Acupressure4. Ginkgo
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Which of the following statements made by the nurse displays a positive attitude about client autonomy and self-determination?1. "I comfortable with clients deciding what the programs, schedule, activities, or rules will be."2. "Clients should not be permitted to decide their own treatment goals."3. "Clients should not be permitted to comment on each other's behaviors or treatment goals while in group."4. "I am sad when a client does not choose my plan of care."
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A client with chronic paranoid schizophrenia was recently referred to a psychosocial rehabilitation "clubhouse" program following discharge from the inpatient psychiatric unit. Which of the following client goals is most appropriate for this situation?1. The client will attend recreational and educational group activities on a daily basis.2. The client will obtain food, clothing, and transportation services.3. The client will obtain a sponsor and attend weekly AA meetings.4. The client will identify career goals and develop a resume of job experiences.
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Which of the following laboratory studies is performed because the client is taking lithium?1. Hemoglobin2. CBC3. Liver function4. Thyroid function
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What is the primary rationale for the nurse asking a client on antidepressant medication about changes in sexual functioning?1. Antidepressants used frequently contributes to sexual promiscuity and tragic regrets.2. A side effect of antidepressants may be sexual dysfunction that contributes to nonadherence.3. Cultural attitudes about sexual functioning may impact the effectiveness of the antidepressant medication.4. A lack of libido is a symptom of depression that may interfere with the client's relationships.
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The nurse instructs the clients to take the medications that are prescribed because the psychiatrist knows what is best for the client. How would the nurse's supervisor evaluate the effectiveness of the nurse's teaching?1. The nurse is demonstrating a paternalistic attitude that may contribute to client nonadherence.2. Teaching the client to take all medications should help keep the client out of the hospital.3. The nurse is helping the client develop trust in the psychiatrist.4. The nurse is giving simple instructions that will be readily accepted by the client.
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The nurse would be alert to assess for signs of lithium toxicity in a patient with which of the following lithium levels?1. 1.5 mEq/l2. 0.1 mEq/l3. 0.5 mEq/l4. 1.0 mEq/l
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The mother of a young child diagnosed with conduct disorder asks the nurse to recommend a qualified nurse to provide family therapy. The nurse knows that:1. Nurse family therapists should be clinical specialists or advanced practitioners in mental health nursing.2. Nurses with a bachelor's degree are qualified to provide family therapy if they are nationally certified in mental health nursing.3. Nurses are not reimbursed by third party insurers to provide family therapy.4. Nurses specializing in family therapy are expensive and it is difficult to get a timely appointment.