Which form of discipline should the nurse recommend for the parents of a toddler

1. A nurse is discussing discipline techniques with the parent of a preschooler. Which of the following statements by the parent indicates an understanding of time-out as a form of discipline?

"I place my child in time-out for 15 minutes when they misbehave." "I send my child to their room for the time-out period." "I make use of time-out after giving three warnings." "I use a kitchen timer to mark the end of the time-out period."

1. A nurse in a well-child clinic receives a phone call from the parent of an adolescent client. The parent states, "I think my son might try to kill himself." Which of the following statements by the parent is the priority for the nurse to investigate further? "I can hear him crying in the middle of the night." "He spends most of his time locked in his room." "He refuses to go to the movies with his friends." "I noticed several cutting marks on both of his arms."

2. A nurse is caring for an adult client who is receiving treatment for alcohol use disorder. The client is upset because his partner has refused to visit him in the treatment facility. Which of the following actions by the client should indicate to the nurse that the client is using regression as a defense mechanism?

The client states that he has developed sudden hearing loss. The client states that his partner will not visit because they are too busy with their job. The client yells obscenities at the nurse. The client stomps his feet and throws objects o his bedside table

1. A nurse is admitting a client who has posttraumatic stress disorder (PTSD) to a community mental health facility. Which of the following manifestations should the nurse expect when completing the admission assessment?

Decreased startle response to loud noises Reports uninterrupted sleep of 10 to 12 hr each night Reluctance to discuss the event that precipitated the distress Reports feelings of acute distress that began 1 to 2 weeks ago

1. A nurse is conducting a child maltreatment screening of a family who has a toddler. Which of the following findings should the nurse identify as an indicator of possible child neglect?

The child has a history of jaw factures. The child seems frightened of their parent. The child has had no immunizations since birth. The child rocks back and forth continually.

1. A nurse in an urgent-care clinic is caring for a school-age child who has several visible bruises. The child's parent states, "My partner got red today and came home angry. I don't think this will happen again." Which of the following responses should the nurse make?

"I agree with you. I'm sure this will never happen again." "This is awful. You should le charges against your partner." "This is clearly child endangerment. I will have to call the police." "I'd like to know more about what happened. Let's sit and talk."

1. A nurse is caring for a client who has dementia and insists a doll is her infant child. Which of the following behavioral management techniques should the nurse use when interacting with the client?

Cognitive reframing Thought stopping Validation therapy Operant conditioning

1. A nurse is planning care for a client who has major depressive disorder and is being admitted following a suicide attempt. Which of the following interventions is the nurse's priority?

Initiate one-to-one observation. Encourage the client to participate in group activities. Administer an antidepressant. Set up a time for individual meetings with the client.

1. A nurse is caring for a client who is aggressive toward other clients and has been placed in wrist restraints. After obtaining a prescription for restraints from the provider, which of the following actions should the nurse take?

Document the client's behavior once every hour.

A client who has new-onset delirium A client who is experiencing auditory hallucinations A client who is experiencing mania A client who has somatic symptom disorder

1. A nurse is caring for a client who has bipolar disorder. The client says to the nurse, "Give me your pen to cut the pain out of my chest." The nurse should identify that the client is at risk for which of the following?

Illusion Hallucination Attention-seeking behavior Self-mutilation

1. A charge nurse in a community mental health clinic is discussing ethical concepts of client care with a newly licensed nurse. The charge nurse should use which of the following situations as an example of fidelity?

Spending equal time with clients regardless of their insurance status. Explaining possible adverse effects to clients receiving new prescriptions. Respecting the decision of clients to refuse to participate in group therapy. Attending an educational conference on identifying clients at risk for suicide.

1. A nurse is using de-escalation techniques with a client who has become verbally aggressive with a staff member. Which of the following actions should the nurse take?

Remain 15 cm (6 in) away from the client Use a raised voice when speaking to the client Determine the cause of the client's feelings Ask the client short, close-ended questions

1. A nurse is discharging a client who was admitted for the treatment of alcohol withdrawal. Which of the following resources should the nurse recommend to the client?

Reach to Recovery A 12-step program Al-Anon Light therapy

1. A charge nurse is planning an in-service for newly licensed nurses on tort law in mental health care. Which of the following scenarios should the charge nurse provide as an example of an unintentional tort?

A nurse did not clarify a client's prescription that was difficult to read resulting in a medication error. A nurse posted private information on social media about a client who has substance use disorder. A nurse placed a client in mechanical restraints without obtaining a prescription, resulting in injury. A nurse threatened a client with physical harm after the client became verbally abusive to staff members.

1. A nurse is preparing to teach a client who has major depressive disorder and is scheduled to undergo electroconvulsive therapy (ECT). Which of the following statements should the nurse include in the teaching?

"ECT is contraindicated in clients who have psychotic symptoms." "ECT is delivered through electrodes attached to the head." "ECT cannot be administered to clients who have suicidal ideation." "ECT is conducted under regional anesthesia."

1. A nurse is caring for a client who exhibits excessive attention-seeking behaviors, including acting irtatious and seductive. The nurse should identify these behaviors as manifestations of which of the following personality disorders?

Paranoid Histrionic Narcissistic Antisocial

1. A nurse is caring for a client who is taking a tricyclic antidepressant. For which of the following findings should the nurse monitor as an adverse effect of tricyclic antidepressants?

Orthostatic hypotension Diarrhea Hyperactivity Increased urinary output

A client who is a voluntary admission does not have the right to request to be discharged. A client who is admitted involuntarily has the right to refuse to participate in therapy. A client who is admitted involuntarily cannot refuse to take prescribed psychotropic medications. A client who is a voluntary admission cannot withdraw consent after it has been given.

1. A nurse is admitting a client who has borderline personality disorder and is at risk for self-mutilation. Which of the following interventions should the nurse incorporate in the plan of care?

Provide additional attention to the client. Apply mechanical restraints before administering medication. Obtain a verbal contract from the client. Limit staff members who work with the client

1. A nurse is caring for a client who reports a history of frequent alcohol consumption. Which of the following questions should the nurse ask when screening for alcohol use disorder?

"Has a family member indicated that you should cut down on your drinking?" "Have you had a glass of wine in the last week?" "Do you drink alcohol with your friends?" "Do you enjoy drinking alcohol?"

1. A nurse is caring for a client who has just learned that her partner has died by suicide. Which of the following actions should the nurse take first?

Refer the client to a support group for survivors of suicide. Offer to contact the client's family or support system. Inform the client that feelings of guilt are often felt by survivors of suicide. Determine the client's understanding of the suicide events.

1. A nurse is caring for a client who has become violent and is threatening self-harm following a crisis. After ensuring enough staff are available, which of the following actions should the nurse take first?

Administer a sedative medication. Perform a debrieng with the sta. Acknowledge the client's emotions. Place the client in restraints.

1. A nurse is assessing a client who reports using cocaine 1 hr ago. Which of the following findings should the nurse expect?

Polyphagia Fever Bradycardia Oliguria

33 nurse is assessing an older adult client's ability to make a successful role transition to widowhood following the death of her partner. Which of the following factors should the nurse include in the assessment? (Select all that apply.)

The client's advance directives status The client's willingness to attend a support group The client's current health status The client's family support system The client's involvement in a spiritual community

1. A nurse in an acute mental health facility receives change-of-shift report on a group of clients. Which of the following clients should the nurse assess first?

A client who has borderline personality disorder and exhibits splitting behaviors A client who has schizophrenia and reports command hallucinations A client who recently started taking lithium and has a new hand tremor A client who takes fluoxetine and states they have a dry mouth

1. A nurse is caring for a client who is receiving haloperidol 2 mg IM every 6 hr. Available is haloperidol 5 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) Respuesta / 0 ML

2. A nurse in an acute care facility is assessing a client who has schizophrenia. The client states, "Walk tall broom short dog bell." The nurse should document the client's speech as which of the following speech patterns?

Flight of ideas Word salad Neologisms Clang associations

Coarse hand tremors and confusion

1. A nurse is assessing a client who has delirium as a result of sepsis. Which of the following manifestations should the nurse expect? (Select all that apply.)

Slow speech Rapid mood changes Hallucinations Unaltered level of consciousness Restlessness

1. A nurse is creating a plan of care for a newly admitted client who has obsessive- compulsive disorder. Which of the following interventions should the nurse include?

Use detailed explanations when providing education to the client. Maintain a stimulating environment for the client. Provide the client with a structured schedule of daily activities. Limit time for rituals to 30 min each day.

1. A nurse is caring for a client who is experiencing visual hallucinations followed by impaired consciousness as a result of alcohol withdrawal. Which of the following conditions should the nurse identify as causing these manifestations?

Autonomic dysreexia Synergistic effect Sleep deprivation Delirium

1. A nurse is caring for a client who has undergone electroconvulsive therapy (ECT). The nurse should monitor the client for which of the following adverse effects of ECT?

Voice alteration Neck pain Memory deficit Headache

1. A nurse is conducting an admission assessment for a client who is experiencing a manic episode of bipolar disorder. Which of the following behaviors should the nurse expect? (Select all that apply.)

Grandiosity

Flight of ideas Splitting Hyperactivity Withdrawa

1. A nurse is caring for a 4-year-old child who has autism spectrum disorder. Which of the following behaviors should the nurse expect? (Select all that apply.)

Lack of eye contact Inability to play quietly Constant spinning of a toy Temper tantrums Repeated voiding in clothes

1. A nurse is creating a plan of care for a client who has panic disorder. Which of the following interventions should the nurse include?

Encourage the client to attend group therapy sessions. Allow the client to choose scheduled daily activities. Use simple words to describe procedures to the client. Avoid discussing topics that can trigger a panic attack

1. A nurse is planning care for a client who requires close observation. Which of the following rights should the nurse identify that the client has forfeited due to the potential for safety hazards?

The right to parity The right to make informed decisions The right to social contact The right to privacy

1. A nurse is reviewing the medical records of a group of clients. For which of the following clients should the nurse implement seizure precautions?

A client who is experiencing withdrawal from oxycodone A client who is experiencing withdrawal from diazepam A client who has a low lithium level A client who has a low imipramine level

Which should the nurse recommend to the parents of a toddler who is exhibiting tantrums?

Which action should the nurse recommend to the parents of a toddler

What anticipatory guidance can the nurse give parents of a toddler to support the toddler's need for increasing autonomy?

Which is the best way for parents to aid a toddler in achieving the developmental task?