题目内容

The nurse is interviewing a client who is currently under the influence of a controlled substance and shows signs of becoming agitated. Which measure should the nurse take first when caring for this client

A. Be aware of hospital security.
B. Communicate a scolding attitude to intimidate the client.
C. Use confrontation.
D. Express disgust with the client’s behavior.

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The nurse is teaching a new mental health aide. For which of the following clients is setting limits most important

A depressed client.
B. A manic client.
C. A suicidal client.
D. An anxious client.

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Assessment of a client in active labor reveals meconium-stained amniotic fluid and fetal heart sounds in the upper right quadrant. Which of the following is the most likely cause of this situation

A. Breech position.
B. Late decelerations.
C. Entrance into the second stage of labor.
D. Multiple gestation.

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A woman tells the nurse that her 6-year-old daughter has severe nosebleeds. Which of the following instructions should the nurse give this woman to manage nosebleeds

A. Help the child assume a comfortable position with her head tilted backward.
B. Tilt the child’s head backward and place firm pressure on the nose.
C. Help the child lie on her stomach and collect the blood on a clean towel.
D. Place the child in a sitting position with her neck bent forward and apply firm pressure on the nasal septum.

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The nurse is caring for a client hospitalized on numerous occasions for complaints of chest pain and fainting spells, which she attributes to her deteriorating heart condition. No relatives or friends report ever actually seeing a fainting spell. After undergoing an extensive cardiac, pulmonary, GI, and neurologic workup, she’s told that all test results are completely negative. The client remains persistent in her belief that she has a serious illness. What diagnosis is appropriate for this client

A. Exhibitionism.
B. Somatoform disorder.
C. Degenerative dementia.
D. Echolali

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The nurse is interviewing a client who is currently under the influence of a controlled substance and shows signs of becoming agitated. Which measure should the nurse take first when caring for this client

A. Be aware of hospital security. B. Communicate a scolding attitude to intimidate the client. C. Use confrontation. D. Express disgust with the client’s behavior.

The nurse is teaching a new mental health aide. For which of the following clients is setting limits most important

Assessment of a client in active labor reveals meconium-stained amniotic fluid and fetal heart sounds in the upper right quadrant. Which of the following is the most likely cause of this situation

A woman tells the nurse that her 6-year-old daughter has severe nosebleeds. Which of the following instructions should the nurse give this woman to manage nosebleeds

A. Be aware of hospital security.
B. Communicate a scolding attitude to intimidate the client.
C. Use confrontation.
D. Express disgust with the client’s behavior.