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发布时间:2023-12-02 07:28:15

[单项选择]A client is admitted to the psychiatric unit with a diagnosis of anorexia nervosa. Although she is 5’7" and weighs only 100 lb, she keeps on telling the nurse about how fat she is. What should the nurse do first()
A. Discuss cultural stereotypes regarding thinness and attractiveness.
B. Explore the reasons why the client doesn’t eat.
C. Teach the client about nutrition, calories, and a balanced diet.
D. Establish a trusting relationship with the client.

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[单项选择]A psychiatric client who was voluntarily admitted now wishes to be discharged from the hospital, against medical advice. What’s the most important assessment the nurse should make of the client
A. Ability to care for himself.
B. Degree of danger to self and others.
C. Level of psychosis.
D. Intended compliance with aftercare.
[单项选择]A client in a psychiatric clinic unit tells the nurse, "I don’t think I can face going home tomorrow. " The nurse replies, "Do you want to talk more about it" The nurse is using which of the following techniques()
A. Presenting reality.
B. Making observations.
C. Restating.
D. Exploring.
[单项选择]The employer of a client on the psychiatric unit calls the nursing station inquiring about the client’s progress. The nurse doesn’t know if the client has given consent to allow the staff to give information out to callers on the phone. Which of the following would be the nurse’s best response()
A. "I’m not permitted to discuss her progress. "
B. "I’ll give you the name and telephone number of her physician. "
C. "I’ll have her call you. "
D. "I can’t confirm whether your employee is a client here. "
[单项选择]A client on an inpatient psychiatric unit at a community mental health center is pacing the hallway and appears agitated. When the nurse approaches him, he says loudly, "Leave me alone. " What’s the nurse’s best approach()
A. Say nothing and pace with the client.
B. Say "You sound upset. I’d like to help. "
C. Say "okay" and walk away.
D. Summon help in case the client becomes aggressive.
[单项选择]A 32-year-old client is admitted to the unit. She states, "I’m a well-known, wealthy designer," and begins to order the nurses to prepare her bath while she orders her tray and telephones her colleagues. Her husband states that she’s too busy to eat and sleep and is losing weight. Her admitting diagnosis is bipolar disorder, manic phase. For which of the following events should the nurse plan()
A. Erratic and unpredictable behavior if challenged.
B. Boredom and the need for minute-to-minute activities.
C. Rapid mood changes from elation to depression.
D. One-to-one treatment to occupy the client’s time.
[单项选择]A client is being admitted to the labor unit. Because she’s well advanced in labor, the nurse must prioritize the admission questions. Which information is most important to obtain when birth is imminent()
A. Duration of previous labor.
B. Frequency of contractions.
C. Presence of bloody show.
D. Expected due date.
[单项选择]The nurse is teaching a psychiatric client about her prescribed drugs, chlorpromazine and benztropine. Why is benztropine administered()
A. To reduce psychotic symptoms.
B. To reduce extrapyramidal symptoms.
C. To control nausea and vomiting.
D. To relieve anxiety.
[单项选择]Mr. Smith is admitted to the psychiatric hospital for evaluation after numerous incidents of threatening, angry outbursts and two episodes of hitting a coworker at the grocery store where he works. He is very anxious and tells the nurse, "I didn’t mean to hit him. He made me so mad that I just couldn’t help it. I hope I don’t hit anyone here. " Which of the following is the nurse’s best response
A. "It sounds like you were angry. When you feel angry here, talk to the staff about it instead of hitting. "
B. "I’m sure you didn’t mean to hit him and that it won’t happen here. "
C. "You’d better not hit anyone here, even if you do get mad. "
D. "Tell me more about what happened. /
[单项选择]A client admitted for a hysterectomy has a secondary diagnosis of Ménière s disease. Which of the following nursing interventions should the nurse include in the client’s plan of care to decrease the effects of tinnitus()
A. Reduce the amount of glucose and cholesterol in the diet.
B. Encourage the client to listen to the radio with earphones.
C. Encourage a weight-reduction diet.
D. Administer antihypertensive medications as ordered.
[单项选择]The nurse is interviewing a client admitted to the facility with a diagnosis of schizophrenia. The client states, "I run apple, train, grass, window. " This response by the client is known as()
A. echopraxia.
B. a word salad.
C. flight of ideas.
D. neologisms.
[单项选择]A client is admitted for a suspected eating disorder. Which of the following statements would indicate that the client may be suffering from anorexia nervosa()
A. "I’ve gained 3 pounds in the last month. "
B. "I eat loads of spinach and yellow vegetables each day. "
C. "I’m a perfectionist, and I work hard to get A’s. "
D. "I binge frequently in the morning and feel fat. "
[单项选择]An elderly client is admitted to the hospital with the diagnoses of dementia of the Alzheimer’s type and depression. The client has all of the following symptoms. The symptom that is unrelated to the depression would be( )
A. Shallow or labile affect
B. Neglect of personal hygiene
C. "I don’t know" answers to questions
D. Apathetic response to the environment
[单项选择]A client is admitted with a diagnosis of delusions of grandeur. This diagnosis reflects the client has a belief that he is()
A. highly important or famous.
B. being persecuted.
C. connected to events unrelated to himself.
D. responsible for the evil in the world.
[单项选择]A client is admitted with atrial fibrillation. The physician noted a pulse deficit. The pulse deficit measures which of the following()
A. The difference between apical and radial pulse rates.
B. The difference between systolic and diastolic blood pressures.
C. The amount of blood ejected from the left ventricle per minute.
D. The percentage of blood emptied from the ventricle during contraction.
[单项选择]A client is admitted with a suspected diagnosis of an acute myocardial infarction. When providing care for the client, the nurse should avoid which route when taking a temperature()
A. Oral.
B. Rectal.
C. Axillary.
D. Tympanic.
[单项选择]A client is admitted to the hospital for treatment of Prinzmetal’s angina. When developing the client’s plan of care, the nurse should remember that this type of angina is triggered by()
A. coronary artery spasm.
B. an unpredictable amount of activity.
C. activities that increase oxygen demand.
D. an unknown source.
[单项选择]A client is admitted to the emergency department with complaints of chest pain and shortness of breath. The nurse’s assessment reveals jugular vein distention. The nurse knows that when a client has jugular vein distention, it’s typically due to()
A. a neck tumor.
B. an electrolyte imbalance.
C. dehydration.
D. fluid overload.
[单项选择]A client is admitted for an overdose of amphetamines. When assessing this client, the nurse should expect to have which of the following findings()
A. Tension and irritability.
B. Slow pulse.
C. Hypotension.
D. Constipation.

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