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A nurse at a primary care clinic is assessing a client for manifestations of depression. Which of the following client statements should the nurse identify as being consistent with depression?

A nurse is monitoring a client who reports having chills and back pain during a blood transfusion. Which of the following actions is nurse's priority?

A nurse is caring for a client who has a serious mental illness and has developed tardive dyskinesia from anti-psychotic medication use. Which of the following adverse effects from anti-psychotic medication use would be expected for the client?

A nurse is discussing borderline personality disorder and the risk for self-harm with a newly licensed nurse. Which of the following situations should the nurse identify as the highest risk for self-harm?

The nurse is collecting the health history of a client and determines that the client has risk factors for developing mental illness. Which of the following should the nurse identify as a possible contributing factor in the development of a mental health disorder?

A nurse is preparing a presentation for newly hired nurses about self-care of the nurse. Which of the following examples of self-care routines should be included? (Select All that Apply.)

A nurse is planning care for a client who has been brought to the inpatient mental health unit by law enforcement officers after becoming aggressive in a local bar. The nurse should identify that this finding is consistent with which of the following disorders?

A nurse is assessing a client before administering a unit of packed RBCs. The nurse should identify which of the following data as most important to obtain prior to the infusion?

A nurse is caring for a client who has illness anxiety disorder. Which of the following medications should the nurse expect the provider to prescribe?

A nurse on an inpatient eating disorder unit is caring for a client who has anorexia nervosa.

Vital Signs

December 1:

Heart rate 48/min

Respiratory rate 24/min

Blood pressure 78/52 mm Hg Temperature 35.6° C (96° F)

SaO2 93% on room air

December 15:

Heart rate 55/min

Respiratory rate 20/min

History and Physical

December 1:

Height 163 cm (64 in)

Weight 34.5 kg (76 lb)

BMI 13

Pale, cold extremities, dry skin, thinning hair

Weak pulse

Respirations slightly labored, chest clear

Bowel sounds hypoactive x 4 quadrants

Concentrated urine

Laboratory Results

December 1:

Basic Metabolic Profile:

Creatinine 1.2 mg/dL (0.5 to 1.0 mg/dL)

BUN 30 mg/dL (10 to 20 mg/dL) Sodium 128 mEq/L (136 to 145 mEq/L) Potassium 3.1 mEq/L (3.5 to 5 mEq/L)

December 15:

Basic Metabolic Profile: Creatinine 0.9 mg/dL (0.5 to 1.0 mg/dL) BUN 22 mg/dL (10 to 20 mg/dL) Sodium 130 mEq/L (136 to 145 mEq/L) Potassium 3.6 mEq/L (3.5 to 5 mEq/L)

Height 163 cm (64 in) Weight 37.2 kg (82 lb) BMI 14.1 Pale, cold extremities, dry skin, thinning hair Pulses palpable Respirations even, unlabored, chest clear Bowel sounds active x 4 quadrants Clear yellow urine.

Diagnostic Results

December 1:

12 lead ECG: Sinus bradycardia

December 15:

12 lead ECG: Sinus bradycardia

A nurse on an inpatient eating disorder unit is assessing a client. Which of the following assessment findings indicate a therapeutic response to the treatment plan? Select all that apply.

A nurse is caring for a client who has a prescription for one unit of packed RBCs. The nurse should plan to remain in the room with the client at which of the following times during the infusion to observe for a transfusion reaction?