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A nurse is educating a client about possible causes of their depressed mood. Which of the following client statements indicates an understanding of the teaching?

A nurse is providing care for a client who has recently returned from active combat and experienced the loss of a close friend during combat. Which of the following client statements indicates that the client is experiencing traumatic grief?

A nurse is caring for a client who was hospitalized with a high blood alcohol content level. The provider fears the client may go into withdrawal and require medical supervision. The client's manifestations included anxiety, tremors, BP 166/100 mm Hg, and tachypnea about 1 hr ago. Now the client begins yelling out that they are seeing spiders crawling all over the walls. They believe they are at home and begin calling for their mother. The nurse should recognize that the client is experiencing which of the following stages of alcohol withdrawal?

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 teaching the family of a client who has a new diagnosis of borderline personality disorder about the disorder. Which of the following information should be the nurse's priority?

A nurse asks a client if they prefer to attend the morning or afternoon group therapy session. The nurse should identify that this as an example of which of the following ethical principles?

A nurse is caring for a client who is experiencing manifestations of anxiety. The nurse should recognize which of the following statements about the neurophysiologic manifestations of anxiety as correct?

A newly licensed nurse asks a charge nurse, "What is the difference between a suicide attempt and self-harm?" Which of the following responses should the charge nurse give?

A nurse is observing a group therapy session. Which of the following client statements should the nurse identify as an indication of bulimia nervosa?

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 is caring for a client who has borderline personality disorder. Which of the following defense mechanisms is commonly used by clients who have this disorder and has the potential to create division amongst the healthcare team?