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A nurse on an inpatient mental health unit is assisting with a series of group therapy sessions for a small group of clients.

Nurses Notes

Session 1:

Client A states they are fearful at times.

Client B is sobbing and states they can't go a day without their partner.

Client C remains silent during the session.

Client D wears boots 24 hr per day.

Client E continuously twists their hair.

Session 4:

Client A admits to having an extreme fear of mice, among other things.

Client B brings a picture of their partner to the session and cries when looking at the photo.

Client C has yet to speak during a group session.

Client D tells the group they wear boots all the time because they have the world’s ugliest feet and don’t want anyone to see them.

Client E is now pulling out hair after they have twisted it

The nurse is reviewing the observations made from the various group sessions. Drag words from the choices below to fill in each blank in the following sentences.

1. Client A is exhibiting manifestations of _Target 1

2. Client B is experiencing manifestations of Target 2

3. Client C continues to exhibit manifestations of Target 3

4. Client D is displaying manifestations of _Target 4

5. Client E has worsening manifestations that have now progressed to ___Target 5

Word Choices

separation anxiety

trichotillomania

murophobia

Mutism

Body dysmorphism

Answer and Explanation

The Correct Answer is C, A, D, E, B

Rationale:

Murophobia: Client A's extreme fear of mice indicates a specific phobia. In this case, it is specifically referred to as murophobia.

Separation anxiety: Client B's distress over their partner's absence aligns with separation anxiety.

Mutism: Client C's continued silence in group sessions suggests mutism, a form of non-verbal behavior often associated with anxiety or trauma.

Body dysmorphism: Client D's behavior of wearing boots due to negative feelings about their feet reflects body dysmorphic disorder, where a person has a distorted view of their body.

Trichotillomania: Client E’s behavior of pulling out their hair after twisting it indicates trichotillomania, a disorder characterized by compulsive hair pulling.

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A. Assign the client to a room with other clients who require droplet precautions. B. Modify the protocol for donning and removing personal protective equipment before entering or leaving the client's room. C. Have staff and visitors wear gowns, masks, and gloves while in the client's room. D. Place the client in a private room with a special ventilation system.

Correct Answer is D

Explanation

Rationale:

A. Clients with active tuberculosis should not be placed in a room with other clients, even if they require droplet precautions, as TB requires airborne precautions.

B. While PPE protocols are important, the most critical precaution for TB is ensuring the client is in the correct environment to prevent airborne transmission.

C. Wearing gowns, masks, and gloves is important, but the most essential measure is the room's ventilation system.

D. Active tuberculosis is an airborne infectious disease, so the client should be placed in a private room with a negative pressure ventilation system to prevent the spread of the bacteria through the air.

A. Bananas B. Green Beans C. Tomatoes D. Raisins E. Asparagus

Correct Answer is ["A","C","D"]

Explanation

Rationale:

A. Bananas are high in potassium and should be avoided by clients with chronic kidney disease.

B. Green beans are relatively low in potassium compared to other options and do not need to be avoided.

C. Tomatoes are high in potassium and should be limited in the diet.

D. Raisins are high in potassium and should be avoided.

E. Asparagus is not particularly high in potassium and can generally be included in a renal diet.

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Correct Answer is D

Explanation

Correct Answer is ["A","C","D"]

Explanation

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Free Nursing Test Bank

A nurse is preparing for the admission of client who has suspected active tuberculosis. Which of the following precautions should the nurse plan to implement to safely care for this client?

Correct Answer is D

Explanation

A nurse is teaching a client who has chronic kidney disease about limiting foods that are high in potassium. Which of the following foods should the nurse instruct the client to avoid? (Select all that apply.)

Correct Answer is ["A","C","D"]

Explanation

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