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A nurse working in a community health center is speaking with a client who has a serious mental illness. The client states that they are unable to find employment and they do not understand why. Which of the following questions should the nurse ask? (Select all that apply.)

A nurse is admitting a client who has active tuberculosis to a room on a medical-surgical unit. Which of the following room assignments should the nurse make for the client?

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 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?

A nurse is reviewing the EKG strip of a client who has prolonged vomiting. Which of the following abnormalities on the client's EKG should the nurse interpret as a sign of hypokalemia?

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 providing teaching to a client who has a prescription for heat therapy for treatment of cellulitis of the right lower leg. Which of the following client statements indicates an understanding of the teaching?

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 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

A nurse is caring for a female client who has bulimia nervosa and reports frequent self-induced vomiting. Which of the following findings should the nurse expect?

A nurse is providing discharge teaching to a client who has borderline personality disorder. The client reports being a single parent caring for two toddlers. Which of the following actions should the nurse take?