Nurse Tony was caring for a 41-year-old female client. Which behavior by the client indicates adult cognitive development?
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Solution
Generates new levels of awareness
Option A: An adult age 31 to 45 generates new level of awareness.
Nurse Claire is caring for a client diagnosed with bulimia. The most appropriate initial goal for a client diagnosed with bulimia is?
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Solution
Identify anxiety causing situations
Option B: Bulimia disorder generally is a maladaptive coping response to stress and underlying issues. The client should identify anxiety causing situation that stimulate the bulimic behavior and then learn new ways of coping with the anxiety.
A male client is diagnosed with schizotypal personality disorder. Which signs would this client exhibit during social situation?
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Solution
Paranoid thoughts
Option A: Clients with schizotypal personality disorder experience excessive social anxiety that can lead to paranoid thoughts.
A 20-year-old client was diagnosed with dependent personality disorder. Which behavior is not most likely to be evidence of ineffective individual coping?
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Solution
Inability to make choices and decision without advice
Option D: Individual with dependent personality disorder typically shows indecisiveness submissiveness and clinging behavior so that others will make decisions with them.
A female client is admitted with a diagnosis of delusions of GRANDEUR. This diagnosis reflects a belief that one is:
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Solution
Highly famous and important
Option B: Delusion of grandeur is a false belief that one is highly famous and important.
A client is experiencing anxiety attack. The most appropriate nursing intervention should include?
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Solution
Staying with the client and speaking in short sentences
Option C: Appropriate nursing interventions for an anxiety attack include using short sentences, staying with the client, decreasing stimuli, remaining calm and medicating as needed.
Nurse Maureen is developing a plan of care for a female client with anorexia nervosa. Which action should the nurse include in the plan?
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Solution
Set-up a strict eating plan for the client
Option B: Establishing a consistent eating plan and monitoring client’s weight are important to this disorder.
Nurse Monet is caring for a female client who has suicidal tendency. When accompanying the client to the restroom, Nurse Monet should…
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Solution
Observe her
Option D: The Nurse has a responsibility to observe continuously the acutely suicidal client. The Nurse should watch for clues, such as communicating suicidal thoughts, and messages; hoarding medications and talking about death.
Nurse Hazel is caring for a male client who experience false sensory perceptions with no basis in reality. This perception is known as:
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Solution
Hallucinations
Option A: Hallucinations are visual, auditory, gustatory, tactile or olfactory perceptions that have no basis in reality.
Marco approached Nurse Trisha asking for advice on how to deal with his alcohol addiction. Nurse Trisha should tell the client that the only effective treatment for alcoholism is:
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Solution
Total abstinence
Option C: Total abstinence is the only effective treatment for alcoholism.