Question

41. A nurse is assessing a client who has bipolar disorder and is taking lamotrigine. Which of the following findings is the nurses priority? a. b. c. d. Thyroid-Stimulating Hormone 4.0 Microunits Alanine Transaminase 201U Skin Rash Epsitaxis 42. A nurse is caring for a client who has schizophrenia and displays severe negative symptoms of the disorder. Which of the following actions should the nurse take? a. Manage the clients loud, rambling, and incoherent, communication patterns b. Direct the client to perform her own daily hygiene and grooming tasks c. Assist the client to identify somatic and thought-broadcasting delusions d. Use medication to decrease frequency of auditory and visiual hallucinations 43. A nuse is beginning a therapeutic relationships with a client. The nurse should plan to accomplish which of the following tasks during the working phase? a. b. c. d. Inform the client bout confidentiality rights? Establish boundaries btwn. The nurse and the client Set short- and long term objectives for the future Evaluate progress toward predetermine goals 44. A nurse in a mental health facility is making plans for a clients discharge. Which of the following interdisciplinary team members should the nurse contact to assist the client with housing placement? a. b. c. d. Clinical nurse specialist Recreational therapist Occupational therapist Social worker 45. A nurse is caring for a client who reports that he is sangry with his partner because she tinks he is just trying to gain attention. When the nurse attempts to talk to the client, he becomes angry and tells her to leave. Which of the following defense mechanism is the client demonstrating? a. Denial b. Displacement c. Compensation d. Rationalization 46. A charge nurse is discussing the care of a client who has a substance use disorder with a staff nurse. Which of the following statements by the staff nurse shshould the charge nurse identify as countertransferance? a. b. c. d. The client is just like my brother who finally overcame his habit The client needs to accept responsibility for his substance use The client generally shares his feelings during group therapy session The client asked me to go on a date with him, but I refused

Answer 1

41) answer : b ) . There will be elevation of alamnine transaminase 20iu with taking of lamotrigine .

Nurse should prioritize alanine transaminase levels .

42) answer : d) nurse should provide medications to control auditory and visual hallucinations .

43) answer : b ) nurse should establish bounderies between nurse and patient to accoplish goals .

44) answer : d) social worker will help to make plan For patient discharge back homeostasis or to community .