Question

66. A nurse is providing crisis intervention for a client who was involved in a violent mass casualty situation in the community. Which of the following actions should the nurse take during the initial session with the client? a. Help the client focus on a wide variety of topics regarding the crisis b. Identify the clients usual coping style c. Tell the client that his life will soon return to normal d. Encourage the client to display anger toward the cause of the crisis 67. A nurse in a community health facility is interviewing a client who recently lost his job. The client states, "I was fired because my boss doesn't like me". Which of the following defense mechanisms is the client displaying? a. Rationalization b. Displacement c. Dissociation d. Repression 68. A nurse is providing teaching to a client who has depressive disorder and a new prescription for doxepin. Which of the following instructions should the nurse include in the teaching? a. Sit on the side of the bed for a few minutes before standing b. Decrease the prescribed dose by half when mood improves c. Avoid over the counter magnesium when taking this medication d. Eat a snack before going to bed 69. A nurse is planning care for a client who has dementia, which of the following interventions should the nurse include in the plan? a. b. c. d. Give detailed instructions for completion of self-care activities Confront the client when he exhibits inappropriate behavior Provide finger foods to enhance caloric intake Remove clocks form the clients room 70. A nurse is planning overall strategies to address problems for a client who has borderline personality disorder. Which of the following strategies is the priority for the nurse to incorporate in the plan of care? a. b. c. d. Discuss the appropriate use of assertive behavior with the client Encourage the client to attend weekly support group meetings Assist the client to maintain awareness of her thoughts and feelings Implement measures to prevent intentional self-inflicted injury

Answer 1

66. Option B is correct as in the crisis intervention techniques by the nursing to help the client in coping in his/her style.

67. Option A is correct as it is the type of rationalization type of defense mechanism

68. Option B is correct as advised to decrease the dos by the half as at low dose it can tackle the situation of associated insomnia

69. Option A is correct as in this case there is need to motivate the client for the completion of the self care activities.

70. Option C represents the best suited planning strategy for the borderline personality disorder patient as to have a control on the feelings, emotions or his/her thoughts