Question

33. A nurse is caring for a client who is experiencing acute alcohol withdrawal. Which of the following findings should the nurse expect? A. Hand tremors B. Stuporous level of consciousness C. Bradycardia D. Hypotension 34. A nurse on an acute mental health unit is caring for a group of clients. For which of the following clients is seclusion contraindicated? A. An adult client following a suicide attempt B. A school-age client who attempts to repeatedly bite staff C. An adolescent client who throws objects at other clients D. An older adult client who is manic and crying due to overstimulation 25 A nurse in a mental health facility is caring for a client in the busy facility dining room during lunchtime when suddenly the client becomes angry and throws a chair. Which of the following interventions should the nurse perform first? A Restrain the client to prevent injury to himself or others. B. Place the client in a monitored seclusion room until he is calm. C. Administer a PRN antianxiety medication D. Attempt to talk the client down. 36. A nurse working in suicide prevention is discussing suicide interventions with a newly hired nurse. Which of the following statements indicates that the newly hired nurse understands when a tertiary intervention is needed? A. "Tshould perform screenings to identify clients at risk for suicide." B. "I should recognize the lethality of the suicide plan." C. "I should provide counseling for the family following the suicide of a client." D. "I should provide a safe environment to prevent the client from committing suicide."

Answer 1

33. Hand tremors

Reason: It is a typical symptom of alcohol withdrawal.

34. A. An adult client following a suicide attempt

D. An older adult client who is manic and crying due to over stimulation

35. D . Attempt to talk the client down

Reason: Verbal de escalation help to calm the patient.

36.C I should provide counselling for the family following the suicide of a client.