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43. A nurse uses Maslow’s hierarchy of needs to plan care fo…

43. A nurse uses Maslow’s hierarchy of needs to plan care for a psychotic client. Which problem will receive priority?   

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47. At what point in the nurse–client relationship should a…

47. At what point in the nurse–client relationship should a nurse plan to first address termination?  

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10.  What instruction should the nurse include in the discha…

10.  What instruction should the nurse include in the discharge teaching for a client who is severely allergic to insect stings?    

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46. In a team meeting, a nurse says, “I’m concerned whether…

46. In a team meeting, a nurse says, “I’m concerned whether we are behaving ethically by using restraint to prevent one client from self-mutilation while the care plan for another client who has also self-mutilated calls for one-on-one supervision.” Which ethical principle most clearly applies to this situation?

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36. A nurse is caring for a client who has schizophrenia and…

36. A nurse is caring for a client who has schizophrenia and is experiencing auditory hallucinations. Which of the following responses should the nurse make first?

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37. A nurse is reviewing the medical record of a client who…

37. A nurse is reviewing the medical record of a client who has schizophrenia and is receiving olanzapine. Which of the following findings should the nurse identify as an adverse effect of olanzapine?

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4.  A victim experienced a fall injury and is now apneic and…

4.  A victim experienced a fall injury and is now apneic and unconscious on the floor but has a pulse.  What would be the nurse’s next action?  

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20.  Which description explains the purpose of the Emergency…

20.  Which description explains the purpose of the Emergency Medical Treatment and Active Labor Act (EMTALA) of 1986?  

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31. A nurse is reviewing treatment alternatives for managing…

31. A nurse is reviewing treatment alternatives for managing a client’s behavior. The nurse should identify that which of the following examples describes the least restrictive alternative?

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11.  A client with deep partial-thickness and full-thickness…

11.  A client with deep partial-thickness and full-thickness burns of the face and chest is having the wounds treated with the open method. Which nursing action would be most appropriate for this type of wound care?  

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