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A nurse observes a client’s spouse sitting alone in the wait…

A nurse observes a client’s spouse sitting alone in the waiting room crying. When approached, the spouse says, “I am really concerned about my husband.” Which of the  following is a therapeutic nursing response?

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A nurse is caring for a client who has been physically abuse…

A nurse is caring for a client who has been physically abused by her boyfriend. The nurse has also experienced abuse in a previous intimate relationship. What potentially detrimental nursing issue may occur?

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A client on the med-surg floor is recovering from a total kn…

A client on the med-surg floor is recovering from a total knee replacement. During discharge teaching, the client expresses concerns about having to return to work soon. The nurse reminds him that he cannot return to work for 4-6 weeks. During this interaction, the client’s heart rate and respirations increase and his facial muscles tense. Which type of therapeutic communication is most appropriate for the nurse to use?

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A patient on the mental health unit has gone through an angr…

A patient on the mental health unit has gone through an angry and aggressive episode of psychotic agitation and is now resting in bed after taking a PRN medication. Which medication is most likely to have been used in the acute management of the potentially violent behavior?

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A nurse in an acute mental health facility is creating a pla…

A nurse in an acute mental health facility is creating a plan of care for a new client who has histrionic personality disorder. Which of the following is the priority intervention for the nurse to make?

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A nurse is caring for a client who has been physically abuse…

A nurse is caring for a client who has been physically abused by her boyfriend. The nurse has also experienced abuse in a previous intimate relationship. What potentially detrimental nursing issue may occur?

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A nurse is caring for an adolescent who has a history of vio…

A nurse is caring for an adolescent who has a history of violent behavior and has asked the nurse to keep confidential information about the desire to kill several classmates and a school teacher. Which of the following responses by the nurse is appropriate to give?

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A mother diagnosed with schizophrenia and her 12-year-old ch…

A mother diagnosed with schizophrenia and her 12-year-old child live in a homeless shelter following a difficult divorce. The child has formed a trusting relationship with a shelter volunteer and tells him, “My three friends had fun on our school science fair project, and we got an A!” Which characteristic is this child displaying?

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A nurse is caring for an adolescent who has a history of vio…

A nurse is caring for an adolescent who has a history of violent behavior and has asked the nurse to keep confidential information about the desire to kill several classmates and a school teacher. Which of the following responses by the nurse is appropriate to give?

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A nurse in a mental health clinic is assessing a client who…

A nurse in a mental health clinic is assessing a client who was brought in by her adult daughter stating that her mother has not been able to leave her home for weeks because she is afraid to be outdoors alone. The nurse should anticipate planning care for managing which of the following phobias?

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