148. A nurse is assessing for cardiac tamponade on a client who had coronary artery bypass grafts. Which of the following actions should the nurse take? A. Check for hypertension. B. Auscultate for loud, bounding heart sounds. C. Auscultate blood pressure for pulsus paradoxus. D. Check for a pulse deficit. Rationale: The client who has cardiac tamponade will have pulsus paradoxus when the systolic blood pressure is at least 10 mm Hg higher on expiration than on inspiration. This occurs beca...

68. A nurse in an ED is creating a plan of care for a client who reports experiencing intimate partner violence. Which of the following interventions should the nurse include as the priority? a. teach the client stress reduction techniques b. help the client devise a safety plan c. refer the client to a support group d. follow the facilities protocol for reporting the abuse 69. A nurse in a mental health facility is caring for a client who is being aggressive toward other clients. Which o...

46. Crisis hotline, client took whole bottle of amitriptyline, nurse response – I’m glad you called, I am going to send an ambulance for you 47. College campus nurse, client just failed exam, student berates teacher and course, defense mechanism used – projection 48. Client taking haloperidol for 3 months, (experiencing temp 103.4, BP 150/110, muscle rigidity) complication – neuroleptic malignant syndrome

68. A nurse is caring for a group of clients on a mental health unit. For which of the following clients is the nurse mandated to report to the appropriate agency? a. A client who reports that she took $20 from the cash register where she works b. A client who reports that her partner ties their child to a bed as punishment c. A client who reports that he enjoys smoking marijuana on weekends d. A client who reports lying to his provider about having suicidal ideation 69. A nurse is obtain...

Chapter 10 Brain Stimulation Therapies Chapter 16 Personality Disorders Chapter 21 Medications for Anxiety and Trauma- and Stressor-Related Disorders Chapter 22 Medications for Depressive Disorders Chapter 23 Medications for Bipolar Disorders Chapter 24 Medications for Psychotic Disorders Chapter 25 Medications for Children and Adolescents Who Have Mental Health Issues Chapter 26 Medications for Substance Use Disorders

Week 5 quiz questions Ch 24 Schizophrenia 1. A client is admitted with a diagnosis of brief psychotic disorder, with catatonic features. Which symptoms are associated with the catatonic specifier? a) Strong ego boundaries and abstract thinking b) Ataxia and akinesia c) Stupor, muscle rigidity, and negativism d) Substance abuse and cachexia 2. . The client hears the word “match.” The client replies, “A match. I like matches. They are the light of the world. God will light the world. Let you...