The nurse is completing a morning assessment on an older adult Asian client. Assessment findings reveal circular red welts over the client's upper back with several bruised areas. Which nursing action is the most appropriate?
A) Contact the client's family.
B) Call the healthcare provider immediately.
C) Contact adult protective services.
D) Assess the client's spiritual beliefs.
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Free-floating anxiety refers to anxiety that is ________.
A) unrelated to any realistic, known source B) related to a specific event
C) related to a specific object D) related to a realistic source
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What is the most effective way to bind anxiety?
a. to separate oneself from others
b. through emotional cutoff
c. through relationships
d. to increase one's acute anxiety
Q. 2
At least one-quarter of the homeless population has a mental illness.
Indicate whether the statement is true or false
Q. 3
Multicultural counseling and career counseling are both modern day counseling practices that have their roots in the ideals of Progressivism.
Indicate whether the statement is true or false
Q. 4
In regards to differentiation, children tend to:
a. have a lower level of differentiation
b. have the same level of differentiation
c. have a higher level of differentiation
d. do not have a level of differentiation
Q. 5
Mental health/Community Counselors are currently licensed in 36 of the 50 states.
Indicate whether the statement is true or false
Q. 6
The notion that people are individuals while still being connected to others is known as:
a. differentiation of self
b. triangulation
c. nuclear family emotional process
d. emotional cutoff
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A client states to the nurse, "I experience shortness of breath and dizziness every time I get into an elevator." Which actions by the nurse are appropriate based on this data? Select all that apply.
A) Ask the client how he has survived in life so far with elevators.
B) Assist the client to rethink the degree of anxiety associated with elevators.
C) Suggest that the client should avoid elevators.
D) Tell the client that elevators are completely safe.
E) Instruct the client in deep breathing exercises.
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Which of the following assessment findings would indicate to the nurse that a client is experiencing stress?
1. Reading a magazine in the waiting room
2. Tapping foot and chewing on finger nail
3. Checking cellular phone for messages
4. Talking with others and recalling a humorous incident
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A client complains about the stress of having to work long hours and missing daily exercise routines. Which response by the nurse is appropriate?
A) "Drinking a small glass of wine each day does help reduce stress."
B) "There are other ways to reduce stress, such as meditation."
C) "Maybe exercising, with all of the work, would be too much for your body anyway."
D) "Exercise helps reduce the impact of stress on the body and would be a good thing."
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A client states to the nurse that learning how to use the blood glucose machine will have to wait until holiday events are planned. Which cognitive indication of stress is the client demonstrating?
A) Suppression
B) Self-control
C) Structuring
D) Problem solving
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A client is recently prescribed risperidone (Risperdal) by the healthcare provider. Which would be a priority nursing consideration for this client?
A) Assess blood pressure and heart rate.
B) Monitor for increased agitation.
C) Monitor for neuroleptic syndrome.
D) Assess for drowsiness.
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A client receiving heparin therapy for deep venous thrombosis complains of severe chest pain and shortness of breath. The nurse suspects pulmonary embolism and should do which of the following actions first?
1. Increase the rate of heparin infusion
2. Apply oxygen and elevate the head of the bed
3. Reassure the client and notify family members
4. Assess pulse, respirations, and blood pressure
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The nurse planning the care for a client diagnosed with a postpartum deep vein thrombosis would identify which of the following nursing diagnoses as being a priority for the client?
1. Excess Fluid Volume related to tissue edema
2. Disturbed Sleep Pattern related to tissue hypoxia
3. Risk for Infection related to obstructed venous return
4. Ineffective Tissue Perfusion related to obstructed venous return
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