1. A nurse is caring for a client who was newly diagnosed with breast cancer that has metastasized into
the spine. The client refuses to discuss treatment options. The nurse should identify that the client is
experienc
...
1. A nurse is caring for a client who was newly diagnosed with breast cancer that has metastasized into
the spine. The client refuses to discuss treatment options. The nurse should identify that the client is
experiencing which of the following stages of Kübler-Ross' grief theory?
Denial.
2. A nurse is caring for a client who has schizophrenia and states, "My doctor is trying to kill me.' Which
of the following responses should the nurse make?
It must be frightening to feel that your doctor is trying to kill you.
3. A nurse is caring for a client with ADHD who has recently started taking lithium. For which of the
following findings should the nurse monitor when evaluating the effectiveness of the medication?
Reduced aggression.
4. A nurse in an acute mental health facility is leading a nursing staff discussion about the legal aspects
of involuntary admissions. Which of the following pieces of information should the nurse include?
An involuntary admission is justified if the client is a danger to others.
5. A nurse is assessing a client who has schizophrenia. The client suddenly states, "I'm blue, so are you,
and I'm leaving on a choo, choo, choo!" The nurse should identify the client's statement as which of
the following speech patterns?
Clang association.
6. A nurse is creating a plan of care for a client who has Alzheimer's disease with moderate cognitive
decline. Which of the following interventions should the nurse include to orient the client to the
present?
Talk with the client about scheduled daily activities.
7. A nurse is speaking with a client whose partner was killed unexpectedly. The client states, "I just
don't know what to do now." Which of the following actions should the nurse take?
Talk to the client about available community resources.
8. A nurse is caring for a client who just received a terminal diagnosis of cancer. Which of the following
initial reactions should the nurse expect from the client?
Denial.
9. A nurse is caring for a client who has borderline personality disorder. The client has previously
identified another nurse as his favorite, stating, "He's the best nurse ever." When that nurse calls in
sick, which of the following statements indicates that the client is using splitting as a method of
coping?
He's the worst nurse that's ever-taken care of me.
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