2019 RN Mental Health NGN Online Practice B with Answers (60 Solved Questions)

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RN Mental Health Online Practice 2019 B with NGN w/ Rationales1.A nurse is caring for a client who is in an abusive relationship and is assisting in thedevelopment of a safety plan. Which of the following actions is the first component of a safetyplan?a.Identify signs of escalation of violencei.It is important for the client to be able to identify signs of escalation of violence,which are the greatest risk to the client. Therefore, this is the first component ofthe safety plan because it increases awareness of when danger is imminent andit is time to leave.2.A nurse is caring for a child who has conduct disorder and is behaving in a destructive manner,throwing objects, and kicking others. Which of the following therapeutic nursing interventionsis the priority?a.Reduce environmental stimuli.i.The greatest risk to the child and others is harm. Therefore, the nurse's priorityintervention is to reduce environmental stimuli in an attempt to de-escalate thebehavior and prevent injury.3.A nurse is updating the POC for a client who has bulimia nervosa and is 5% above their idealbody weight. Which of the following interventions should the nurse include in the plan?a.Identify the client's trigger foods.i.The nurse should identify the trigger foods that initiate the client's binge andassist the client to understand their thoughts and behavior that relate to thefood.4.A nurse is assisting a client who has a terminal illness adjust to progressive loss ofindependence. Which of the following statements made by the client indicates acceptance ofher illness?a."I am going to order a wheelchair for when I'm unable to walk."i.The client is recognizing the reality of continued loss of independence and isanticipating the need for assistive devices, which indicates the behavioralresponse of acceptance.5.A nurse is reviewing the medication administration for a client who is experiencing adverseeffects of chlorpromazine. The nurse should administer benztropine to relieve which of thefollowing adverse effects?a.Acute dystoniai.The nurse should administer benztropine, an anticholinergic agent, to relieveacute dystonia, which is an extrapyramidal adverse effect of chlorpromazine6.A nurse is caring for an older adult client who is experiencing delirium. Which of the followinginterventions should the nurse include in the client's plan of care?a.Permit the client to perform daily rituals to decrease anxiety.i.The nurse should provide a client who has delirium with a plan of care thatdecreases agitation and anxiety by permitting the client to perform daily rituals7.A nurse is receiving change-of-shift report for four clients. Which of the following clientsshould the nurse plan to see first?a.A client who is taking clozapine and reports sore throat and chills.i.When using the urgent vs. nonurgent approach to client care, the nurse shoulddetermine to first see the client who is taking clozapine and reports a sorethroat and chills. Clozapine can cause agranulocytosis, a serious adverse effectthat causes neutropenia. The nurse should withhold the medication and notifythe provider of these findings

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