Author: Anonymous

A nurse is caring for a client who repeatedly washes the hands for several hours each day because of persistent thoughts about germs. Which nursing interpretation is most appropriate?

A nurse is assessing a client who repeatedly checks that the front door is locked before leaving home. The client states, “I know it’s locked, but I can’t stop checking.” Which nursing interpretation is most appropriate?

A nurse is teaching a client diagnosed with generalized anxiety disorder about Cognitive Behavioral Therapy (CBT). Which techniques should the nurse include? (Select all that apply.)

A nurse is caring for a client who reports feeling anxious. The client has a pounding heartbeat, dry mouth, muscle tension, and difficulty concentrating during the interview. The client frequently asks the nurse to repeat instructions before responding. Which level of anxiety is the client experiencing?

A nurse is caring for a client who states, “I’m frustrated that my medication isn’t helping. I’d like to discuss other treatment options with my provider.” Which nursing interpretation is most appropriate?

A nurse is assessing a client with schizophrenia who begins pacing the hallway, appears increasingly restless, and repeatedly clenches both fists while mumbling, “They’re trying to make me angry.” Which phase of the aggression cycle is the client most likely experiencing?

A nurse is caring for a client who is trembling, crying, unable to solve simple problems, and does not respond when the nurse attempts redirection. Which nursing intervention is highest priority?

The provider prescribes ceftriaxone 1 g IVPB every 24 hours. The medication is supplied in 100 mL normal saline and must infuse over 30 minutes. How many mL/hr should the nurse set the IV pump? Round to the nearest whole number. [BLANK-1]

A nurse is caring for a client with posttraumatic stress disorder (PTSD) who reports persistent anxiety, intrusive memories, and sleep disturbances despite participating in psychotherapy. Which medication should the nurse anticipate the healthcare provider may prescribe as first-line pharmacologic treatment?

The provider prescribes 1,000 mL lactated Ringer’s IV to infuse over 8 hours. The IV tubing has a drop factor of 20 gtt/mL. How many gtt/min should the nurse regulate the IV flow? Round to the nearest whole number. [BLANK-1]