1. A nurse is caring for a client whose child has a terminal illness. The client

requests information about how to deal with the upcoming loss. Which

of the following statements should the nurse make

a. "It is not uncommon to feel angry toward yourself or others

Reason: Feelings of blame and anger towards oneself or others

are an expected reaction when a client is experiencing a loss.

2. A nurse is teaching a client who has bipolar disorder and a prescription

for lithium. Which of the following instructions should the nurse include

in the teaching

a. "Take this medication with food

Reason: Lithium can cause GI distress and should be taken with

food. Recommended sodium intake 1500mg/day. Recommended

2000-3000ml/day fluids.

3. A nurse is planning care for four clients in a mental health facility. Which

of the following clients is at the greatest risk for injury when performing

ADLs

a. A client who has severe Alzheimer's disease

Reason: Alzheimer's clients are typically confused with memory

difficulties, tend to wander and need ADL assistance.

4. A nurse is updating the plan of care for a client who has bulimia nervosa

and is 5?ove his ideal body weight. Which of the following

interventions should the nurse include in the plan

a. Identify the client's trigger foods

Reason: Nurse should identify trigger foods that initiate the

client's binge and assist the client to understand his thoughts and

behavior that relate to the food