a nurse is obtaining a medical hx from a pt. who is requesting a prescription for bupropion for smoking cessation. which of the following assessment findings in the pts. hx should the nurse report to the provider?

A. Recent head injury 

b. hypothyroidism

c. herpes infection 

d. knee arthroplasty 1 month ago - ANSWER A. Recent head injury - risk for seizures


a nurse is planning care for a pt. who has narcissistic personality disorder. which of the following actions is appropriate for the nurse to include in the plan of care?

A. request an anti-psychotic med from the provider

b. ask the client to sign a no suicide contract 

c. remain neutral when communicating with the client 

d. provide the client with high cal. finger foods - ANSWER c- remain neutral when communicating with the client


a nurse is preparing for an inter professional team meeting regarding client who has major depressive disorder. which of the following findings obtained during the initial assessment is a priority to report to other disciplines?

A. significant weight loss

b. neglected hygiene 

c. psychomotor retardation 

d. problem solving skills - ANSWER b. neglected hygiene


a nurse in a mental health facility is reviewing a client's medical record. which of the following actions should the nurse take first?

A. initiate 0.9 sodium chloride with 40 mil equivalent potassium chloride 

b. encourage the client to attend group therapy sessions

c. teach the client about nutritional needs

d. administer acetaminophen 500 mg PO - ANSWER d. administer acetaminophen 500 mg PO


a nurse is providing care for a client who demonstrates prolonged depression related to the loss of her significant other 6 months ago. which of the following actions should the nurse take?

A. suggest that the client avoids social interactions that remind her of her partner 

b. discourage the client from reliving the event surrounding her loss

c. explain that it could take a year or more to learn to live with the loss 

d. have the client maintain an unstructured daily routine - ANSWER c. explain that it could take a year or more to learn to live with the loss


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