A nurse is collecting data from a client who has a history of cocaine use. Which of the following
manifestations is an indication that the client is experiencing cocaine toxicity?
Seizures
*The nurse should expect a client who is experiencing cocaine toxicity to experience seizures. Other
manifestations include severe anxiety, hallucinations, and paranoid thoughts.
A nurse is reinforcing teaching with an adolescent client who has a history of aggressive behavior. Which
of the following statements should the nurse make?
"Have you considered playing a sport, to help control your aggression?"
A nurse is participating in group therapy for clients who have major depressive disorder. Which of the
following topics should the nurse include in the orientation phase of group therapy?
Confidentiality
A nurse is caring for a client who has schizophrenia and a prescription for haloperidol. The nurse should
identify that which of the following findings indicates a potential need for a PRN dose of benztropine?
Shuffling gait
*The nurse should identify that a shuffling gait can be indicative of the presence of pseudoparkinsonism,
which can be treated with a PRN dose of benztropine.
A nurse on a mental health unit is reinforcing teaching about informed consent with a newly licensed
nurse. Which of the following statements indicates an understanding of the teaching?
"The consent form should have the name of the provider who is performing the procedure on the form."
A nurse is assisting with the admission of a client to an acute care mental health facility. Which of the
following activities should the nurse plan for the working phase of the therapeutic relationship?
Evaluate the client's progress toward meeting his goals.
A nurse is collecting data from a client who has delirium. The nurse should identify which of the
following conditions as a predisposing factor for delirium?
Hepatic failure
*Hepatic failure can be a predisposing factor for the development of delirium. Other potential
predisposing factors include febrile illness, hypoxia, head trauma, and stroke.
A nurse is caring for a group of clients on mental health unit. Which of the following client behaviors
should the nurse report to the charge nurse?
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