A nurse is contributing to the plan of care for a client who has borderline personality disorderand

exhibits manipulative behaviors. Which of the following interventions should the nurse include in

the plan to address limitsetting?

Establish and explain consequences for the client'sbehavior

A nurse is assisting with screening a group of clients for major depressive disorder (MDD). The

nurse should identify that which of the following clients is at an increased risk for the

development of MDD?

A client who just gave birth

A nurse in a mental health facility is collecting data from a client who has schizophrenia. The nurse

should identify that which of the following findings is referred to as a negative symptom of

schizophrenia?

Apathy

A nurse is monitoring the nutritional status of a client who has bulimia nervosa. The nurse

should monitor the client for which of the following complications?

Hyponatremia

A nurse is reinforcing teaching with the parent of a child who has ADHD and is exhibiting

disruptive behaviors at home. Which of the following actions should the nurse instruct the

parent to take?

Initiate a point system for the child

A nurse is collecting data from a client who has major depressive disorder. Which of the following

findingsis the priority for the nurse to report to the provider?

Feelings of hopelessness

A nurse in a mental health facility is caring for a client who is becoming agitated. Which of the

following actions should the nurse take first?

Offer an diversion activity

A nurse is reinforcing teaching about expected withdrawal manifestations with a client who has

enrolled in a smoking cessation course. Which of the following client statements indicates an

understanding of the information?

"I will probably feel irritable within 24 hours of my last cigarette."

A nurse is caring for a client who has anxiety disorder and is refusing to take a medication. Whichof

the following responsesshould the nurse make?

You have the right to refuse this medication.

A nurse is caring for a client who hasschizophrenia. Which of the following actions by the nurseis a

violation of the client's confidentiality? The nurse places the client's diagnosis on the whiteboard in

the client's room.