1. A nurse is planning care for a client who has borderline personality disorder who self- mutilates. Which of the following treatment approaches should the nurse plan to take? a)Restrict participation in group therapy sessions

b) Establish consequences for self-mutilation

c) Maintain close observation

d) Provide an unstructered environment

Clients who have borderline personality disorder are at risk for self-harm during times of increased anxiety. Maintaining close observation reduces the client's risk of injury

2. A nurse is caring for a client who has Alzheimer's disease and a new prescription for donepezil. What action should the nurse take?

Administer med at bedtime

3. A nurse is caring for a client who reports that the television set in the room is really a two-way radio and states, "voices are coming from the TV and everything we say in this room is being recorded." What response should the nurse make?

“That must be very frightening."

The nurse should respond to the client's delusion in a calm and empathetic manner. By acknowledging to the client that the delusion must be frightening, the nurse promotes the nurse-client relationship.

4. A nurse is caring for a client who has Wernicke-Korsakoff syndrome due to alcohol use disorder. What finding should the nurse expect?

Confusion

The nurse should expect the client who has Wernicke-Korsakoff syndrome to exhibit neurological and cognitive manifestations due to thiamine deficiency. Confusion, stupor, diplopia, and memory loss are expected findings of this disorder.

5. A nurse is providing teaching to a client who has generalized anxiety disorder and a new prescription for buspirone. The nurse should inform the client that which manifestations is a common adverse effect of this medication?

Dizziness

The nurse should inform the client that dizziness is a common adverse effect of buspirone. The nurse should instruct the client to avoid driving and operating heavy machinery until the presence of adverse effects is determined.

6. A nurse is reviewing the medical record of a client who has a new prescription for a benzodiazepine. What finding should the nurse question the provider's prescription? Hypotension.

The nurse should question the provider's prescription for a benzodiazepine for a client