Mental Health Nursing
A the spouse of a client comes to the nurse with questions about conversion disorder after a traumatic event. What explanation will the nurse give?
Acceptable Answers:
symptomatic/biological reaction to stressful event that may manifest as blindness, paralysis, hearing loss etc
Further thinking - What does the nursing management of this client look like?
A nurse is interviewing a client who is at risk for depression. What is the PRIORITY question the nurse should ask?
"Do you or have you ever had any thought's of harming yourself?
A nurse is reviewing procedures and actions that are within the scope of practice of an LPN when planning care. What will this entail?
Acceptable answers:
care of stable clients, collect data to report to nurse, admin PO/IM/SUBQ meds, reinforce teaching AFTER initial one by nurse
Further thinking - what is the acronym to remember for LPN scope of practice?
A nurse is preparing to administer a prescribed dose of Lithium to a client diagnosed with Bipolar Disorder. Current level is 1.0 mEq/L. What should the nurse do next?
Administer the medication.
Rationale: normal lithium level range is 0.8 - 1.2, the current level falls between this so the nurse is able to give the med
A client is assessing a pediatric client of Vietnamese culture and inspects red linear marks noted on the back. What is the nurse's appropriate action?
ANS: Document findings, understand this is known as coining and is normal for this culture
A client admitted for treatment of acute MI. Client's spouse states that the client has been dealing heavy drinking for years. Based on this report, the nurse should be aware for what symptoms?
Acceptable answers:
hyperalertness, anorexia, sweating, tremors, tachycardia, anxiety, insomnia, aggression
Further thinking - what does further nursing care of this client look like?
The client with a history of CAD calls the nurse with concerns. The client reports to the nurse the following: absent pedal pulses, cold and hairless legs, edema, and claudication. What least invasive, health promoting intervention will the nurse give the client
Hang the legs.
This client is experiencing Peripheral Arterial Disease. Additional symptoms include pain in legs with elevation. Blood flow cannot reach tissues properly. Therefore the client should hang the legs and let gravity work in order to restore circulation to peripheral tissues
A pediatric client diagnosed with cancer is prescribed chemotherapy treatments. The parent asks the nurse about information pertaining to vaccine administration. What will the nurse tell the parent about the specific vaccine contraindications for this child?
Acceptable answers:
MMR, varicella, flu, rotavirus
A client is in the manic phase of bipolar disorder. What is the PRIORITY nursing action?
Acceptable answers:
Promote safety, provide figure foods, keep client away from others
A nurse is caring for a client who sustained a spinal cord injury. Suddenly, the client reports a feeling of the strong urge to urinate. Further assessment by the nurse reveals flushing, blurred vision, and severe increase in BP. The nurse is concerned that the client is at risk for what syndrome/disorder?
Autonomic Dysreflexia
Further thinking - what is the priority action the nurse will take to prevent complications?