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A nurse is explaining to a newly hired nurse how mental health promotion can be used for clients. Which of the following examples should the nurse use in the explanation? (Select all that apply.)

Allowing a client to skip individual therapy if they are tired

Administering client medications on an inpatient unit

Allowing the client to use exercise equipment when becoming anxious

Assisting the client in using adaptive coping skills

Following suicide precautions for a client

Answer and Explanation

Correct Answer : C,D,E

Rationale:

A. Allowing a client to skip therapy may not be promoting mental health effectively and could hinder progress.

B. Administering medications is a necessary task but does not directly relate to mental health promotion strategies.

C. Allowing the use of exercise equipment to manage anxiety supports mental health promotion by encouraging healthy coping mechanisms.

D. Assisting clients in using adaptive coping skills is a key aspect of mental health promotion, helping clients develop effective strategies to manage their condition.

E. Following suicide precautions ensures safety and is a proactive approach to mental health management.

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Correct Answer is A

Explanation

Rationale:

A. Stopping the transfusion is the priority action as it is essential to prevent further potential adverse effects and initiate an investigation of a possible transfusion reaction.

B. Assessing the skin for a rash is important but secondary to stopping the transfusion.

C. Notifying the provider is necessary, but the immediate priority is to stop the transfusion.

D. Covering the client with a blanket does not address the potential severity of a transfusion reaction.

A. Nylon socks B. Glass framed picture of the client's partner C. Lace-up tennis shoes D. Cotton underwear E. Necklace

Correct Answer is ["B","C","E"]

Explanation

Rationale:

A. Nylon socks are generally not considered a risk for self-harm and can be safely kept with the client.

B. A glass-framed picture presents a risk as the glass could be broken and used for self-harm. This item should be taken home.

C. Lace-up tennis shoes have long laces that could be used for self-harm, making them unsafe for a client at risk of suicide.

D. Cotton underwear does not pose a significant risk for self-harm and can be kept with the client.

E. A necklace could be used for self-harm, such as strangulation, and should be taken home to ensure the client's safety.

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A nurse is explaining to a newly hired nurse how mental health promotion can be used for clients. Which of the following examples should the nurse use in the explanation? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is monitoring a client who reports having chills and back pain during a blood transfusion. Which of the following actions is nurse's priority?

Correct Answer is A

Explanation

A nurse on an acute care mental health unit is examining the belongings of a client who is being admitted following a suicide attempt. Which of the following belongings should the nurse ask the client's partner to take back home?(Select All that Apply.)

Correct Answer is ["B","C","E"]

Explanation

A nurse is caring for a client who has schizophrenia with an exacerbation of hallucinations. The client states, "I do not understand why the hallucinations have come back." The nurse should explain that which of the following is the reason for the exacerbation of hallucinations?

A nurse is planning a teaching for a group of clients about defense mechanisms. Which of the following information should the nurse include? (Select All that Apply.)

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A nurse is discussing mental health with a client. Which of the following statements by the client requires follow-up by the nurse?

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