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Questions 164

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Question 1 of 5

A 31-year-old client is admitted to the psychiatric unit after cutting both wrists with a kitchen knife. The client has a diagnosis of borderline personality disorder. The most therapeutic approach by the nurse is one that is:

Correct Answer: C

Rationale: A firm and consistent approach provides structure and boundaries, which are therapeutic for clients with borderline personality disorder who often test limits.

Question 2 of 5

The nurse is caring for a newborn who has a large myelomeningocele. It would be a priority for the nurse to

Correct Answer: B

Rationale: A myelomeningocele requires a sterile, moist dressing (
B) to prevent infection and drying. Checking anus tone (
A), measuring head circumference (
C), and supine positioning (
D) are secondary or contraindicated.

Question 3 of 5

Which of the following activities would be best tolerated by a client with muscular dystrophy?

Correct Answer: A

Rationale: Swimming is low-impact and supports muscles, making it the best activity for a client with muscular dystrophy, which causes muscle weakness.

Question 4 of 5

The nurse is caring for a woman who has internal radiation for cancer of the cervix. Which of the following situations poses the greatest risk for others?

Correct Answer: A

Rationale: Prolonged close contact (daughter's hours-long visit) increases radiation exposure risk. Brief visits, tray setup, or mopping pose minimal risk.

Question 5 of 5

The nurse cares for a hospitalized client with malnutrition related to anorexia nervosa. Which of the following actions are appropriate in the care of this client?

Correct Answer: B,C,D,E

Rationale: Reflecting on triggers (
B), documenting intake (
C), staying during meals (
D), and daily weighing (E) support recovery. Exercise (
A) should be limited to prevent calorie expenditure.

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