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Questions 149

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Question 1 of 5

A 42-year-old female has thrombocytopenia with a platelet count of 75,000. The nurse should

Correct Answer: A

Rationale: Thrombocytopenia (platelets <150,000) increases bleeding risk. Monitoring for bleeding (e.g., bruising, petechiae) is the priority.

Question 2 of 5

The nurse is caring for a client with a diagnosis of major depressive disorder. Which of the following client statements would indicate that the client is responding positively to the prescribed antidepressant therapy?

Correct Answer: A

Rationale: improved energy level is a positive sign of response to antidepressant therapy

Question 3 of 5

The nurse is caring for a group of clients in an alcohol rehabilitation facility. A local news station is doing a story on addiction, and a representative comes to the facility, asking to interview a client. A client agrees to appear in the story, and the crew films an interview in the dayroom, showing a glimpse of other clients. Which violation has the nurse committed?

Correct Answer: B

Rationale: The nurse violated HIPAA by allowing the filming of other clients without their consent, as this discloses protected health information (PHI) without authorization.

Question 4 of 5

The client is admitted for evaluation of aggressive behavior and diagnosed with antisocial personality disorder. A key part of the care of such clients is:

Correct Answer: A

Rationale: Setting realistic limits helps manage the manipulative and impulsive behaviors common in antisocial personality disorder, promoting safety and structure.

Question 5 of 5

The RN is planning client assignments. Which is the least appropriate task for the nursing assistant?

Correct Answer: D

Rationale: Assessment of breathing difficulty requires RN expertise to evaluate and intervene, making it inappropriate for a nursing assistant.

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