6. A nurse is assisting a client with borderline personality disorder in how to manage transient psychotic episodes that involve auditory hallucinations. The teaching is planned for times when the client is free of these symptoms. Which of the following would the nurse instruct the client to do first? A) Refer to cards listing potential symptoms. B) Identify early internal cues of distress. C) D) Practice deep abdominal breathing. Use skills to tolerate painful feelings. 7. A 59-year-old man with type 2 diabetes is prescribed metformin. When the patient returns to the clinic, he reports that he has lost 8 pounds in a month. How should the nurse respond? A) "We should really report this to your physician. The metformin dosage will need to be decreased." B "We should really report this to your physician. He will likely change medications." C) "Please continue taking the medication and monitoring your weight. This is an expected outcome of this drug therapy." D) "You should discontinue this medication immediately. I will contact your physician." 8. The hospice nurse is caring for a 45-year-old mother of three young children in the patient's home. During the most recent visit, the nurse has observed that the patient has a new onset of altered mental status, likely resulting from recently diagnosed brain metastases. What goal of nursing interventions should the nurse identify? A) Helping the family to understand why the patient needs to be sedated B) Making arrangements to promptly move the patient to an acute-care facility C) Explaining to the family that death is near and the patient needs around-the-clock nursing care D) Teaching family members how to interact with, and ensure safety for, the patient with impaired cognition 9. A child with a pneumothorax has a chest tube attached to a water seal system. When assessing the child, the nurse notices that the chest tube has become disconnected from the drainage system. Which of the following would the nurse do first? A) Apply an occlusive dressing B) Notify the physician C) Perform a respiratory assessment D) Clamp the chest tube