Question

2. A nurse is caring for a client whose partner died 6 months ago. Which of the following findings is the nurse’s priority?

a. The client frequently recalls negative experiences that occurred during his marriage.

b. the client states that he is unable to eat more than once a day.

c. The client says he feels guilty about not spending more time with his partner.

d. The client relates that he is angry that the provider did not save his partner’s life.

Ans.

3. A nurse is caring for a client who has borderline personality disorder. Which of the following actions should the nurse take?

a. Maintain consistency in assigning health care staff for the client.

b. Encourage the use of countertransference for the client.

C. Demonstrate a sympathetic attitude toward the when providing care.

d. Provide consistent boundaries for the client.

4. A nurse is conducting an admission interview with a new client who tells the nurse, “my life is so stressful. I can’t take it anymore.” Which of the following responses should the nurse make first?

a. Tell me what makes you feel stressed.

b. Are you thinking of harming yourself?

c. Let’s talk more about what you are experiencing

d. How have you deal with stress in the past?

5. a nurse is teaching about deep-breathing exercises with a client who reports experiencing intense stress at work. Which of the following statements by the client indicates an understanding of the teaching?

a. I will focus on how the muscles in my stomach feel with each breath.

b. I will inhale through my mouth and exhale through my nose.

c. I will hole my breath flor 5 or 6 second each time.

d. I will focus on the causes of my stress during the exercise.

6. a nurse is caring a client who has depression following a recent job loss. Which of the following questions should the nurse ask to assess the client’s personal coping skill?

a. How have you deal with similar situations in the past?

b. Can you describe how you are currently feeling?

c. Do you see your current situation affecting your future?

d. How does this situation affect your life?

7. A nurse is assessing a client who recently experienced the loss of their partner. Which of the following questions is the priority for the nurse to ask during this situation crisis?

a. Are you having thoughts about harming yourself?

b. Who do you talk to when you need help?

c. How do you think these events is affecting your life right now?

d. what do you usually do to cope with problem in your life?

8. A nurse teaching a newly licensed nurse about contributing factors that lead to the development of conduct disorder. Which of the following factors related to family dynamics should the nurse include in the teaching?

a. The client mother has asthma

b. the client’s father lives in the client home

c. The client is the oldest of their siblings.

d. The client has several siblings.

9. a nurse is caring for a client who is admitted to a mental health facility after attempting suicide. Which of the following actions should the nurse take first?

a. Ask the client to sign a no-suicide contract.

b. Establish a rapport to foster trust.

c. Encourage the client to participate in group therapy.

d. Implement continuous one-to-one observation.

10. A nurse is caring for a client who has schizophrenia and is taking clozapine. Which of the following findings is the priority for the nurse to report to the provider?

a. heart rate 104/mim

b. Nausea

c. random blood glucose 130 mg/dL.

d. Sore throat.

11. A nurse is creating a plan of care foe a client who has major depressive disorder. Which of the following interventions should the nurse include in the plan?

A. Encourage physical activity for the client during the day.

b. Keep a bright on in the client room at night.

c. discourages the client from expressing feeling of anger.

d. Identify and schedule alternative group activities for the client.

12. A nurse is caring for a client who states, “I am too embarrassed to tell anyone what I did last night.” Which of the following responses should the nurse make?

a. You shouldn’t feel embarrassed to talk to me.

b. Lots of people feel ashamed to tell their secrets.

c. Let’s discuss what you feel embarrassed about.

d. You will feel better if you tell what you did last night.

13. A nurse is caring for a client who has bipolar disorder and is refusing to take prescribed medications. Which of the following ethical principles is the nurse displaying when he supports the client’s refusal of medication?

A. Autonomy

b. Veracity

beneficence

d. Justice

14. A nurse in an in-patient facility is caring for a client who has an anxiety disorder. Which of the following actions should the nurse take while the client is experiencing an acute panic attack?

a. Administer a dose of atomoxetine to the client.

b. Encourage the client to watch television as a distraction.

c. Encourage the client to describe their feelings in a journal.

d. Administer a dose of alprazolam to the client.

15. A home health nurse visits a client lost their partner 2 years ago. Which of the following behaviors by the client indicates a maladaptive grief response?

a. the client is unable to perform basic hygiene tasks.

b. the client gives away some of the partner’s belongings.

c. The client relocates from a house to an apartment.

d. the client expresses feeling of guilt.

16. An older adult client is brought to the mental health clinic by her daughter. The daughter reports that mother is not eating and seems uninterested in routine activities. The daughter states, “I’m so worried that my mother is depressed.” Which of the following responses should the nurse make?

a. older adults are usually diagnosis with depressive disorder as they age.

b. You shouldn’t worry about this. Because depressive is easily treated’

c. Everyone gets depressed from time to time.

d. Tell me the reasons you think your mother is depressed.

17. A nurse in a provider’s office is assessing a school-age child who has a spiral fracture. The parent of the child provides different accounts of the cause of the injury. Which of the following actions should the nurse take first?

a. Request that the parent leave the room while interviewing the child.

b. Report suspected abused to child protective services.

c. Ask the child how the injury occurred.

d. Determine the immediate safety needs of the child.

18. A nurse is caring for a client who has anorexia nervosa. Which of the following findings requires immediate intervention by the nurse?

a. +2 edema of the lower extremities.

b. Blood PH 7.60

c. Lanugo covering the body.

d. Bun 21 mg/dL

19. A nurse manager is observing a newly licensed nurse preparing to administer an IM medication to a client who is manic and refuses the medicate. Which of the following actions should the nurse manager take first?

a. Discuss the purpose of the medication with the client.

b. Assess the need for physical restraints.

c. Demonstrate how to verbally de-escalate the situation.

d. Stop the newly licensed nurse from administering the medication.

20. A charge nurse is making room assignments for new client admissions. Which of the following client should the nurse place closest to the nurse’s station?

a. a client who has a history of dependent personality disorder.

b. A client who has schizotypal personality disorder.

c. a client who has moderate-stage Alzheimer’s disease.

d. A client who has a history of alcohol use disorder.

21. A nurse is developing a behavioral contract with a client who has antisocial personality disorder. Which of the following client goals should the nurse include in the contract?

a. Increase self-esteem

b. use projection during group therapy.

c. Decrease the number of verbal outbursts.

D. Use bargaining skills for behavioral consequences.

22. a nurse in a mental health facility is making plians for a client’s discharge. Which of the following interdisciplinarities member should the nurse contacts to assess the client will housing placement.

a. recreational therapy

b. Social worker

c. Occupational therapy

d. clear nurse specialist

23. a nurse is providing teaching to a client who is prescribed methylphenidate for ADHD. Which of the following statements by the client indicates an accurate understanding of this medication’s effects?

a. I need to tell my doctor if I start gaining weight.

b. I’ll take my medication at bedtime because it will make me drowsy.

c. This medication will help me relax and feel less anxious.

d. I know that I will be able to think more clearly now.

24. A home health nurse is caring for a client who is in the continuation phase of major depressive disorder. The client states. “I feel unmotivated and don’t feel like leaving my home.” Which of the recommendations should the nurse make to address’s social isolation?

a. Join a low impact exercise class.

b. Practice guided imagery each morning.

c. Enroll in an online self-help course.

d. Write in a journal daily.

26. A nurse is providing counseling for a family that consists of two parents and their two adolescent children. Which of the following family members should the nurse identity as acting the role of monopolize?

a. The father who intervenes whenever the sibling argues

b. The adolescent daughter who attempts to dominate the discussion.

c. The adolescent son who refuses to share personal feeling.

d. The mother who expresses hostility toward her spouse.

Answer 1

2.b,d,a,c

Because following priority will help to give a nursing care accordingly to the need of patient

3.a,b and d

This is all follwing necessary steps will help the patient to develop his personality.

4.b( by asking this, the clients feels like that the health professional is very concerned to solve my problem and it will help to develop trust on the nurse),c,d,a

- ask question by slowly to know deeply about the patient situations

5.a,c,d( it is indicating that he is stressed but taught the patient be claim and relax at the time of exercise not to think around us)

not b. because it is never need to teach to any one that both we can inhale and exhale by nose as it is involuntary movement of our body except any deformity present in the nose.

6.a,b,c

not d. as above already asked that " do you see your current situation affecting your future"?

7.a( main asking this first it will makes the patient feel that the nurse is very concerned about her situation and will help to generate a good IPR),c,d,b

8.a,c,d

not b. as our family members like parents and siblings, that makes a "home" when we live together so, there is no need to specially indicate that clients father lives in the client's home

9.b,c,d,a ( it should be proform at the end of the process because first be a Nurse needs to develop trust maintain the good IPR that make the patient faith on her and cope with her)

10.a,c ( as These will help to collect the baseline data of the patient),b,d

11.a,c,d

not b. because on bright there will be disturbance in the sleeping and switch off lights ,be in a clean and hygienic environment that promotes the sleeping

12.b,c,d

by showing respect for patient all the time and be honest and keep your word the way will build the trust with the patients and will help to cope with the nurse.

13.d,c,a,b

It is the ethical principles that nurses must adhere.Nurses must be fair when they distribute care

14.b,c,d

not a.  because Atomoxetine is used to treat attention -deficit hyperactivity disorder (ADHD) as a part of total treatment plan, including psychological ,social and other treatments. It may help to increase the ability to pay attention, concentration ,stay focused and stop fidgeting.

15.a,b,d

not c. because relocate from home to apartment may be some other reason but not indicating a particular maladaptive grief as there not mentioned it has before his/her partner's death

16.a,b,d

not c. As stress is common and somehow it is is beneficial for our daily routine life but depression is not common it needs special concerned with depressed person

17.d (as it is the very first priority to give immediate care whom to be need for save the life ),c( to know the causes it is need to as the child has received the injury),b,a

18.a,b,d

not c. because lanugo is the hair that covers the body of the some newborns. Most of the foetus develop lanugo around the fourth or fifth month of pregnancy..This downy unpigmented hair is the first type of hair that grows from hair follicles, it can be found everywhere on the baby's body

19.d,b (To restrain patient with the minimum of discomfort and pain and to prevent from injuries), c(to reduce the intensity of conflict or potentially violent situation),a(so that he can better cope with nurse)

20.