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    Exam Review

    1. A nurse is providing care to children on a general pediatric unit. Which of the following children should the nurse identify as a potential victim of abuse?
      A)
      A child whose parents answer questions for the child
      B)
      A child who has frequent visitors
      C)
      A child who has a BMI indicating obesity
      D)
      A child who uses the call light frequently
    2. A nurse is caring for a client whose partner died five years ago. The nurse recognizes that which of the following findings would indicate the client is experiencing maladaptive grief?
      A)
      The client meets his daughter for dinner every week.
      B)
      The client joined a bowling league 2 months ago.
      C)
      The client exercises at a local health facility 3 days each week.
      D)
      The client has kept his partner's closet untouched since her death.
    3. A school nurse is talking with a 13-year-old female at her annual health-screening visit. Which of the following comments made by the adolescent should be the nurse's priority to address?
      A)
      "I haven't gotten my period yet, and all my friends have theirs."
      B)
      "There's a big pimple on my face, and I worry that everyone will notice it."
      C)
      "My parents treat me like a baby sometimes."
      D)
      "None of the kids at this school like me, and I don't like them either."
    4. A home health nurse is speaking to a group of acute care nurses about domestic violence. Which of the following statements by one of the acute care nurses indicates a need for clarification by the home health nurse?
      A)
      "I have heard that abusers try to keep their partner isolated from others."
      B)
      "I know that men who are abusers gain power through intimidation."
      C)
      "I have heard that abusers think of themselves as important and have high self-esteem."
      D)
      "I know that abusers lack social supports and social skills."
    Page 1 of 24

    Exam Review

    1. While in group therapy, a nurse is caring for a client who has cancer and is scheduled for immediate chemotherapy. The client tells the nurse that she wants to try nontraditional treatments first. Which of the following responses should the nurse make?
      A)
      "Your provider is very knowledgeable. If he prescribes chemotherapy, it's the best treatment for you."
      B)
      "Using nontraditional treatments is not a good idea. I'd rather you avoid that route."
      C)
      "Tell me more about your concerns about taking chemotherapy."
      D)
      "A lot of people think nontraditional treatments will work, and they find out too late that they made the wrong choice."
    2. A client has made the decision to leave her alcoholic husband and reports feeling very depressed. Which of the following is a non-therapeutic statement by the nurse that demonstrates sympathy?
      A)
      "You are feeling very depressed. I felt the same way when I decided to leave my husband."
      B)
      "I can understand you are feeling depressed. It was a difficult decision. I'll sit with you."
      C)
      "You seem depressed. It was a difficult decision to make. Would you like to talk about it?"
      D)
      "I know this is a difficult time for you. Would you like medication for anxiety?"
    3. A nurse on an inpatient mental health unit is admitting a client who has panic-level anxiety. After orienting the client to his room, which of the following nursing actions is most therapeutic at this time?
      A)
      Have the client join a therapy group.
      B)
      Remain with the client in his room for a while.
      C)
      Suggest that the client rest in bed.
      D)
      Medicate the client with a sedative.
    4. A nurse in an acute mental health facility is creating a plan of care for a new client who has histrionic personality disorder. Which of the following is the highest priority for the nurse?
      A)
      Encourage client input in the treatment plan.
      B)
      Communicate with the client using concrete language.
      C)
      Demonstrate assertive behavior.
      D)
      Promote appropriate behavior during group therapy sessions.
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    Exam Review

    1. According to Bowen's theoretical approach to therapy, which of the following should the nurse recognize as a concept of a functional family interaction pattern?
      A)
      Marital skew
      B)
      Sibling position
      C)
      Double-bind communication
      D)
      Pseudomutuality
    2. A nurse is caring for an adolescent client who has a new diagnosis of schizophrenia. The client's parents are tearful and express feelings of guilt. Which of the following is an appropriate statement by the nurse?
      A)
      "Your provider has explained the causes of schizophrenia. Why do you feel guilty about your daughter's diagnosis?"
      B)
      "You said that you feel guilty about your daughter's diagnosis. Let's talk about what is causing you to feel this way."
      C)
      "You should not feel guilty about your daughter's diagnosis. Schizophrenia is unpreventable."
      D)
      "I'm sure your daughter's diagnosis is very difficult to deal with, but everything will be all right once she receives the proper treatment."
    3. A nurse in a substance abuse clinic is assessing a client who is prescribed disulfiram (Antabuse). The client states he stopped the medication after developing severe nausea and vomiting. Which of the following does the nurse realize is most likely the cause of the client's symptoms?
      A)
      The client took an overdose of the medication.
      B)
      The client demonstrated an allergic response to the medication.
      C)
      The client experienced a common side effect of the medication.
      D)
      The client consumed alcohol while taking the medication.
    4. A nurse is planning care for a client who has dependent personality disorder. Which of the following actions should the nurse plan to take?
      A)
      Monitor the client closely to prevent self-mutilation.
      B)
      Set limits to prevent exploitation of other clients.
      C)
      Give positive feedback when the client is assertive with staff or clients.
      D)
      Discourage flamboyant or seductive behaviors.
    Page 3 of 24

    Exam Review

    1. A nurse is assessing a client diagnosed with schizophrenia. Which of the following behaviors should the nurse document to be associated with schizophrenia?
      A)
      Recurrent thoughts of past trauma
      B)
      Invents words that have no meaning
      C)
      Preoccupied with folding clothes
      D)
      Periods of elation with unusual talkativeness
    2. A nurse is reviewing the history and physical of an adolescent client diagnosed with conduct disorder. The nurse recognizes that which of the following is an expected assessment finding of conduct disorder?
      A)
      Death of client's father two months ago
      B)
      Experiences frequent facial tics
      C)
      Adheres strictly to routines
      D)
      Suspended from school several times in the past year
    3. A nurse is caring for a client who has late-stage Alzheimer's disease and is hospitalized for treatment of the flu. During the night shift, the client is found climbing into the bed of another client who becomes upset and scared. Which of the following actions should the nurse take?
      A)
      Medicate the patient with antipsychotics.
      B)
      Assist the client to the correct room.
      C)
      Move the client to a room at the end of the hall.
      D)
      Place the client in restraints.
    4. A nurse is discussing stress management techniques with a group of clients. Which of the following techniques mentioned by a client should the nurse recognize as the least effective?
      A)
      "I exercise when my neck is tense."
      B)
      "I fix myself a pot of coffee when I get anxious."
      C)
      "I pray when I begin to breathe fast."
      D)
      "I journal when I find it difficult to talk."
    Page 4 of 24

    Exam Review

    1. The nurse is caring for a client diagnosed with severe intellectual disability. Which of the following characteristics should the nurse recognize to be associated with severe intellectual disability?
      A)
      The client can perform some self-care activities independently.
      B)
      The client has advanced speech development.
      C)
      Other than possible coordination problems, the client's psychomotor skills are not affected.
      D)
      The client communicates wants and needs by "acting out" behaviors.
    2. A home health nurse is making a home visit to a client who has Alzheimer's disease and the client's partner. Which of the following observations indicates to the nurse that the partner is experiencing caregiver role strain?
      A)
      The partner has hired a house cleaner.
      B)
      The partner has placed locks at the top of the doors leading to the outside.
      C)
      The partner has lost 25 lb in the past 3 months.
      D)
      The partner redirects the client when the client is frustrated.
    3. A nurse is caring for a client who is experiencing a manic episode. Other clients begin to complain about her disruptive behavior on the unit. Which of the following actions should the nurse take?
      A)
      Warn the client that further disruptions will result in seclusion.
      B)
      Ask the client to recommend consequences for her disruptive behavior.
      C)
      Set limits on the client's behavior and be consistent in approach.
      D)
      Ignore the client's behavior, realizing it is consistent with her illness.
    4. A nurse is caring for a client who has bipolar disorder. Which of the following actions by the client should the nurse interpret as displaying manic behavior? (Select all that apply.)
      A)
      Impulsive behaviors
      B)
      Sleeping for long periods of time
      C)
      Interacting with others in a flirtatious way
      D)
      Dressing in black or grey clothing
      E)
      Talking in rapid, continuous speech
    Page 5 of 24

    Exam Review

    1. A nurse is caring for a client who requires a crisis intervention for acute anxiety. Which of the following nursing actions is the highest priority?
      A)
      Determining the cause of the client's anxiety
      B)
      Identifying the client's coping skills
      C)
      Protecting the client from injury to himself
      D)
      Ensuring that the client feels safe
    2. When providing community healthcare teaching regarding the early warning signs of Alzheimer's disease, which signs should the nurse advise family members to report? (Select all that apply.)
      A)
      Becoming lost in a usually familiar environment.
      B)
      Difficulty performing familiar tasks.
      C)
      Losing sense of time.
      D)
      Misplacing car keys.
      E)
      Problems with performing basic calculations.
    3. A nurse is talking with a client diagnosed with schizophrenia. Suddenly the client states, "I'm frightened. Do you hear that? The voices are telling me to do terrible things." Which of the following responses by the nurse is appropriate?
      A)
      "What are the voices telling you to do?"
      B)
      "You need to tell the voices to leave you alone."
      C)
      "You need to understand that there are no voices."
      D)
      "Why do you think you are hearing the voices?"
    4. A nurse educator is discussing community mental health with a group of nursing students. Based on the public health model, which of the following statements made by one of the students indicates correct information about primary prevention?
      A)
      Services aimed at reducing the incidence of mental disorders within the population.
      B)
      Services aimed at reducing the residual defects that are associated with severe and persistent mental illness.
      C)
      Accomplished through early identification of problems and prompt initiation of effective treatment.
      D)
      Interventions aimed at minimizing early symptoms of psychiatric illness and directed toward reducing the prevalence and duration of the illness.
    Page 6 of 24