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    Exam Review

    1. A nurse is reinforcing discharge teaching with a client who has borderline personality disorder. The client reports being a single parent caring for two toddlers. Which of the following actions should the nurse take?
      A)
      Notify child protective services.
      B)
      Suggest the children live with other relatives.
      C)
      Encourage the children to visit the psychiatric unit when the client is leaving.
      D)
      Offer the client information about a support group for parents.
    2. A nurse manager is instructing a newly licensed nurse in ways to improve their active listening skills. Which of the following behaviors should the nurse manager recommend?
      A)
      Avoid looking at other clients on the unit.
      B)
      Interrupt the client's statement to clarify thoughts or ideas.
      C)
      Show emotion when a client is disclosing sensitive information.
      D)
      Keep direct eye contact to a minimum.
    3. A nurse is caring for a client who has been diagnosed with schizophrenia and appears confused and has distortions in their thinking and speech patterns. Which of the following is the priority nursing intervention for this client?
      A)
      Provide reassurance and comfort ensuring the client is safe.
      B)
      Ensure the client goes to group activities as planned.
      C)
      Give PRN medications to treat increased hallucinations.
      D)
      Use distraction such as the television or music
    4. A nurse is discussing borderline personality disorder and the risk for self-harm with a newly licensed nurse. Which of the following situations should the nurse identify as the highest risk for self-harm?
      A)
      When attending dialectical behavior therapy
      B)
      When getting married
      C)
      When discharged from the hospital
      D)
      When attending narrative therapy
    Page 1 of 12

    Exam Review

    1. A nurse is assisting in the care of a client who has persistent depressive disorder. When reinforcing education to the client about their illness, which of the following statements should the nurse make?
      A)
      "Persistent depressive disorder is a mild chronic form of depression."
      B)
      "Persistent depressive disorder is characterized by delusions and hallucinations."
      C)
      "Persistent depressive occurs shortly after taking or withdrawing from a substance."
      D)
      "Persistent depressive is characterized by both manic and depressive episodes."
    2. A nurse is reviewing laboratory results for a client and notes a serum lithium level of 1.6 mEq/L. Which of the following manifestations should the nurse expect the client to report?
      A)
      Lip smacking and tongue thrusting
      B)
      Gl discomfort and poor coordination
      C)
      Blurred vision and jerking motor movements
      D)
      Fever and fluctuating blood pressure
    3. A nurse is assisting in teaching a client who has been newly diagnosed with schizophrenia. Which of the following information should the nurse include?
      A)
      Diagnosis typically occurs after 40 years of age.
      B)
      Life expectancy is greater than the general population.
      C)
      Co-occurring mental health illnesses are rarely diagnosed.
      D)
      The need for resources increases as the disease progresses into adulthood.
    4. A nurse manager and a newly licensed nurse are engaged in an interview with a client. The newly licensed nurse tells the client, "You look like my sister. I love my sister and would do anything for her." Which of the following actions should the nurse manager take?
      A)
      Inform the newly licensed nurse that they are successfully building trust and rapport.
      B)
      Ask the newly licensed nurse if they are comfortable providing care to the client.
      C)
      Record that the newly licensed nurse is able to maintain professional nurse-client boundaries.
      D)
      Assign the newly licensed nurse to a different client.
    Page 2 of 12

    Exam Review

    1. A nurse is caring for a client who has depression and states, "A government agency is attempting to capture me." The nurse should identify that the client is experiencing which of the following?
      A)
      Inappropriate guilt
      B)
      Mania
      C)
      Delusions
      D)
      Confusion
    2. A nurse is discussing schizophrenia spectrum disorders with a client. The client states, "My friend says that before I started hearing voices, I stopped hanging out with them. Why is that?" Which of the following responses should the nurse make?
      A)
      "Do you think of yourself as more of an introvert? That makes a difference with how you socialize."
      B)
      "Before symptoms of schizophrenia begin, people often isolate themselves. This is an early warning."
      C)
      "Were you avoiding your friend so that you could hear the voices more clearly?"
      D)
      "That is very interesting, We are not sure why people start to isolate themselves."
    3. A nurse manager is reviewing a recent client report related to a staff nurse. Which of the following behaviors by a nurse at work might be red flags for a substance use disorder?
      A)
      Increased cheerfulness, increased energy, helping other nurses on the shift.
      B)
      Increased irritability towards supervisors, outspokenness regarding work issues, increased attendance at staff meetings.
      C)
      Volunteering for overtime on a continual basis, avoiding having a witness to wasting narcotics, needing to be alone in the medication room when preparing medications.
      D)
      Crying, sharing personal details of relationship problems, monopolizing conversations.
    4. A nurse is caring for a client who has schizophrenia. The client suddenly moves to the corner of the room and shouts, "Get it away from me!" Which of the following actions should the nurse take?
      A)
      Tell the client that there is nothing there.
      B)
      Ask the client to describe what is being seen.
      C)
      Touch the client's arm reassuringly.
      D)
      Remove the client from the room.
    Page 3 of 12

    Exam Review

    1. A nurse is reinforcing education to a group of clients about the process of neurotransmission. Which of the following statements about neurotransmission should the nurse make?
      A)
      "Neurotransmitters are chemical components that allow neurons to store energy for future use."
      B)
      "Neurotransmitters are activated by the enzyme transferase."
      C)
      "Neurotransmitters function by inhibiting the production of glucose."
      D)
      "Neurotransmitters are found throughout the body."
    2. The nurse is assisting in the care of a client who is hyperactive, pacing down the hallway, and exhibiting poor concentration during group therapy. When collecting data, the nurse should identify that which of the following is characteristic of the client's manifestations?
      A)
      Depression
      B)
      Delusions
      C)
      Hallucinations
      D)
      Mania
    3. A community health nurse is creating a presentation about mood disorders for a local support group. The nurse should include which of the following as a risk factor for suicide?
      A)
      Engaging in extracurricular activities
      B)
      Loss of a job
      C)
      Financial stability
      D)
      Exercising caution in behavior
    4. A nurse is discussing the three clusters of personality disorders. Which of the following personality disorders is part of cluster C?
      A)
      Borderline personality disorder
      B)
      Antisocial personality disorder
      C)
      Dependent personality disorder
      D)
      Paranoid personality disorder
    Page 4 of 12

    Exam Review

    1. A nurse on an inpatient mental health unit is reinforcing teaching to a newly licensed nurse about suicide prevention. Which of the following statements made by the newly licensed nurse indicates an understanding of the information?
      A)
      "The blinds in the client's room will need to stay closed to prevent overstimulation."
      B)
      "Family members should be encouraged to look up the warning signs of suicide."
      C)
      "The client can eat their meal alone in their room."
      D)
      "All sharp objects should be removed from the client's room."
    2. A nurse is caring for a client who has been brought into an emergency department of a large hospital. The client's family state that the client "took some kind of drugs." The client is dizzy, has recently vomited, and is experiencing paranoia, yelling, "Stay away from me! You are going to kill me!" The client alternates yelling with mumbling and gesturing. Their eyes are darting back and forth as they are talking to the wall. The nurse should suspect the client has used which of the following substances?
      A)
      Stimulants
      B)
      Opioids
      C)
      Hallucinogens
      D)
      Anabolic steroids
    3. Which of the following phases of Selye's General Adaptation Syndrome (GAS) reflects a nurse's ability to successfully perform duties during a prolonged period of stress lasting weeks to months without any indication of observable impairment?
      A)
      Exhaustion phase
      B)
      Alarm phase
      C)
      Resistance phase
      D)
      Adaptive phase
    4. A nurse in a mental health facility is reinforcing teaching to a newly licensed nurse about how to perform an Abnormal Involuntary Movement Scale (AIMS) test on a client. The charge nurse should identify that the AIMS test is used for which of the following conditions?
      A)
      Lithium toxicity
      B)
      Alcohol withdrawal
      C)
      Tardive dyskinesia
      D)
      Opiate withdrawal
    Page 5 of 12

    Exam Review

    1. A nurse is caring for a client who has depression. Which of the following noninvasive treatments should the nurse recommend to the client?
      A)
      Cognitive behavioral therapy
      B)
      Vagal nerve stimulation
      C)
      Electroconvulsive therapy
      D)
      Deep-brain stimulation
    2. A nurse is caring for a client who screams, "I can read your minds!" The nurse should identify this finding as a manifestation of which of the following personality disorders?
      A)
      Paranoid personality disorder
      B)
      Antisocial personality disorder
      C)
      Avoidant personality disorder
      D)
      Schizotypal personality disorder
    3. A nurse is caring for a client who is taking fluphenazine and is experiencing tardive dyskinesia. Which of the following medications should the nurse anticipate the provider to prescribe for this client?
      A)
      Fluoxetine
      B)
      Diphenhydramine
      C)
      Naloxone
      D)
      Valbenazine
    4. A nurse is reinforcing education to a client who is prescribed clozapine. Which of the following findings should the nurse identify as consistent with agranulocytosis and instruct the client to monitor?
      A)
      Severe restlessness
      B)
      Respiratory depression and a comatose state
      C)
      Sore throat and muscle aches
      D)
      Increased anxiety and suicidal ideations
    Page 6 of 12