Exam Review
- A nurse is caring for a school-age client in an outpatient clinic. Exhibits The nurse should identify which of the client findings are manifestations of a factitious disorder? (Select all that apply.)(SATA)A)WithdrawnB)Multiple hospitalizationsC)Unexplained abdominal painD)Excessive thinking about healthE)Recent trauma
- A nurse is caring for a client who has been diagnosed with schizophrenia. The client has been wearing the same clothes for the past week and appears unkept and unbathed. Which of the following statements should the nurse make to the client?A)"I'm going to ignore your lack of self-care because it is an aspect of the disorder."B)"Do you really think it is ok not to bathe? What is going on with you?"C)"It is now time for you to bathe. Do you want to wear the red or green shirt?"D)"This is it! You are getting a bath! There are three of us here to bathe you!"
- A nurse is caring for a client who frequently breaks their arms and other bones on purpose. The nurse understands that the client likely has which diagnosis?A)Factitious disorderB)Illness anxiety disorderC)Functional neurological symptom disorderD)Dissociative amnesia
- A nurse is admitting a client who has anorexia nervosa. Which of the following statements should the nurse expect from this client?A)"I don't eat because I do not like the taste of food."B)"I restrict myself to 2,000 calories per day."C)"I have certain foods, like pizza, that cause me a lot of fear."D)"I don't bother to track the number of calories I eat in a week."
Exam Review
- A nurse on an inpatient unit is caring for a client who has somatic symptom disorder. The client comes to the nurse's station and reports chest pain. The nurse knows this is a new symptom for the client. Which of the following actions should the nurse take?A)Encourage the client to use relaxation techniques.B)Reassure the client that pain is an expected part of their disorder.C)Explain to the client that the pain is not real.D)Assess the client's vital signs.
- A nurse is caring for a client who is crying and states they are depressed and feel like they are "going crazy." Which of the following client statements indicates the client is experiencing emotional abuse? (Select All that Apply.)(SATA)A)"My ex-partner constantly makes fun of my weight."B)"My ex-partner tells me that I can't do anything right."C)"I recently was promoted at work but now I'm unable to work with the same coworkers I was used to working with."D)"I am newly divorced and a single parent."E)"I suppose I really do need to be on medication, like my ex-partner said."F)'My friend recently passed away."
- A nurse is caring for a client who states, "When I get in the car to drive to work in the morning, my hands go numb. It is to the point where I can't grip the steering wheel." Which of the following conditions is the client likely experiencing?A)Dissociative amnesiaB)Depersonalization/derealization disorderC)Functional neurological symptom disorderD)Factitious disorder
- A nurse is planning discharge for a client who has schizophrenia and reports "I don't have a place to live." Which of the following referrals should the nurse request from the provider?A)Employment assistanceB)PsychiatristC)Social workerD)Spiritual advisor
Exam Review
- A nurse is working with a client who is displaying disproportionate fear of having cancer. The nurse notes the client is seeking out medical care more frequently, has high anxiety, and believes they have cancer, despite no medical evidence to support this. Which of the following disorders is the client likely experiencing?A)Somatic symptom disorderB)Factitious disorderC)Functional neurological symptom disorderD)Illness anxiety disorder
- A nurse is reviewing the medical record of a client who has somatic symptom disorder. Which of the following would be a likely comorbidity of somatic symptom disorder?A)SchizophreniaB)Major depressive disorderC)Borderline personality disorderD)Bipolar disorder
- A nurse is caring for a client in an outpatient clinic. Exhibits Select the 3 interventions the nurse should plan to take.A)Encourage the client to think positive thoughts.B)Assist the client in distinguishing between anxiety and physical manifestations.C)Provide relief measures for manifestations the client is experiencing.D)Inform the client that nothing is medically wrong with them.E)Suggest to the client's provider that multiple tests need to be performed.F)Perform a lengthy exam of client's condition.
- A nurse is caring for a client who has anorexia nervosa. Which of the following findings should the nurse expect?A)HyperkalemiaB)HyperglycemiaC)LanugoD)Swollen parotid glands
Exam Review
- A nurse is caring for an older adult client who reports their caregiver has been writing checks in their name without their consent. Which of the following types of abuse is the client experiencing?A)NeglectB)EmotionalC)PhysicalD)Economic
- A nurse is caring for a young adult client who has somatic symptom disorder and is being evaluated for chest pain. The client's laboratory results are all within the expected reference ranges, the ECG is unremarkable, and the client has no identified cardiac risk factors. Which of the following actions should the nurse take?A)Inform the client that the pain is not real.B)Provide reassurance to the client.C)Encourage the client to request invasive cardiac testing.D)Refer the client for flooding therapy.
- A nurse is caring for a client who has been newly diagnosed with schizophrenia. Which of the following findings is true regarding this disorder?A)People diagnosed with schizophrenia are more violent than others.B)Biologically male clients are typically diagnosed earlier than biologically female clients.C)Biologically female clients are likely to be diagnosed earlier than biologically born males.D)Diagnosis commonly occurs in individuals under the age of 12.
- A nurse is assisting a sexual assault nurse examiner (SANE) with the care of a client who has experienced sexual assault. The nurse should identify which of the following as the role of the SANE?A)Request the police to gather evidence of the incident.B)Provide legal testimony on behalf of the client.C)Protect the client from further harm.D)Require the client to call the police.
Exam Review
- A nurse in an outpatient behavioral facility is caring for a client who has a substance use disorder and a history of violence. Which of the following client statements should the nurse identify as being consistent with adverse childhood experiences (ACEs)? (Select All that Apply.)A)"My parents divorced when I was 13 years old."B)"We always had plenty of food in the house to eat."C)"I was teased at school for wearing dirty clothes every day for weeks,"D)"My parents would get in physical altercations."E)"My parent went to prison when I was 12 years old."F)"My parent would swear often at my sibling and I."
- A newly licensed nurse asks the charge nurse about functional neurological symptom disorder. Which of the following responses should the charge nurse make?A)"Clients who have this disorder consciously control the manifestations."B)"Clients who have this disorder exhibit more than one personality."C)"Feeling outside of one's body is a primary manifestation of this disorder."D)"The manifestations of this disorder are worse during times of increased stress."
- A nurse is caring for a client who has a serious mental illness and has developed tardive dyskinesia from anti-psychotic medication use. Which of the following adverse effects from anti-psychotic medication use would be expected for the client?A)Nausea and vomitingB)Hallucinations and delusionsC)Seizures and tremorsD)Uncontrolled movements around the mouth
- A nurse in the emergency department is caring for a client who reports having experienced sexual abuse. The nurse should identify that which of the following findings are consistent with the client's report? (Select All that Apply.)A)The client complains of pelvic soreness.B)The client's urine sample is positive for chlamydia.C)The client has anal bleeding.D)The client has bruising around the breasts.E)The client's underwear is bloody.F)The client has a scar on their inner thigh.
Exam Review
- A nurse is caring for a client who has been prescribed clozapine. Which of the following topics should the nurse prepare to discuss with the client?A)The importance of avoiding foods that contain tyramine when taking an antipsychoticB)The importance of routine red blood cell count laboratory work when taking an antipsychoticC)The importance of limiting fluid intake when taking an antipsychoticD)The importance of medication adherence after the resolution of acute psychosis when taking an antipsychotic
- A nurse is caring for a client who has schizophrenia and has been taking a first generation medication for several years. The client is exhibiting jerking movements and twitching of the face and tongue. Which of the following is the client experiencing?A)Extrapyramidal symptomsB)Impaired ability to regulate body temperatureC)Neuroleptic malignant syndromeD)Tardive dyskinesia
- A nurse is reinforcing teaching with a client who has an eating disorder about mindfulness and distress tolerance skills. This is an example of which of the following treatment modalities?A)Dialectical behavior therapyB)Interpersonal therapyC)Humanistic therapyD)Cognitive therapy
- A nurse is caring for a client who describes extreme fear of having or acquiring a disease. The client is also exhibiting behaviors like repeated body checking. The nurse should identify that the client is exhibiting manifestations of which of the following disorders?A)Functional neurological symptom disorderB)Illness anxiety disorderC)Somatic symptom disorderD)Factitious disorder