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    Exam Review

    1. A nurse is responding to a parent of an adolescent who was recently diagnosed with posttraumatic stress disorder following a sexual assault. The parent states, "My child ignores curfew, is hanging out with a rough crowd, and has been experimenting with drugs. Why would they be doing this?" Which of the following responses should the nurse make?
      A)
      "This is normal behavior for an adolescent. Nothing to be concerned about."
      B)
      "It is very frustrating when children misbehave. Do any of your other children react the same way? What rules have you established for them?"
      C)
      "This must be a difficult time for you. Adolescents who have experienced a trauma may exhibit increased reckless behaviors."
      D)
      "I can understand your concerns. Which of these behaviors do you want to address first?"
    2. A nurse is caring for a client who has schizophrenia. Select the "3" findings that should indicate to the nurse the client is experiencing negative symptoms related to their schizophrenia.
      (SATA)
      A)
      Blood pressure
      B)
      Lack of motivation
      C)
      Hallucinations
      D)
      Lack of energy
      E)
      Withdrawn
    3. A nurse is providing care to a client who has acute stress disorder. Which of the following client statements is consistent with this disorder?
      A)
      "My parents fought a lot when I was a child. Now, when I hear people yelling or fighting, I feel like I left my body."
      B)
      "I was in a terrible car crash 2 years ago and I have been unable to drive a car since then."
      C)
      "I was physically abused when I was a child and have frequent flashbacks since then."
      D)
      "I was in a car crash 2 weeks ago and I have nightmares when I sleep."
    4. A nurse is caring for a client who is taking clozapine for the treatment of schizophrenia. The nurse should monitor the client for which of the following potential adverse effects of clozapine?
      A)
      Dry mouth
      B)
      Hypoglycemia
      C)
      Pain in great toes
      D)
      Diarrhea
    Page 1 of 11

    Exam Review

    1. A nurse is collecting data from a client who is taking chlorpromazine. Which of the following findings should the nurse identify as extrapyramidal symptoms (EPS)? (Select all that apply.)
      (SATA)
      A)
      Fidgeting behavior
      B)
      Sexual dysfunction
      C)
      Fluctuating vital signs
      D)
      Muscle contractions of the neck
      E)
      Impaired gait
    2. Which would be an appropriate intervention for a client experiencing an anxiety attack?
      A)
      Staying with the client and speaking in short sentences.
      B)
      Turning on the lights and opening the windows so that the client does not feel crowded.
      C)
      Turning on stereo music.
      D)
      Leaving the client alone.
    3. A nurse is caring for a client who has delusional behavior. The client states, "I can't go to group today. I am expecting a high level official to visit me!" Which of the following responses should the nurse make?
      A)
      "I wouldn't worry about that. They will call you back later."
      B)
      "Let's walk together to group so we can discuss your concerns."
      C)
      "I think you should attend group therapy. We will talk about this when you’re done."
      D)
      "Why do you think you are getting a visit from someone today?"
    4. A nurse is caring for a client who has positive manifestations of schizophrenia. Which of the following behaviors should the nurse anticipate?
      A)
      Preoccupation with washing and folding his clothes.
      B)
      Invents words that have no meaning.
      C)
      Has recurrent thoughts of past trauma.
      D)
      Avoids interactions with staff and peers.
    Page 2 of 11

    Exam Review

    1. Select the appropriate nursing actions for a client with panic disorder. (Select all that apply.)
      (SATA)
      A)
      Tell them everything is going to be okay.
      B)
      Helping the client avoid panic-producing situations.
      C)
      Reminding the client to practice relaxation when anxiety level is low.
      D)
      Telling the client to ignore any anxious feelings.
      E)
      Encouraging the client to verbalize feelings.
    2. A nurse is providing information to a client about risk factors for developing an anxiety-related disorder. Which of the following clients is at greatest risk for developing an anxiety-related disorder?
      A)
      A client who has a family history of anxiety disorders and several positive childhood experiences (PCES).
      B)
      A client who did not graduate from high school or complete their general education development (GED) test.
      C)
      A client who has a family history of cancer and is recently unemployed.
      D)
      A client who had multiple adverse childhood experiences and whose parents both have a history of anxiety disorder.
    3. A nurse is assisting with the plan of care for a client who was recently diagnosed with a trauma-related disorder. Which of the following client goals should the nurse include?
      A)
      The client will develop effective coping strategies by discharge.
      B)
      The client will identify triggers for traumatic reexperiencing by discharge.
      C)
      The client will participate in developing their plan of care.
      D)
      The client will avoid discussion of traumatic experience.
      E)
      The client will identify appropriate resources to help in restoring normal routines.
      F)
      The client will use exact medical language when explaining trauma.
    4. A nurse is caring for a client who witnessed her brother's homicide and has posttraumatic stress disorder (PTSD). Which of the following findings should the nurse expect?
      A)
      The client is constantly drowsy and sleeps 11–12 hr daily.
      B)
      The client reports satisfying personal relationships with family and close friends.
      C)
      The client talks constantly about the traumatic experience.
      D)
      The client is easily startled by loud voices.
    Page 3 of 11

    Exam Review

    1. The nurse working with a client during a flashback says, "I know you're scared, but you're in a safe place. Do you see the bed in your room? Do you feel the chair you're sitting in?” The nurse is using which technique?
      A)
      Relaxation
      B)
      Grounding
      C)
      Distraction
      D)
      Reality orientation
    2. A nurse is caring for a client who has posttraumatic stress disorder (PTSD) and is beginning psychopharmacology therapy. Which of the following medications is considered first-line treatment for symptoms of PTSD?
      A)
      Haloperidol
      B)
      Sertraline
      C)
      Olanzapine
      D)
      Prazosin
    3. A nurse is reinforcing discharge teaching with a client who has several new prescriptions for psychotropic medications. The client tells the nurse that she has always had trouble following a medication regimen. Which of the following responses should the nurse make?
      A)
      "Let's work together to devise a schedule that is convenient for you on a daily basis."
      B)
      "You really should work hard to stay on the schedule we establish here."
      C)
      "Why do you find it difficult to take your medications if they improve your condition?"
      D)
      "I wouldn't worry about what you’ve done in the past. You'll do just fine this time."
    4. A nurse is caring for a client who is experiencing auditory hallucinations. Which of the following responses should the nurse make first?
      A)
      "What are the voices telling you?"
      B)
      "The voices are part of your illness."
      C)
      "How often do you hear the voices?"
      D)
      "I know you hear the voices, but I do not."
    Page 4 of 11

    Exam Review

    1. A nurse is collecting data from a client who has schizophrenia and is taking fluphenazine. The nurse observes that the client’s tongue is protruding and he has irregular movements of his limbs. The nurse should identify that the client is exhibiting manifestations of which of the following?
      A)
      A reaction to drinking grapefruit juice with the medication.
      B)
      Early symptoms of tardive dyskinesia.
      C)
      Missing a dose of the medication.
      D)
      Early symptoms of a psychotic episode.
    2. A nurse is collecting data from a client who has obsessive-compulsive personality disorder. Which of the following findings should the nurse include?
      A)
      Requires excessive amount of advice before making decisions.
      B)
      Believes his achievements are superior to others.
      C)
      Preoccupied with maintaining order by following rigid rules.
      D)
      Uses physical appearance to make others take notice of him.
    3. A nurse is reviewing a pamphlet about sertraline with a client who has post-traumatic stress disorder. Which of the following client statements indicates understanding of the information?
      A)
      I should call the provider if I experience excessive sweating and muscle twitching.
      B)
      This medication can cause a dry cough.
      C)
      I need to decrease my sodium intake while on this medication.
      D)
      This medication can cause harmless, temporary changes to my ability to taste and smell.
    4. A nurse is assisting with the care of an adolescent who has an anxiety disorder. Which of the following statements by the adolescent indicates a protective factor in the form of a positive childhood experience?
      A)
      My little sister has a lot of health problems, and my parents are always in the hospital with her. I worry about that a lot.
      B)
      My parents are in the military. We have moved a lot since I was born.
      C)
      My mother had me when she was in high school.
      D)
      My English teacher is amazing. They really listen well.
    Page 5 of 11

    Exam Review

    1. A nurse is caring for a client who has obsessive-compulsive disorder (OCD) and is constantly picking up after others and cleaning in the day room. The nurse should recognize the client's actions as which of the following?
      A)
      Manipulating and controlling others' behavior.
      B)
      Decreasing anxiety to a tolerable level.
      C)
      Focusing attention on useful tasks.
      D)
      Limiting the amount of time available for interaction with others.
    2. A nurse is contributing to the plan of care for a newly-admitted client who has obsessive-compulsive disorder. Which of the following interventions should the nurse plan to include?
      A)
      Provide a stimulating environment for the client.
      B)
      Give negative reinforcement for ritualistic behavior.
      C)
      Provide a structured schedule of activities for the client.
      D)
      Limit time for rituals to 30 min each day.
    3. A nurse is monitoring a client who has been diagnosed with post-traumatic stress disorder (PTSD). The nurse recognizes that people diagnosed with PTSD may exhibit symptoms similar to which of the following mental health disorders?
      A)
      Depressive disorders
      B)
      Anxiety disorders
      C)
      Substance use disorder
      D)
      Dissociative disorders
      E)
      Anorexia nervosa
      F)
      Schizophrenia spectrum disorders
    4. A nurse is caring for a client who has obsessive-compulsive disorder (OCD). Which of the following actions is appropriate for the nurse to take?
      A)
      Determine the client's level of anxiety
      B)
      Use negative reinforcement techniques to prevent client from performing rituals
      C)
      Interrupt the compulsive behavior
      D)
      Encourage avoidance of situations that increase anxiety
    Page 6 of 11