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    Exam Review

    1. Select which statement about ANGER is true.
      A)
      Expressing anger openly and directly usually leads to arguments.
      B)
      Angry feelings are a negative response to a situation.
      C)
      Anger results from being frustrated, hurt, or afraid.
      D)
      Suppressing anger is a sign of maturity.
    2. 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)
      "This medication can cause a dry cough."
      B)
      "I should call the provider if I experience excessive sweating and muscle twitching."
      C)
      "This medication can cause harmless, temporary changes to my ability to taste and smell."
      D)
      “I need to decrease my sodium intake while on this medication."
    3. Exhibits A woman is slowly walking into the ED with her head down and whispers her name at the desk to the nurse. You type her name in and see her Past Medical History and quickly and slowly at the same time, walk close but at a safe distance to the nearest trauma room with her as she says her name is Jane. You pull the curtain and ask her to sit on the bed. Which questions below are appropriate to ask Patient Jane? Select all that apply.
      (SATA)
      A)
      Why don't you leave?
      B)
      Is there a safe place to go if you need to?
      C)
      Do you have children and are they safe?
      D)
      Are you concerned about your safety?
      E)
      You can get help, we can hide you!
      F)
      Who is hurting you? This is enough now!
      G)
      Please stop the madness.
    4. A nurse is caring for a client who has reported experiencing abuse at home. Which of the following actions should be a priority for the nurse?
      A)
      Assess for risk of immediate harm to patient or children
      B)
      Implement the safety plan
      C)
      Refer the client to a community support group.
      D)
      Instruct the client on how to leave the relationship.
    Page 1 of 8

    Exam Review

    1. A nurse is preparing to administer imipramine to a client who has depression. The provider prescribes 100 mg PO every 12 hr. Available is imipramine hydrochloride 25 mg tablets. How many tablets should the nurse plan to administer with each dose? (Round your answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
      Correct Answer:4 tablets
    2. The nurse is in a maternal/child unit and is caring for a new parent. The new parent expresses concern about their safety in the home. The nurse provides the client with an intimate partner violence crisis center number. Which of the following is a way the nurse can evaluate the client's response to the safety plan?
      A)
      The client explains they are not planning to leave their home.
      B)
      The client puts the number of the crisis center into their phone.
      C)
      The client thinks their home will be safer now that there is a baby in the house.
      D)
      The client thanks the nurse for the information.
    3. A nurse is preparing to administer olanzapine 7.5 mg PO to a client who has schizophrenia. Available is olanzapine 2.5 mg tablets. How many tablets should the nurse plan to administer? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
      Correct Answer:3 tablets
    4. A nurse in an emergency department often sees victims of intimate partner violence. Which of the following actions should the nurse take when caring for victims of violence?
      A)
      Provide the client with strategies for interacting with others in social situations.
      B)
      Provide the client with information on resources in the community to support victims of violence.
      C)
      Tell the client ways to avoid making their partner angry to prevent intimate partner violence.
      D)
      The nurse instructs the client on ways to behave to prevent making their partner angry.
    Page 2 of 8

    Exam Review

    1. A nurse is conducting a home health visit for an older adult client who lives with family members. The nurse notices that the client has multiple unusual bruises, and, based on several other factors, the nurse suspects that the client has been physically abused. Which of the following actions should the nurse take first?
      A)
      Check the bruises at the next visit to the client's home.
      B)
      Follow the agency's guidelines for reporting suspected abuse.
      C)
      Institute more frequent visits to the client's home.
      D)
      Arrange referral for family therapy to deal with home stressors.
    2. A nurse in the emergency department is caring for a client who reports having experienced sexual abuse. The nurse should identify which of the following findings are consistent with the client's report? (Select All that Apply.)
      (SATA)
      A)
      The client has anal bleeding.
      B)
      The client complains of pelvic soreness.
      C)
      The client has bruises around the breasts.
      D)
      The client has a scar on their inner thigh.
      E)
      The client's underwear is bloody.
    3. 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)
      Use negative reinforcement techniques to prevent the client from performing rituals.
      B)
      Determine the client's level of anxiety
      C)
      Encourage avoidance of situations that increase anxiety.
      D)
      Interrupt the compulsive behavior.
    4. A nurse is caring for a client who has been admitted for a psychiatric evaluation after displaying aggressive behavior towards their partner and 2-year-old child. Which of the following client statements should the nurse identify as potentially contributing to aggression?
      A)
      "A family member took me fishing several times when I was a kid."
      B)
      "My parent was physically abused as a child."
      C)
      "My parent used their fists to hit me as a child."
      D)
      "I drink a glass of wine occasionally with dinner."
    Page 3 of 8

    Exam Review

    1. A nurse is preparing to administer fluoxetine 30 mg PO for a client who has depression and cannot swallow capsules. Available is fluoxetine 20 mg/5 mL oral solution. How many mL should the nurse plan to administer? (Round to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
    2. A nurse is reinforcing teaching with a newly licensed nurse who is caring for a client undergoing cognitive behavioral therapy for the treatment of aggression. Which of the following statements by the newly licensed nurse about aggressive behaviors indicates an understanding of the teaching? (Select All that Apply.)
      A)
      Clients who live in areas of high crime are at an increased risk for developing anger and aggression.
      B)
      Families who have financial hardships are at an increased risk for developing anger and aggression.
      C)
      Clients who live in suburban areas are at an increased risk for developing anger and aggression
      D)
      Clients who live in areas of high pollution are at an increased risk for developing anger and aggression
      E)
      Families who live in low-income housing are at an increased risk for developing anger and aggression.
      F)
      Smoking during pregnancy can place the child at an increased risk for developing anger and aggression
    3. A nurse is caring for a client following reported physical abuse. The client is quiet and withdrawn. Which of the following actions should the nurse take?
      A)
      Invite a family member to be present for the nursing history.
      B)
      Display disapproval toward the perpetrator.
      C)
      Probe the client to offer a factual account of the abuse.
      D)
      Be direct and honest when communicating with the client.
    4. A nurse is caring for four clients at an urgent care center. Which of the following clients should the nurse suspect has been physically abused?
      A)
      A 6-year-old child who has a fracture of the tibia and fibula, which reportedly occurred while riding a bicycle
      B)
      A 9-month-old infant who sustained near drowning when he reportedly climbed into the tub and turned on the water
      C)
      A 3-year-old toddler with scalding burns over the face and chest reportedly sustained when the child pulled on tablecloth, spilling a cup of tea on himself.
      D)
      A 14-month-old toddler who is reportedly learning to walk and has several bruises on bony prominences of the lower legs and elbows.
    Page 4 of 8

    Exam Review

    1. 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 easily startled by loud voices.
      B)
      The client talks constantly about the traumatic experience.
      C)
      The client reports satisfying personal relationships with family and close friends.
      D)
      The client is constantly drowsy and sleeps 1.1-12-hr daily.
    2. A nurse is caring for a client who is experiencing a panic attack. Which of the following actions is the nurse's priority?
      A)
      Offer the client high-calorie fluids.
      B)
      Administer an antianxiety medication to the client.
      C)
      Teach the client relaxation exercises.
      D)
      Remain with the client in a quiet area.
    3. A nurse is caring for a client who has panic disorder. The client tells the nurse she is suddenly feeling very apprehensive, has a sense that something catastrophic is going to happen, and that she sees bugs flying around her room. Which of the following actions should the nurse take first?
      A)
      Reinforce reality with the client.
      B)
      Instruct the client to take deep breaths.
      C)
      Assist the client to identify the cause of the anxiety.
      D)
      Administer an antianxiety medication to the client.
    4. A nurse is talking to a client who is explaining about her home situation and the intimate partner violence she recently experienced. Which of the following responses should the nurse make?
      A)
      "I'd like to hear more about how you are feeling."
      B)
      "Let's talk about what is going on at work."
      C)
      "Now that you have come for help, you will feel much better."
      D)
      "Why do you think your partner is angry with you?"
    Page 5 of 8

    Exam Review

    1. A nurse is caring for an older adult client whom the nurse suspects has experienced abuse by a non-partner. Which of the following principles does the nurse demonstrate by reporting their concern to a supervisor?
      A)
      Human Dignity
      B)
      Ethical decision-making
      C)
      Trusting relationships
      D)
      Nonmaleficence
    2. A nurse is caring for a client who has an anxiety disorder. Which of the following findings should the nurse recognize as a manifestation of mild anxiety?
      A)
      Incoherent speech
      B)
      Chest pain
      C)
      Irritability
      D)
      Insomnia
    3. A nurse is collecting data from a client who has posttraumatic stress disorder (PTSD) following a sexual assault. Which of the following is an expected finding?
      A)
      Constant need to talk about the event
      B)
      Increasing feelings of anger
      C)
      Sleeping 12 hr or more each day
      D)
      Increasing sense of attachment to others
    4. A nurse is caring for a 9-year-old child in a pediatric clinic. The client's parent shares that they left an abusive partner a year ago and is in a safe place. Which of the following should the nurse identify as a sign the impact violence may have had on the child?
      A)
      The child participates in school activities.
      B)
      The child talks about best friends at school.
      C)
      The child reports abdominal pain at night when going to bed.
      D)
      The child is doing well in school.
    Page 6 of 8