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    Exam Review

    1. A nurse is caring for a client who has antisocial personality disorder and reports planning to hurt their partner upon discharge. Which of the following actions should the nurse take?
      A)
      Notify the provider that the client should stay longer at the facility to work on anger management.
      B)
      Avoid reporting the information provided by the client because it is confidential.
      C)
      Tell risk management about the client's plan to hurt their partner.
      D)
      Report the information to local authorities.
    2. A nurse is caring for a client who has a binge eating disorder. Which of the following actions should the nurse take?
      A)
      Remain with the client for 1 hr after meals.
      B)
      Weigh the client every other day.
      C)
      Offer snacks when the client is hungry.
      D)
      Plan a menu with the client.
    3. A nurse is providing behavioral therapy for a client who has obsessive-compulsive disorder. The client repeatedly checks that the doors are locked at night. Which of the following instructions should the nurse give the client when using thought stopping technique?
      A)
      "Ask a family member to check the locks for you at night."
      B)
      "Focus on abdominal breathing whenever you go to check the locks."
      C)
      "Keep a journal of how often you check the locks each night."
      D)
      "Snap a rubber band on your wrist when you think about checking the locks."
    4. A nurse is assessing a client who has been receiving electroconvulsive therapy. Which of the following findings indicates the treatment is effective?
      A)
      Improvement in manifestations of depression
      B)
      Reduced frequency of panic attacks
      C)
      Reduced frequency of seizures
      D)
      Decreased fear of heights
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    Exam Review

    1. A nurse in an emergency department is assessing a client who reports recently using cocaine. Which of the following clinical manifestations should the nurse expect?
      A)
      Bradycardia
      B)
      Hypertension
      C)
      Lethargy
      D)
      Hypothermia
    2. A nurse is caring for a client who states, "Things will never work out." Which of the following responses should the nurse make?
      A)
      "You should try to focus on yourself for a change."
      B)
      "Why do you feel like things will never work out?"
      C)
      "Have you been thinking about harming yourself?"
      D)
      "Maybe an antidepressant will make you feel better."
    3. A nurse is talking to a client following a group therapy session. The client tells the nurse that one of the other clients in the group made an Inappropriate comment. Which of the following responses should the nurse make?
      A)
      "I think you should ignore the comment."
      B)
      "You sound upset about today's session."
      C)
      "Why do you think that he said that to you?"
      D)
      "I agree that the comment was inappropriate."
    4. A nurse is caring for a child who has ADHD and a prescription for methylphenidate oral solution 40 mg per day, divided into two doses. Available is methylphenidate oral solution 10 mg/5 mL. How many mL of methylphenidate should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
      Correct Answer:10 mls per dose
    Page 2 of 17

    Exam Review

    1. A nurse is developing a plan of care for a client who has paranoid personality disorder. Which of the following actions should the nurse include in the plan?
      A)
      Provide written information about the client's treatment plan.
      B)
      Encourage countertransference when developing the nurse-client relationship.
      C)
      Monitor the client for splitting behaviors.
      D)
      Isolate the client from social or group interactions.
    2. A nurse is assessing the spiritual beliefs of a client. Which of the following client statements indicates spiritual distress?
      A)
      "Therapy is often scheduled during my daily meditation time."
      B)
      "My faith gives me hope during difficult times."
      C)
      "I gain comfort from meditation."
      D)
      "My spiritual advisor has increased visits since I became ill."
    3. A nurse is planning care for a client who has borderline personality disorder. Which of the following interventions should the nurse plan to include to assist the client with impaired social interactions with others?
      A)
      Encourage dependent behaviors.
      B)
      Explore feelings of abandonment.
      C)
      Avoid discussing maladaptive behaviors with the client.
      D)
      Assign the same staff members daily to provide care for the client.
    4. A nurse is reviewing new prescriptions for a client who is experiencing acute manifestations of alcohol withdrawal. Which of the following medications should the nurse expect the provider to prescribe for this client?
      A)
      Disulfiram
      B)
      Chlordiazepoxide
      C)
      Buprenorphine
      D)
      Bupropion
    Page 3 of 17

    Exam Review

    1. A nurse is caring for a group of clients on a mental health unit. For which of the following clients is the nurse considered a mandated reporter to the appropriate agency?
      A)
      A client who reports that he enjoys smoking marijuana on weekends
      B)
      A client who reports that her partner ties their child to a bed as punishment
      C)
      A client who reports that she took $20 from the cash register where she works
      D)
      A client who reports lying to his provider about having suicidal ideation
    2. A nurse is caring for a group of clients. For which of the following clients should the nurse implement seizure precautions?
      A)
      A client who is experiencing stimulant withdrawal.
      B)
      A client who is experiencing opioid withdrawal.
      C)
      A client who is experiencing cannabis withdrawal.
      D)
      A client who is experiencing alcohol withdrawal.
    3. A nurse is leading a crisis intervention group for adolescents who witnessed the suicide of a classmate. Which of the following actions should the nurse take first?
      A)
      Identify prior coping skills
      B)
      Review community resources
      C)
      Discuss the importance of confidentiality
      D)
      Initiate referrals
    4. A nurse is providing teaching about self-care behaviors to a client who has major depressive disorder. Which of the following statements by the client indicates an understanding of the teaching?
      A)
      "I will stay in bed on days when I feel exhausted."
      B)
      "I will avoid talking about events that upset me."
      C)
      "I will use the coping mechanisms that helped me in the past."
      D)
      "I will rely on my partner to plan out my schedule each day."
    Page 4 of 17

    Exam Review

    1. A nurse is caring for a client who has a binge eating disorder. Which of the following actions should the nurse take?
      A)
      Remain with the client for 1 hr after meals.
      B)
      Weigh the client every other day.
      C)
      Offer snacks when the client is hungry.
      D)
      Plan a menu with the client.
    2. A nurse is talking with a newly licensed nurse about client rights while admitted to a mental health facility. Which of the following information should the nurse include? (Select all that apply.)
      A)
      Clients cannot refuse to take prescribed medications.
      B)
      Clients have the right to the least restrictive environment.
      C)
      Clients cannot withdraw consent after signing an informed consent form.
      D)
      Clients maintain the right to an attorney.
      E)
      Clients continue to have the right to privacy and confidentiality.
    3. A home health nurse is visiting a client who is recovering from coronary artery bypass surgery and reports experiencing stress. The nurse should determine that which of the following factors might interfere with the client's recovery?
      A)
      The client walks their dog daily.
      B)
      The client has stopped drinking coffee.
      C)
      The client exercises in the morning.
      D)
      The client's best friend moved away.
    4. A nurse is caring for a client whose partner died 6 months ago. Which of the following findings is the nurse's priority?
      A)
      The client relates that he is angry that the provider did not save his partner's life.
      B)
      The client says he feels guilty about not spending more time with his partner.
      C)
      The client states that he is unable to eat more than once a day.
      D)
      The client frequently recalls negative experiences that occurred during his marriage.
    Page 5 of 17

    Exam Review

    1. A nurse is leading a grief support group for bereaved clients. Which of the following client statements should the nurse report to the provider as an indication of clinical depression?
      A)
      "It'll be a long time before I'm happy again."
      B)
      "I feel like I'm angry at the whole world right now."
      C)
      "I don't know how I could cope if I didn't have my family's support."
      D)
      "I don't feel anything but numbness anymore."
    2. A nurse in an acute care facility is planning care for a client who has a history of alcohol use disorder and is admitted while intoxicated. Which of the following interventions should the nurse plan for the client?
      A)
      Administer methadone hydrochloride.
      B)
      Acidify the client's urine.
      C)
      Monitor for orthostatic hypotension.
      D)
      Implement seizure precautions.
    3. A nurse is assessing a client who has post-traumatic stress disorder. Which of the following findings should the nurse expect? (Select all that apply.)
      A)
      Difficulty falling or staying asleep
      B)
      Persistent negative beliefs about self
      C)
      Blames others for own mistakes
      D)
      Difficulty concentrating on set tasks
      E)
      Talks excessively
    4. A nurse is caring for a client who is receiving inpatient treatment for an eating disorder. The client states, "I just can't sleep soundly here because it's too noisy." Which of the following actions should the nurse take?
      A)
      Tell the client that they will eventually get used to people talking at night.
      B)
      Recommend that the client try to sleep during the day when it is quieter.
      C)
      Keep conversations and activities to a minimum during the nighttime.
      D)
      Turn on the client's television at night to cover up environmental noises.
    Page 6 of 17