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    Exam Review

    1. A nurse is caring for a client who has bipolar disorder and is refusing to take prescribed medications. Which of the following ethical principles is the nurse displaying when he supports the client's refusal of medications?
      A)
      Veracity
      B)
      Autonomy
      C)
      Beneficence
      D)
      Justice
      E)
      Justice
    2. A nurse is caring for a client who is under observation for suicidal ideations and has verbalized a suicide plan. The client demands privacy and to be left alone. Which of the following statements should the nurse make?
      A)
      If you complete a contract that states you will not harm yourself, you can be alone.
      B)
      Until your medication has reached therapeutic levels, you will need constant observation.
      C)
      Since you are trying to follow the treatment plan, we can submit your request to the provider.
      D)
      We are concerned about you and need to keep you safe.
    3. 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 borderline personality disorder
      B)
      Reduced frequency of seizures
      C)
      Improvement in manifestations of depression
      D)
      Decreased fear of heights
    4. A nurse in a mental health facility is caring for a client who is being aggressive toward other clients. Which of the following actions is the priority for the nurse to take?
      A)
      Suggest the client make a list of things that make him angry
      B)
      Ask the client if he intends to harm others
      C)
      Role model healthy ways to express anger
      D)
      Assist the client to explore techniques to reduce stress
    Page 1 of 9

    Exam Review

    1. A nurse is providing teaching about relapse prevention to a client who has schizophrenia. Which of the following statements by the client indicates an understanding of the teaching?
      A)
      I should listen carefully to the voices to hear what they’re saying.
      B)
      I should avoid being around others if I think I’m having a relapse.
      C)
      I should avoid watching television when I am hearing voices.
      D)
      I should let my counselor know if I am having trouble sleeping.
    2. A nurse is caring for a client who is involuntarily admitted for major depressive disorder and refuses to take a prescribed oral antianxiety medication. Which of the following actions should the nurse take?
      A)
      Offer the client the medication at the next scheduled dose time
      B)
      Implement consequences until the client takes the medication
      C)
      Inform the client that he does not have the right to refuse the medication
      D)
      Administer the medication to the client via IM injection
    3. A nurse is visiting with the partner of a client who recently died. The partner expresses guilt that they did not do more for their partner. Which of the following responses should the nurse make?
      A)
      You should see a grief counselor about your partner’s death as soon as possible.
      B)
      I felt the same way when my partner died, but it’s all part of the grieving process.
      C)
      It must be difficult for you to feel this way after losing your partner.
      D)
      You shouldn’t feel guilty. You took excellent care of your partner.
    4. A nurse is caring for a client who is taking lithium and reports experiencing lethargy, muscle weakness, and blurred vision. Which of the following responses should the nurse make?
      A)
      You will need to have your blood drawn.
      B)
      These symptoms will improve over time.
      C)
      You should decrease your intake of sodium.
      D)
      Continue the medication as prescribed.
    Page 2 of 9

    Exam Review

    1. A nurse is caring for a school-age child who has conduct disorder and is in physical restraints after becoming physically aggressive toward other clients on the unit. Which of the following actions should the nurse take?
      A)
      Keep the restraints on for a minimum of 1 hour
      B)
      Monitor the child’s vital signs every 15 minutes
      C)
      Ask the provider to renew the prescription for the restraints every 24 hours
      D)
      Arrange an in-person evaluation by the child’s provider within 2 hours of initiating restraints
    2. A nurse is planning to delegate client care for several clients in a mental health facility. Which of the following tasks should the nurse delegate to an assistive personnel?
      A)
      Participate in solitary activities with a client who has mania
      B)
      Discuss adverse effects of antianxiety medications with a client who has anxiety disorder
      C)
      Witness an informed consent for a client who is scheduled for electroconvulsive therapy
      D)
      Explain the benefits of light therapy with a client who has depressive disorder
    3. A nurse is receiving change-of-shift report about a group of assigned clients at a mental health facility. Which of the following clients should the nurse assess for risks related to sensory impairments?
      A)
      A client who has narcissistic personality disorder
      B)
      A client who has mild anxiety disorder
      C)
      A client who has severe obsessive-compulsive disorder
      D)
      A client who has conversion disorder
    4. A nurse is caring for a client who has dementia and is experiencing anticipatory grief. Which of the following actions should the nurse take?
      A)
      Share personal stories of grief with the client.
      B)
      Provide the client with a timeline for grieving.
      C)
      Show sympathy for the client when discussing their condition.
      D)
      Encourage the client to express their feelings.
    Page 3 of 9

    Exam Review

    1. A nurse is planning care for a client who has complicated grieving following the death of her child. Which of the following interventions should the nurse identify as the priority?
      A)
      Discuss the use of a spiritual grief counselor with the client
      B)
      Identify the client’s current stage of grief
      C)
      Inform the client that feelings of anger are expected
      D)
      Encourage the client to participate in physical activities
    2. A nurse is caring for a client who just received lorazepam 1 mg IM for anxiety. Which of the following actions should the nurse take?
      A)
      Instruct the client to expect ringing in the ears
      B)
      Place the client in restraints for 1 hour
      C)
      Repeat the dose in 15 minutes if the client is still anxious
      D)
      Initiate fall precautions for the client
    3. A nurse is caring for a client who begins yelling and pacing around the room. Which of the following actions should the nurse take? (Select all that apply)
      A)
      Speak to the client in a loud voice
      B)
      Stand directly in front of the client
      C)
      Request that security guards restrain the client
      D)
      Talk to the client using short, simple sentences
      E)
      Identify the client’s stressors
    4. A nurse is providing teaching to a client who is newly diagnosed with Alzheimer’s disease. Which of the following treatment options should the nurse include in the teaching?
      A)
      Initiating hospice care services when the client has 6 months or less to live
      B)
      Improving cognitive status with transcranial magnetic stimulation
      C)
      Controlling anxiety with barbiturate medications
      D)
      Delaying cognitive impairment with NMDA receptor agonist medications
    Page 4 of 9

    Exam Review

    1. A nurse is planning overall strategies to address problems for a client who has borderline personality disorder. Which of the following strategies is the priority for the nurse to incorporate in the plan of care?
      A)
      Encourage the client to attend weekly support group meetings
      B)
      Implement measures to prevent intentional self-inflicted injury
      C)
      Assist the client to maintain awareness of her thoughts and feelings
      D)
      Discuss the appropriate use of assertive behavior with the client
    2. A nurse is caring for a client who has Alzheimer’s disease. Which of the following findings should the nurse expect?
      A)
      Altered level of consciousness
      B)
      Excessive motor activity
      C)
      Failure to recognize familiar objects
      D)
      Rapid mood swings
    3. A nurse is teaching the caregiver of a client who has advanced Alzheimer’s disease about home safety. Which of the following statements by the caregiver indicates an understanding of the teaching?
      A)
      I will place a sliding bolt lock just above the doorknob.
      B)
      I will notify law enforcement within 2 hours if he cannot be found.
      C)
      I will ensure the bedroom is dark while he is sleeping at night.
      D)
      I will give his most recent photo to the police.
    4. A nurse is initiating a plan of care for a newly admitted client who has schizoid personality disorder. Which of the following interventions should the nurse include in the plan?
      A)
      Identify when the client engages in splitting behaviors
      B)
      Assist the client in identifying sources of anger
      C)
      Give the client a choice of solitary activities
      D)
      Set limits on the client’s need for constant social contact with others
    Page 5 of 9

    Exam Review

    1. A nurse is caring for a client who is experiencing active auditory hallucinations. Which of the following actions should the nurse take?
      A)
      Convey sympathy for the client’s experience
      B)
      Tell the client her experience is not real
      C)
      Avoid asking direct questions about the client’s experience
      D)
      Focus the client on reality-based activities
    2. 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
    3. A nurse is caring for a client who is prescribed massage therapy to treat panic disorder. The client states, I can’t stand to be touched by another person. Which of the following responses should the nurse make?
      A)
      Don’t worry about it. Your anxiety will lessen once the massage begins.
      B)
      I will tell your provider that you would like a treatment other than massage.
      C)
      I will request that the massage therapist wear gloves during your treatment.
      D)
      Why don’t you like to be touched by others?
    4. A nurse is interviewing a client who reports ongoing feelings of depression after the death of his sibling 9 months ago. Which of the following actions should the nurse take?
      A)
      Recommend that the client participate in more solitary activities
      B)
      Explain to the client that the duration of grief is highly variable and can last for years
      C)
      Encourage the client to avoid discussing the events surrounding the sibling’s death
      D)
      Caution the client against feeling angry at the sibling
    Page 6 of 9