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    Exam Review

    1. A nurse is caring for a client in a mental health facility. The client is agitated and threatens to harm themselves and others. Which of the following is the priority intervention?
      A)
      Administer an anxiolytic to the client.
      B)
      Set limits on the client's behavior.
      C)
      Place the client in restraints.
      D)
      Put the client in seclusion.
    2. A nurse is assessing a client who has bipolar disorder. Which of the following assessment questions is most appropriate?
      A)
      How would you describe your relationship with your family?
      B)
      Are you currently having any suicidal thoughts?
      C)
      If you found an unopened letter on the sidewalk, what would you do?
      D)
      What is your favorite color?
    3. A nurse is assessing a client who has mania. Which of the following manifestations is the priority for the nurse to report to the provider?
      A)
      Pressured speech
      B)
      Impaired problem-solving
      C)
      Increased self-confidence
      D)
      Constant activity
    4. A charge nurse on a mental health unit is preparing an in-service for staff members about client rights. Which of the following information should the nurse include?
      A)
      Clients who have a severe mental illness cannot request psychiatric advance directives.
      B)
      Clients who are violent require a prescription prior to initiation of restraints.
      C)
      Client withdrawal of prior consent must be done in writing.
      D)
      Client confidentiality is not maintained when there is a duty to warn.
    Page 1 of 11

    Exam Review

    1. A nurse is caring for a client who is experiencing alcohol withdrawal and notes visible tremors, elevated blood pressure, and increased heart rate. Which of the following medications should the nurse prepare to administer?
      A)
      Lorazepam
      B)
      Disulfiram
      C)
      Naltrexone
      D)
      Haloperidol
    2. A nurse has received a change-of-shift report for four clients. Which of the following findings should the nurse report to the provider immediately?
      A)
      A client who has dementia and has difficulty recognizing objects.
      B)
      A client who has depressive disorder and reports loss of interest in activities.
      C)
      A client who takes an antipsychotic and has gained 9.1 kg (20 lbs) in 2 weeks.
      D)
      A client who takes lithium and has decreased urine output.
    3. A nurse is speaking to a former high school friend who asks about a hospitalized classmate. Which of the following responses by the nurse is appropriate?
      A)
      "I cannot discuss the care of anyone who might be hospitalized."
      B)
      "You should contact the hospital to see if she has been admitted."
      C)
      "I think you should contact the high school for information."
      D)
      "She’s doing okay, but I can’t give details."
    4. A nurse is discussing advocacy with a newly licensed nurse. Which of the following examples should the newly licensed nurse identify as nursing advocacy?
      A)
      Devoting equal time to a client who has depressive disorder as to one who has an anxiety disorder.
      B)
      Spending extra time with a client who is grieving the loss of their spouse.
      C)
      Explaining the adverse effects of a new prescription to a client who has schizophrenia.
      D)
      Speaking on behalf of the client with the provider about the client’s wish to refuse electroconvulsive therapy.
    Page 2 of 11

    Exam Review

    1. A nurse is assessing a client who is experiencing mild Alzheimer's disease. Which of the following findings should the nurse expect?
      A)
      Misplacing the keys to their house.
      B)
      Sleeping during the day more than at night.
      C)
      Making a poor decision once in a while.
      D)
      Forgetting the day of the week.
    2. A nurse in a mental health facility is completing an incident report. Which of the following findings should the nurse identify as requiring completion of an incident report?
      A)
      A client did not receive prescribed medication yesterday.
      B)
      A client who became aggressive despite limit-setting on their behavior.
      C)
      A client who missed their therapy session.
      D)
      A client who has major depressive disorder and refuses to leave their room.
    3. A nurse is teaching a client who has post-traumatic stress disorder (PTSD) about using mindfulness to manage stress. Which of the following statements by the client indicates an understanding of the teaching?
      A)
      "I will focus on pleasant images to distract myself from feeling stressed."
      B)
      "I will concentrate on what I am feeling, seeing, and hearing in the moment."
      C)
      "I will progressively relax my muscles from my face to my toes."
      D)
      "I will use my smartwatch to track my sleep patterns and heart rate."
    4. A nurse is admitting a client who has generalized anxiety disorder and is experiencing a panic level of anxiety. Which of the following actions should the nurse plan to take first?
      A)
      Ask the client to identify their strengths.
      B)
      Determine how the client handles stress.
      C)
      Teach the client to use guided imagery.
      D)
      Provide the client with a quiet environment.
    Page 3 of 11

    Exam Review

    1. A nurse in the emergency department is caring for a client who has serotonin syndrome. The nurse should assess the client for which of the following manifestations?
      A)
      Bradycardia
      B)
      Priapism
      C)
      Hyperpyrexia
      D)
      Paresthesia
    2. A nurse in a mental health facility is planning a training program for new staff members on managing aggressive clients. Which of the following instructions should the nurse plan to include?
      A)
      Assume authority by standing directly in front of the client.
      B)
      Attempt to calm the client with therapeutic touch.
      C)
      Offer the client a PRN medication to reduce their anxiety.
      D)
      Recruit other staff members to talk the client down.
    3. A nurse is caring for a school-age child who has a fractured arm and other injuries that cause the nurse to suspect abuse. Which of the following actions is appropriate for the nurse to take when assessing the child's situation?
      A)
      Direct the parents to the waiting room before interviewing the child.
      B)
      Interview the child with the provider and social worker present.
      C)
      Ask clarifying questions as the child explains how the injuries occurred.
      D)
      Ask the parents directly if the child's fracture is due to physical abuse.
    4. A nurse is caring for a client who has dementia and is being cared for at home by their adult child. The adult child expresses the need for a break. Which of the following resources should the nurse recommend?
      A)
      Home hospice unit
      B)
      Cognitive enhancement therapy
      C)
      Respite care services
      D)
      Long-term psychiatric hospitalization
    Page 4 of 11

    Exam Review

    1. A nurse in a mental health facility is planning a training program for new staff members on managing aggressive clients. Which of the following instructions should the nurse plan to include?
      A)
      Assume authority by standing directly in front of the client.
      B)
      Attempt to calm the client with therapeutic touch.
      C)
      Offer the client a PRN medication to reduce their anxiety.
      D)
      Recruit other staff members to talk the client down.
    2. A nurse is caring for a client who has bipolar disorder and is experiencing acute mania. The client states they have not eaten in days. Which of the following interventions should the nurse implement?
      A)
      Encourage formal mealtimes with other clients.
      B)
      Provide high-calorie, high-protein finger foods.
      C)
      Offer large meals at scheduled times.
      D)
      Assign the client to group dining sessions.
    3. A nurse is discussing the treatment plan with a client who is being admitted for treatment of severe anorexia nervosa. Which of the following statements by the client indicates that communication was effective?
      A)
      "I will eat only when I feel hungry or want a snack."
      B)
      "I will get to decide what foods will be on my tray each day."
      C)
      "I will be allowed to exercise for up to an hour each day."
      D)
      "I understand that meals are part of my treatment and I will try to complete them."
    4. A nurse is caring for a client who states they do not want to take their antidepressant. The nurse should understand that this demonstrates which of the following client rights?
      A)
      The right to be free from unnecessary treatment.
      B)
      The right to informed consent.
      C)
      The right to decline medication.
      D)
      The right to have an attorney review their plan of care.
    Page 5 of 11

    Exam Review

    1. A nurse is assessing a client who takes citalopram to treat depression. Which of the following findings should the nurse identify as an indication of serotonin syndrome?
      A)
      Constipation
      B)
      Muscle flaccidity
      C)
      Lethargy
      D)
      Tremors
    2. A nurse is planning care for a client who has schizophrenia. Which of the following tasks should the nurse delegate to an assistive personnel?
      A)
      Provide assistance to the client for self-care needs.
      B)
      Monitor the client for command hallucinations.
      C)
      Reinforce teaching with the client about coping measures.
      D)
      Explore the client's feelings.
    3. The caregiver of an older adult client who has Alzheimer's disease and is being cared for at home reports a history of previous falls. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)
      A)
      Position the mattress on the floor.
      B)
      Encourage physical activity prior to bedtime.
      C)
      Install sensor devices on outside doors.
      D)
      Remove loose rugs and clutter from walkways.
      E)
      Ensure adequate lighting in hallways and bathrooms.
    4. A charge nurse is monitoring a newly licensed nurse who is caring for a client who has dementia. Which of the following actions by the newly licensed nurse requires intervention by the charge nurse?
      A)
      The nurse places the client in a quiet environment.
      B)
      The nurse provides consistent caregivers.
      C)
      The nurse limits the number of choices the client has to make.
      D)
      The nurse frequently reorients the client to reality.
    Page 6 of 11