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    Exam Review

    1. The nurse assesses a woman whose spouse died 13 months ago. She isolates herself, screams at her deceased spouse, and is increasingly restless and aimless. According to Bowlby, this widow is in which stage of the grieving process?
      A)
      Stage II: disequilibrium
      B)
      Stage I: numbness or protest
      C)
      Stage IV: reorganization
      D)
      Stage III: disorganization and despair
    2. The nurse is caring for an Irish client who has recently lost a spouse. The client states to the nurse, "I'm planning an elaborate wake and funeral." According to George Engel, which purpose do these rituals serve?
      A)
      To facilitate acceptance of the loss of the client’s spouse
      B)
      To delay the recovery process initiated by the loss of the client’s spouse
      C)
      To eliminate emotional pain related to the loss of the client’s spouse
      D)
      To avoid dealing with grief associated with the loss of the client's spouse
    3. While assessing a patient diagnosed with bulimia nervosa, the nurse observes multiple cavities, enamel erosion, and tooth sensitivity. Which best explains the nurse’s findings?
      A)
      Self-induced vomiting
      B)
      Electrolyte imbalances
      C)
      Dehydration
      D)
      Nutritional deficits
    4. A client is diagnosed with terminal cancer. Which situation would the nurse assess as reflecting Kubler-Ross's grief stage of anger?
      A)
      The client is a devoted Catholic but refuses to attend church and states that their faith has failed them.
      B)
      The client registers for an ironman marathon to be held in 9 months.
      C)
      The client gathers family to plan a funeral and make their last wishes known.
      D)
      The client promises God to give up smoking if allowed to live long enough to witness a grandchild’s birth.
    Page 1 of 12

    Exam Review

    1. Which nursing action is most appropriate to establish trust with a suspicious client?
      A)
      Reinforcing and focusing on reality
      B)
      Maintaining consistent staff assignments
      C)
      Using a passive communication approach
      D)
      Maintaining low environmental stimuli
    2. When questioned about bruises, an individual states, "It was an accident. My spouse just had a bad day at work. He's being so gentle now and even brought me flowers. He's going to get a new job, so it won't happen again." The nurse recognizes this client is in which phase of the cycle of battering?
      A)
      Phase II: the acute battering incident phase
      B)
      Phase I: the tension-building phase
      C)
      Phase IV: the resolution and reorganization phase
      D)
      Phase III: the honeymoon phase
    3. A kindergarten student is frequently violent toward other children. The school nurse notices bruises and burns on the child’s face and arms. Which other symptom would indicate to the nurse that the child might have been physically abused?
      A)
      The child begs or steals food or money.
      B)
      The child shrinks at the approach of adults.
      C)
      The child is delayed in physical and emotional development.
      D)
      The child is frequently absent from school.
    4. In which setting should the nurse be aware the client with a substance use disorder would most likely seek initial treatment?
      A)
      Addiction treatment center
      B)
      Psychiatric hospital
      C)
      Inpatient psychiatric unit
      D)
      Urgent care clinic
    Page 2 of 12

    Exam Review

    1. Which statement indicates to the nurse that a client is experiencing a delusion?
      A)
      "There is a worm on the back of the television.”
      B)
      “Spies are watching everything I do.”
      C)
      “I really don’t feel like going to group today.”
      D)
      “Bugs are crawling all over me.”
    2. The nurse is working with a client diagnosed with pedophilic disorder. Which client outcome is appropriate for the nurse to expect during first week of hospitalization?
      A)
      The client will attend aversion therapy groups.
      B)
      The client will implement several relapse prevention strategies.
      C)
      The client will verbalize an understanding of the importance of follow-up care.
      D)
      The client will identify triggers that lead to inappropriate behaviors.
    3. Which statement by the student nurse requires further teaching regarding the sexual response cycle?
      A)
      “Sexual fantasies can stimulate the fourth phase of sexual response.”
      B)
      “In the second phase, sexual arousal and erotic pleasure occur.”
      C)
      “During phase 1, the desire to have sex can occur in response to visual stimulation.”
      D)
      “During phase 3, sexual tension is released as orgasm is achieved.”
    4. The nurse is educating the parents of a child diagnosed with schizophrenia on how to reply when their child experiences auditory hallucinations. Which is the nurse's best reply?
      A)
      “Ask him what the voices are saying to him.”
      B)
      “Tell him to stop talking about the voices.”
      C)
      “Encourage him not to worry about the voices.”
      D)
      “Tell him you know the voices are real to him.”
    Page 3 of 12

    Exam Review

    1. A teenager has recently lost a parent. Which grieving behavior would the school nurse expect when assessing this client?
      A)
      Preoccupation with the loss
      B)
      Denial of personal mortality
      C)
      Aggressive and defiant behaviors
      D)
      Clinging behaviors and personal insecurity
    2. A client diagnosed with schizophrenia says, “Can't you hear him? The devil keeps telling me I'm going to hell!" Which is the nurse’s most appropriate reply?
      A)
      “You are a good person, and you are not going to hell.”
      B)
      “Did you take your medication this morning?”
      C)
      “The devil only talks to people who are receptive to his influence.”
      D)
      “It must be scary to hear that, but I don’t hear a voice.”
    3. A client diagnosed with schizoaffective disorder is admitted for social skills training. Which information should the nurse teach the client?
      A)
      Deep breathing techniques
      B)
      Side effects of medications
      C)
      Techniques to improve memory and attention
      D)
      Ways to make eye contact when communicating
    4. A patient diagnosed with bulimia nervosa has been receiving cognitive behavior therapy (CBT) at the eating disorders clinic. Which of the following patient actions indicates to the nurse that the patient is making progress toward using adaptive eating behaviors?
      A)
      Verbalizing importance of adequate nutrition
      B)
      Gaining 2 lb. in 1 week
      C)
      Taking antidepressant medications as prescribed
      D)
      Identifying feelings associated with desire to binge
    Page 4 of 12

    Exam Review

    1. Which of the following leads the nurse to suspect a parent may be emotionally abusing their child?
      A)
      The child shows up for school without lunch.
      B)
      The child has bite marks on their arms.
      C)
      The child has no coat, and it is very cold outside.
      D)
      The parent blames the child whenever something goes wrong.
    2. A woman returns home after delivering a stillborn infant to find that neighbors have dismantled the nursery that she and her spouse planned. According to Worden, which indicates the effect the neighbors’ action may have on the woman's grieving task completion?
      A)
      It would help the woman forget the sorrow and move on with life.
      B)
      It may hamper the woman’s ability to accept the reality of the loss.
      C)
      It would motivate the woman to look to the future and not the past.
      D)
      It communicates full support from her neighbors.
    3. A client diagnosed with schizophrenia tells the nurse, "The 'Shopatouliens' took my shoes out of my room last night." Which is the correct charting entry to describe this client's statement?
      A)
      “The client is expressing feelings with a neologism.”
      B)
      “The client is speaking with clang associations.”
      C)
      “The client is communicating with a word salad.”
      D)
      “The client demonstrates paranoid thinking.”
    4. Which is used as first-line outpatient psychological treatment for adolescents diagnosed with anorexia nervosa?
      A)
      Family-based therapy
      B)
      Cognitive-based therapy
      C)
      Individual psychotherapy
      D)
      Dialectical behavior therapy (DBT)
    Page 5 of 12

    Exam Review

    1. The nurse expects a client experiencing prodromal symptoms of schizophrenia to demonstrate which of the following?
      A)
      Poor relationships with peers
      B)
      Significant deterioration in functioning
      C)
      Disorganized motor behavior
      D)
      Disturbances in thought processing
    2. The nurse is administering medications to a client experiencing acute psychosis. The client’s medication orders include haloperidol 50 mg PO bid, benztropine 1 mg PO daily, and zolpidem 10 mg PO at bedtime daily. The nurse administers benztropine to address which of the following?
      A)
      Facial movements
      B)
      Tactile hallucinations
      C)
      Pacing back and forth
      D)
      Psychomotor retardation
    3. A 16-year-old client diagnosed with schizophrenia is experiencing auditory command hallucinations. The client reports the voices are telling him to harm others. The client's parents ask the nurse, “Where do the voices come from?" Which is the nurse’s most appropriate reply?
      A)
      “Hallucinations can be caused by medication interactions.”
      B)
      “Auditory hallucinations are caused by increased dopamine levels in the brain.”
      C)
      “Auditory hallucinations are mainly due to abnormal hormone changes.”
      D)
      “Hallucinations occur when there is not enough serotonin in the brain.”
    4. The nurse is providing discharge teaching to an elderly client diagnosed with schizophrenia. The client’s medications include an antipsychotic (risperidone) and a beta-adrenergic blocking agent (propranolol). Which statement indicates the nurse understands the combined side effects of these medications?
      A)
      “Limit your intake of foods that are high in sugar.”
      B)
      “Concentrate on taking slow, deep, cleansing breaths.”
      C)
      “Always wear sunscreen and a hat when you are exposed to the sun.”
      D)
      “Move slowly when you change from a lying down or sitting position.”
    Page 6 of 12