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    Exam Review

    1. A community health nurse is creating a presentation about mood disorders for a local support group. The nurse should include which of the following as a risk factor for suicide?
      A)
      Loss of a job
      B)
      Engaging in extracurricular activities
      C)
      Financial stability
      D)
      Exercising caution in behavior
    2. A nurse is caring for a client who has a substance use disorder. Which of the following statements by the nurse is an example of patient-centered care?
      A)
      "I would like to focus on what I believe are the best goals for you to work on."
      B)
      "Although you have mentioned wanting to talk today about your past abuse, let's discuss this handout I have with new coping skills."
      C)
      "Let's review the goals you set today and see what your priority is this week."
      D)
      "I am going to have to change our meeting time because I need to go get lunch."
    3. A nurse is assisting in the care of a client who has persistent depressive disorder. When reinforcing education to the client about their illness, which of the following statements should the nurse make?
      A)
      "Persistent depressive occurs shortly after taking or withdrawing from a substance."
      B)
      "Persistent depressive is characterized by both manic and depressive episodes."
      C)
      "Persistent depressive disorder is characterized by delusions and hallucinations."
      D)
      "Persistent depressive disorder is a mild chronic form of depression."
    4. A school nurse is assisting in the planning a presentation on identifying potential warning signs of suicide for high school students. Which of the following examples of behaviors should the nurse include in the presentation?
      A)
      Seeking a tutor for help with a challenging class
      B)
      Making plans to go to the prom
      C)
      Volunteering to serve food at a homeless shelter over the holidays.
      D)
      Displaying extreme mood swings
    Page 1 of 13

    Exam Review

    1. A nurse is preparing to administer chlordiazepoxide 10 mg PO tid. The amount available is chlordiazepoxide 5 mg/capsule. How many capsules 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.) capsule.
      Correct Answer:2 capsules
    2. A nurse is caring for a client who has been brought into an emergency department of a large hospital. The client's family state that the client "took some kind of drugs." The client is dizzy, has recently vomited, and is experiencing paranoia, yelling, "Stay away from me! You are going to kill me!" The client alternates yelling with mumbling and gesturing. Their eyes are darting back and forth as they are talking to the wall. The nurse should suspect the client has used which of the following substances?
      A)
      Opioids
      B)
      Anabolic steroids
      C)
      Hallucinogens
      D)
      Stimulants
    3. A nurse is caring for a client who has schizophrenia. Which of the following findings should the nurse identify as a comorbidity to this condition?
      A)
      Alzheimer's disease
      B)
      Diabetes mellitus
      C)
      Cancer
      D)
      Osteoarthritis
    4. A nurse is reinforcing education to a newly licensed nurse about comorbidities associated with cluster B personality disorders. The nurse should identify which of the following disorders as a comorbidity?
      A)
      Schizophrenia
      B)
      Anorexia nervosa
      C)
      General anxiety disorder
      D)
      Obsessive-compulsive disorder
    Page 2 of 13

    Exam Review

    1. A nurse is caring for a client who has been brought to the emergency department and is experiencing acute fentanyl toxicity. The nurse should expect to observe which of the following adverse effects in this client?
      A)
      Tachypnea
      B)
      Hypertension
      C)
      Pupillary dilation
      D)
      Elevated heart rate
    2. A nurse is discussing schizophrenia spectrum disorders with a client. The client states, "My friend says that before I started hearing voices, I stopped hanging out with them. Why is that?" Which of the following responses should the nurse make?
      A)
      "That is very interesting, We are not sure why people start to isolate themselves."
      B)
      "Before symptoms of schizophrenia begin, people often isolate themselves. This is an early warning."
      C)
      "Were you avoiding your friend so that you could hear the voices more clearly?"
      D)
      "Do you think of yourself as more of an introvert? That makes a difference with how you socialize."
    3. A nurse is reinforcing teaching to a client who is to undergo electroconvulsive therapy (ECT) for depression. Which of the following information should the nurse provide?
      A)
      "Electrical current will flow through electrodes placed on your torso."
      B)
      "It is not necessary to fast before the procedure."
      C)
      "You will be awake during the procedure."
      D)
      "Your provider will likely schedule you for several treatments over a period of weeks."
    4. A nurse is caring for a client who has borderline personality disorder. Which of the following defense mechanisms is commonly used by clients who have this disorder and has the potential to create division amongst the healthcare team?
      A)
      Splitting
      B)
      Regression
      C)
      Reaction formation
      D)
      Denial
    Page 3 of 13

    Exam Review

    1. A nurse is reinforcing teaching to a client who is to undergo transcranial magnetic stimulation (TMS) for depression. Which of the following information should the nurse provide?
      A)
      "You will be asleep during the procedure."
      B)
      "Most people only require one treatment to eliminate their depression."
      C)
      "You may experience a mild headache following the procedure."
      D)
      "The procedure will take about 2 hours."
    2. A nurse is caring for a client who was hospitalized with a high blood alcohol content level. The provider fears the client may go into withdrawal and require medical supervision. The client's manifestations included anxiety, tremors, BP 166/100 mm Hg, and tachypnea about 1 hr ago. Now the client begins yelling out that they are seeing spiders crawling all over the walls. They believe they are at home and begin calling for their mother. The nurse should recognize that the client is experiencing which of the following stages of alcohol withdrawal?
      A)
      The client's manifestations indicate a psychotic disorder instead of alcohol withdrawal.
      B)
      Stage 2 (moderate)
      C)
      Stage 1 (mild)
      D)
      Stage 3 (severe)
    3. A nurse is assisting with the admission of a new client to the unit. Which of the following actions should the nurse take to build a rapport with the client?
      A)
      Ask questions that only require one-word answers to prevent anxiety about answering detailed questions.
      B)
      Remain silent after asking the client a question to allow the client a chance to respond.
      C)
      Have music on in the background to distract the client from being anxious.
      D)
      Avoid eye contact with the client to prevent the client from feeling awkward.
    4. A nurse is caring for a client who has depression and states, "A government agency is attempting to capture me." The nurse should identify that the client is experiencing which of the following?
      A)
      Inappropriate guilt
      B)
      Mania
      C)
      Delusions
      D)
      Confusion
    Page 4 of 13

    Exam Review

    1. A nurse is caring for a client who has depression and states, "A government agency is attempting to capture me." The nurse should identify that the client is experiencing which of the following?
      A)
      Inappropriate guilt
      B)
      Mania
      C)
      Delusions
      D)
      Confusion
    2. A nurse is asking a client who has schizophrenia about their cultural and spiritual beliefs. Which of the following is the purpose for collecting this information?
      A)
      To empower the client to be engaged in personal care
      B)
      To decrease the client's stress
      C)
      To increase the client's motivation to learn about their culture
      D)
      To detect changes in the client's condition
    3. The nurse is assisting in the care of a client who is hyperactive, pacing down the hallway, and exhibiting poor concentration during group therapy. When collecting data, the nurse should identify that which of the following is characteristic of the client's manifestations?
      A)
      Depression
      B)
      Delusions
      C)
      Hallucinations
      D)
      Mania
    4. A nurse is caring for a client who is unable to make any decisions for themself and needs constant reassurance. The nurse should identify that these are manifestations of which of the following personality disorders?
      A)
      Schizoid personality disorder
      B)
      Dependent personality disorder
      C)
      Avoidant personality disorder
      D)
      Antisocial personality disorder
    Page 5 of 13

    Exam Review

    1. A nurse is caring for a client who is unable to make any decisions for themself and needs constant reassurance. The nurse should identify that these are manifestations of which of the following personality disorders?
      A)
      Schizoid personality disorder
      B)
      Dependent personality disorder
      C)
      Avoidant personality disorder
      D)
      Antisocial personality disorder
    2. A nurse is preparing to administer nizatidine 150 mg PO. The amount available is nizatidine 75 mg/tablet. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) ____ tablet(s)
    3. A nurse is caring for a client who was recently re-admitted for relapse of psychosis symptoms due to not taking their medications. Which of the follow should be a long-term goal for this client?
      A)
      To keep the client's environment calm and with minimal daily stimuli
      B)
      To ensure the client participates in a walk with staff on a daily basis
      C)
      To develop and acknowledge understanding of a relapse plan prior to discharge
      D)
      To be reoriented to their current environment as needed
    4. A nurse is assisting with an in-service to a group of staff members about schizophrenia. Which of the following age groups should the nurse include as the age when schizophrenia is typically diagnosed?
      A)
      School-age
      B)
      Young adulthood
      C)
      Preschooler
      D)
      Older adulthood
    Page 6 of 13