NursGuru
    Login/Signup
    Review ModeExam ModePractice Mode

    Exam Review

    1. A nurse is preparing to discharge a client who has depression. Which of the following information should the nurse plan to reinforce with the client regarding relapse?
      A)
      Use systematic desensitization to help prevent relapse.
      B)
      Your antidepressant medication will make you feel better in a few days.
      C)
      You should identify how you react to stressful events.
      D)
      Try snapping a rubber band on your wrist when depressive thoughts occur.
    2. A nurse is reinforcing teaching with a client who has generalized anxiety disorder and a new prescription for buspirone. Which of the following information should the nurse include?
      A)
      This medication is known to cause dependence.
      B)
      Avoid consuming large amounts of leafy, green vegetables while taking this medication.
      C)
      It can take several weeks before you notice an effect from the medication.
      D)
      If a dose is missed, you can take the missed dose along with the next scheduled dose.
    3. A nurse is caring for a client who has a phobia of elevators. Which of the following behavioral strategies should the nurse plan to use to decrease anxiety?
      A)
      Response prevention.
      B)
      Systematic desensitization.
      C)
      Thought stopping.
      D)
      Flooding.
    4. A nurse is collecting data from a client who experienced physical abuse as a child. Which of the following findings should the nurse identify as a risk factor for the client to become a perpetrator of child abuse?
      A)
      Low tolerance for frustration.
      B)
      Involved in community activities.
      C)
      Submissive personality.
      D)
      Absence of impulsive behaviors.
    Page 1 of 9

    Exam Review

    1. A nurse is reinforcing teaching about home care with the family of a client who has Alzheimer's disease and wanders at night. Which of the following instructions should the nurse include?
      A)
      Keep the client's bedroom area dark at night.
      B)
      Have the client exercise 30 minutes before bedtime.
      C)
      Place the client's mattress on the bedroom floor.
      D)
      Encourage the client to nap often during the day.
    2. A charge nurse is reinforcing teaching with a newly licensed nurse about the clinical manifestations of dependent personality disorder. Which of the following manifestations should the nurse include in the teaching?
      A)
      Unable to make simple decisions
      B)
      Enjoys spending time alone
      C)
      Exhibits extreme perfectionism
      D)
      Displays confrontational behavior
    3. A nurse is collecting data for a health history from a client who has bulimia nervosa. Which of the following laboratory findings should the nurse expect?
      A)
      Hypokalemia
      B)
      Leukopenia
      C)
      Decreased serum amylase
      D)
      Hematuria
    4. A nurse is participating in a community program about eating disorders. Which of the following information about bulimia nervosa should the nurse include in the presentation?
      A)
      "As long as a person is not vomiting after eating they do not have bulimia nervosa."
      B)
      "People who have bulimia nervosa are at risk for developing diabetes mellitus."
      C)
      "Bulimia nervosa is difficult to notice because a person might be of average or ideal body weight."
      D)
      "People who have bulimia nervosa eat an average amount of food on a daily basis."
    Page 2 of 9

    Exam Review

    1. A nurse is discussing the care of a client who has alcohol use disorder with another nurse. Which of the following statements should the nurse identify as an indication of countertransference?
      A)
      "The client is just like my parent, who never could quit drinking."
      B)
      "The client needs to accept responsibility for their drinking."
      C)
      "The client asked me to go on a date."
      D)
      "The client shares their feelings openly during group therapy."
    2. A nurse is contributing to the plan of care for a client who has schizophrenia. The client often directs brief, hostile verbal outbursts toward the staff. Which of the following interventions should the nurse recommend?
      A)
      Encourage the client to participate in a board game.
      B)
      Touch the client on the shoulder to console them.
      C)
      Bring a security guard whenever approaching the client.
      D)
      Use a calm, clear tone when speaking to the client.
    3. A nurse is caring for a client who has an anxiety disorder and reports ongoing difficulty sleeping at night. Which of the following recommendations should the nurse make?
      A)
      "Drink 5 ounces of red wine roughly 30 minutes before bed.”.
      B)
      "Stay in bed for 1 hour before getting up if you are unable to sleep.”.
      C)
      "Exercise 1 hour before bedtime.”.
      D)
      "Limit caffeine to one or two servings during daytime hours.”.
    4. A nurse is working with a group of clients during group therapy. For which of the following client disorders will setting limits serve as an appropriate behavioral management technique?
      A)
      Delirium
      B)
      Depression
      C)
      Antisocial personality disorder
      D)
      Generalized anxiety disorder
    Page 3 of 9

    Exam Review

    1. A nurse is assisting with the involuntary admission of a client who has an anxiety disorder and is unable to meet their basic physical needs. Which of the following statements should the nurse make to the client?
      A)
      "You have the right to refuse medications prescribed during your stay."
      B)
      "Your admission status allows you to leave the facility at any time."
      C)
      "Your health care team will review your admission status in 90 days."
      D)
      "You will automatically have a legal guardian appointed during this admission."
      E)
      The correct answer is: a) "You have the right to refuse medications prescribed during your stay."
    2. A nurse is caring for a client who has delirium. Which of the following findings should the nurse expect?
      A)
      Gradual onset
      B)
      Impaired judgment
      C)
      Difficulty swallowing
      D)
      Slowed, flat speech
    3. A nurse is collecting data from a client who reports cessation of nicotine use. Which of the following manifestations should the nurse expect? (Select all that apply.)
      A)
      Weight gain
      B)
      Difficulty concentrating
      C)
      Diarrhea
      D)
      Restlessness
      E)
      Decreased appetite
    4. A nurse is collecting data from a group of clients in an acute care mental health facility. For which of the following findings should the nurse be most concerned regarding individual client safety?
      A)
      A client who has borderline personality disorder and acts impulsively
      B)
      A client who has avoidant personality disorder and becomes anxious in social situations
      C)
      A client who has dependent personality disorder and clings to nursing staff
      D)
      A client who has histrionic personality disorder and seeks constant attention
      E)
      The correct answer is: a) A client who has borderline personality disorder and acts impulsively
    Page 4 of 9

    Exam Review

    1. A nurse is caring for a client who has depressive disorder following the recent death of their partner. Which of the following responses should the nurse make?
      A)
      "Tell me more about your relationship with your partner.”.
      B)
      "Grief affects everyone differently; your feelings are valid.”.
      C)
      "It's important to stay busy to take your mind off things.”.
      D)
      "Have you considered joining a support group for bereavement?"
    2. A nurse is caring for a client who is combative and requires wrist restraints. Which of the following actions should the nurse take?
      A)
      Use a quick-release tie to restrain the client.
      B)
      Renew the restraint prescription every 48 hr.
      C)
      Attach the restraints to the side rail of the client's bed.
      D)
      Maintain 1 fingerbreadth between the restraint and the client's skin.
    3. A nurse in a mental health facility is contributing to the plan of care for a new client. Which of the following actions should the nurse plan to include in the working phase of the nurse-client relationship?
      A)
      Determine whether the client's goals are met.
      B)
      Collect data about the client's current health status.
      C)
      Provide the client with information on problem-solving.
      D)
      Establish a regular meeting time with the client.
    4. A nurse is reinforcing teaching with a client who is scheduled for implantation of a vagus nerve stimulator. Which of the following statements should the nurse include in the teaching?
      A)
      You might have extreme fatigue for several weeks after the device is implanted.
      B)
      Your voice might sound hoarse after the device is implanted.
      C)
      Your depression will improve within 72 hours after the device is implanted.
      D)
      You can schedule an appointment with your provider to turn the device off.
    Page 5 of 9

    Exam Review

    1. A nurse is reinforcing teaching with a client who has a new prescription for a nicotine transdermal system. Which of the following statements should the nurse make?
      A)
      A decrease in appetite is expected when beginning treatment.
      B)
      Using this medication will help minimize symptoms of withdrawal.
      C)
      Expect to stop smoking immediately after starting this medication.
      D)
      Apply a new patch every 4 hours until your cravings diminish.
    2. A nurse is receiving report on four clients at the beginning of the shift. Which of the following clients should the nurse check first?
      A)
      A client who is demonstrating clang associations.
      B)
      A client who is hearing command hallucinations.
      C)
      A client who is using neologisms.
      D)
      A client who is verbalizing ideas of reference.
    3. A nurse in a mental health facility is collecting a blood specimen from a client. The client is hallucinating and states, "That looks like a snake, and I won't let it take all of my blood." Which of the following responses should the nurse make?
      A)
      I don't see a snake, but that must be scary for you.
      B)
      I'm using a syringe to obtain your blood, not a snake.
      C)
      Your provider requires this blood specimen.
      D)
      You must be mistaken.
    4. A nurse is collecting data from a client who has been admitted with manifestations of paranoia. Which of the following findings should the nurse identify as a risk factor for schizophrenia?
      A)
      The client's home has lead paint on the walls.
      B)
      The client's twin sibling has schizophrenia.
      C)
      The client is opioid dependent.
      D)
      The client's mother used tobacco products during pregnancy.
    Page 6 of 9