Exam Review
- A nurse is assessing a postpartum client 3 weeks after delivery. The client reports feelings of guilt and incompetence as a parent along with a loss of interest in previously enjoyed activities. What condition should the nurse consider?A)Postpartum depressionB)Postpartum bluesC)Baby bluesD)Postpartum psychosis
- Which of the following describes a team of mental health LPNs and RNs who work together to provide client care?A)An interprofessional teamB)An intraprofessional teamC)A professional organizationD)A shared governance
- A client who has been using large amounts of alcohol for years is admitted for withdrawal management and suddenly becomes disoriented and combative. What is the primary nursing concern in this situation?A)Development of delirium tremensB)Risk of suicideC)Risk of fallingD)Need for nutritional assessment
- A postpartum client with a history of bipolar disorder reports seeing things that aren't there and feeling extremely confused. What is the first step the nurse should take?A)Encourage verbal expression of feelings to alleviate symptoms.B)Provide literature about managing postpartum stress.C)Schedule a routine follow-up appointment.D)Contact the client's psychiatrist for an emergency consultation.
Exam Review
- A nurse is discussing safety planning with a client who has experienced domestic violence. Which intervention should be prioritized during the safety planning process?A)Focus on building the client's self-esteem before creating a safety plan.B)Help the client create a personal escape strategy if violence escalates.C)Encourage the client to confront their abuser in a controlled environment.D)Advise the client to use calming techniques to diffuse the abuser's anger,
- What is the primary advantage of identifying pseudodementia in a patient presenting with cognitive decline?A)It helps differentiate treatable causes of cognitive impairment.B)It predicts the progression to Alzheimer's disease.C)It confirms the existence of major neurocognitive disorder.D)It indicates irreversible cognitive decline.
- A nurse is reviewing treatment alternatives for managing a client's behavior. The nurse should identify that which of the following examples describes the least restrictive alternative?A)An 8-year-old child is asked to return to their room after yelling at other children during a group therapy session.B)An adult client is given clozapine, an antipsychotic medication, after punching a wall with their fist and telling everyone that they intend to hurt them.C)An adolescent is taken to a secure, quiet room after threatening and lashing-out at other clients and staff.D)An adult client is confined with physical restraints after throwing chairs at other clients and staff.
- A patient requires an IV infusion of a psychotropic medication at a dose of 0.5 mg/kg/hr. The medication is supplied in vials of 2 mg/ml. If the patient weighs 70 kg, how many milliliters of medication should be administered per hour?A)25 mL/hrB)17.5 mL/hrC)35 mL/hrD)8 mL/hr
Exam Review
- Which intervention is most appropriate for a postpartum client showing signs of postpartum psychosis?A)Reassure the client that these feelings will pass with time.B)Referral to a mental health professional for urgent evaluation and treatment.C)Advise dietary changes to improve mood stability.D)Encourage rest and family support.
- A nurse in a mental health clinic is taking a medical history on a client. The nurse should recognize that which of the following factors in the client's history increases their risk for mental illness?A)Living in a rural areaB)Being raised by a single motherC)Early exposure to violenceD)Being in a family with numerous siblings
- When assessing a client in the emergency department following a sexual assault, what is the most appropriate first action for the forensic nurse to take?A)Perform a detailed forensic evidence collection using a rape kit.B)Provide the client with emergency contraception immediately.C)Administer prophylactic treatment for sexually transmitted infections.D)Create a private and secure environment, assuring the client of their safety.
- 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)DelusionsB)ConfusionC)Inappropriate guiltD)Mania
Exam Review
- A nurse is caring for a client who recently gave birth. The nurse notices the newborn is displaying manifestations of opioid withdrawal. The nurse should recognize the newborn's manifestations as signs of which of the following conditions?A)Substance use disorderB)Fetal alcohol syndromeC)ToleranceD)Neonatal abstinence syndrome
- What is the best initial approach when a patient with vascular dementia demonstrates unsafe wandering at nighttime?A)Implement environmental modifications to ensure safetyB)Administer sedative medicationsC)Increase daytime activitiesD)Use physical restraints
- A nurse is caring for a client who has a mental disorder. Which of the following statements by the client suggests the inability to process new information?A)" feel like someone is watching me."B)am sad no matter how well things are going."C)"I need to catch the bird that is flying in my room."D)have a difficult time remembering things."
- A nurse is interviewing a client who states, "I am at a total loss and don't know what to do anymore. I feel hopeless." Which of the following responses should the nurse make?A)"Would you like to speak to a therapist after treatment?"B)"You feel like you have no remaining options and are struggling to find a solution."C)"If you do not like your medications, would you like to try an alternative?"D)"You would like more information, I will get that for you right away."
Exam Review
- What is the best method for assessing adverse childhood experiences (ACE) in an adolescent exhibiting aggression and anxiety?A)Focus only on the aggression and ignore the significance of ACES.B)Utilize the adolescent self-report ACE questionnaire in a private setting.C)Interview the adolescent in the presence of their parent or caregiver.D)Assess only the family dynamic without addressing individual experiences.
- Which symptom would most likely complicate the diagnosis of bipolar disorder in an adolescent with ongoing mood swings?A)Predominantly aggressive outbursts without other mood alterations.B)Difficulty with academic focus and performance.C)Fluctuations between feelings of excitement and apathy.D)Consistent behavior of detachment from peers.
- A patient with a history of traumatic brain injury struggles to recognize a family member seated right in front of them. Which condition are they most likely experiencing?A)AphasiaB)AgnosiaC)AgraphiaD)Apraxia
- A nurse is caring for a client who is crying and states they are depressed and feel like they are "going crazy." Which of the following client statements indicates the client is experiencing emotional abuse? (Select All that Apply.)A)I am newly divorced and a single parent."B)"I recently was promoted at work but now I'm unable to work with the same coworkers I was used to working with."C)"My ex-partner tells me that I can't do anything right."D)"My ex-partner constantly makes fun of my weight."E)"I suppose I really do need to be on medication, like my ex-partner said."F)"My friend recently passed away."
Exam Review
- Which route of administration for Naloxone is quickest in reversing opioid overdose?A)SubcutaneousB)Intramuscular (IM)C)Intravenous (IV)D)Intranasal spray
- A nurse is caring for a client who has schizophrenia. Select the "3" findings that should indicate to the nurse the client is experiencing negative symptoms related to their schizophrenia.A)Blood pressureB)Lack of motivationC)Change in behaviorD)Lack of energyE)Withdrawn
- When evaluating the effectiveness of an alcohol withdrawal treatment plan for an older adult patient, what outcome would be considered successful?A)Reduction in alcohol cravings and anxietyB)Increased depressive symptomsC)Increased social isolationD)Increased tolerance to alcohol
- A nurse is caring for a client who has dementia and has been placed on the MIND diet plan. Which of the following foods should the nurse offer the client for a snack?A)Cheese crackersB)Graham crackersC)Sliced applesD)Almonds