NursGuru

    Exam Review

    1. A nurse is caring for a client who exhibits excessive attention-seeking behaviors, including acting flirtatious and seductive. The nurse should identify these behaviors as manifestations of which of the following personality disorders?
      A)
      Paranoid
      B)
      Histrionic
      C)
      Narcissistic
      D)
      Antisocial
    2. A nurse on a mental health unit is planning a group therapy session about assertiveness training. For which of the following clients should the nurse recommend the training?
      A)
      A client who has new-onset delirium
      B)
      A client who is experiencing auditory hallucinations
      C)
      A client who is experiencing mania
      D)
      A client who has somatic symptom disorder
    3. A nurse is preparing to teach a client who has major depressive disorder and is scheduled to undergo electroconvulsive therapy (ECT). Which of the following statements should the nurse include in the teaching?
      A)
      “ECT is contraindicated in clients who have psychotic symptoms.”
      B)
      “ECT is delivered through electrodes attached to the head.”
      C)
      “ECT cannot be administered to clients who have suicidal ideation.”
      D)
      “ECT is conducted under regional anesthesia.”
    4. A nurse is assessing a client who takes diazepam for anxiety and hydromorphone for severe pain. Which of the following is the priority finding that the nurse should report to the provider?
      A)
      Urinary retention
      B)
      Blurred vision
      C)
      Headache
      D)
      Bradypnea

    Exam Review

    1. A charge nurse is planning an in-service for newly licensed nurses on tort law in mental health care. Which of the following scenarios should the charge nurse provide as an example of an unintentional tort?
      A)
      A nurse did not clarify a client’s prescription that was difficult to read resulting in a medication error.
      B)
      A nurse posted private information on social media about a client who has substance use disorder.
      C)
      A nurse placed a client in mechanical restraints without obtaining a prescription, resulting in injury.
      D)
      A nurse threatened a client with physical harm after the client became verbally abusive to staff members.
    2. A nurse is caring for a client who has bipolar disorder. The client says to the nurse, “Give me your pen to cut the pain out of my chest.” The nurse should identify that the client is at risk for which of the following?
      A)
      Illusion
      B)
      Hallucination
      C)
      Attention-seeking behavior
      D)
      Self-mutilation
    3. A home health nurse is caring for a client who reports feeling tired and being unable to grocery shop. Which of the following responses by the nurse is an example of therapeutic communication?
      A)
      “Have you thought about taking a sleeping pill?”
      B)
      “Your fatigue will pass, and everything will be just fine.”
      C)
      “Do you have a family member who can assist you?”
      D)
      “Let’s discuss how to get you the help you need.”
    4. A nurse is providing teaching to the caretakers of a client who has Alzheimer’s disease with mild cognitive decline. The client is beginning to experience sleep disturbances. Which of the following instructions should the nurse include?
      A)
      Give the client a cup of hot black tea before bed.
      B)
      Wake the client at the same time each morning.
      C)
      Take the client for a walk 2 hours before bedtime each night.
      D)
      Allow the client to take a 90-minute nap immediately after lunch.

    Exam Review

    1. A nurse in an urgent-care clinic is caring for a school-age child who has several visible bruises. The child’s parent states, “My partner got fired today and came home angry. I don’t think this will happen again.” Which of the following responses should the nurse make?
      A)
      “I agree with you. I’m sure this will never happen again.”
      B)
      “This is awful. You should file charges against your partner.”
      C)
      “This is clearly child endangerment. I will have to call the police.”
      D)
      “I’d like to know more about what happened. Let’s sit and talk.”
    2. A nurse is conducting an admission assessment for a client who is experiencing a manic episode of bipolar disorder. Which of the following behaviors should the nurse expect? (Select all that apply.)
      (SATA)
      A)
      Grandiosity
      B)
      Flight of ideas
      C)
      Splitting
      D)
      Hyperactivity
    3. A nurse is creating a plan of care for a newly admitted client who has obsessive-compulsive disorder (OCD). Which of the following interventions should the nurse include?
      A)
      Use detailed explanations when providing education to the client.
      B)
      Maintain a stimulating environment for the client.
      C)
      Provide the client with a structured schedule of daily activities.
      D)
      Limit time for rituals to 30 minutes each day.
    4. A charge nurse is providing education to a group of newly licensed nurses about the rights of clients who are involuntarily admitted. Which of the following responses indicates understanding of the teaching?
      A)
      “These clients can receive packages after they are privately inspected by security.”
      B)
      “These clients cannot be considered for a research study.”
      C)
      “These clients can vote in local and federal elections.”
      D)
      “These clients cannot refuse their prescribed antipsychotic medications.”

    Exam Review

    1. A nurse is caring for a client who has a history of suicide attempts. Which of the following findings places the client at risk for another suicide attempt? (Select all that apply.)
      A)
      Hallucinations
      B)
      Depression
      C)
      Delusions
      D)
      Catatonia
      E)
      Tinnitus
    2. A nurse is reviewing the medical record of a newly admitted client who has major depressive disorder. Which of the following findings should the nurse identify as a risk factor for this condition?
      A)
      The client has a serotonin deficiency.
      B)
      The client has acute bronchitis.
      C)
      The client has an elevated calcium level.
      D)
      The client is an only child.
    3. A nurse is admitting a client who has borderline personality disorder and is at risk for self-mutilation. Which of the following interventions should the nurse incorporate in the plan of care?
      A)
      Provide additional attention to the client.
      B)
      Apply mechanical restraints before administering medication.
      C)
      Obtain a verbal contract from the client.
      D)
      Limit staff members who work with the client.
    4. A nurse is caring for a client who has a new diagnosis of major depressive disorder. Which of the following medications should the nurse expect the provider to prescribe to the client as a first-line treatment?
      A)
      Midazolam
      B)
      Fluoxetine
      C)
      Cyclobenzaprine
      D)
      Valproic acid

    Exam Review

    1. A nurse is caring for a client who is aggressive toward other clients and has been placed in wrist restraints. After obtaining a prescription for restraints from the provider, which of the following actions should the nurse take?
      A)
      Document the client’s behavior once every hour.
      B)
      Keep the client in restraints until the prescription expires.
      C)
      Conduct a debriefing regarding the client with the unit staff.
      D)
      Request an evaluation of the client within 12 hours of application of restraints.