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    Exam Review

    1. A nurse is admitting a client who has active tuberculosis to a room on a medical-surgical unit. Which of the following room assignments should the nurse make for the client?
      A)
      A. A room with another nonsurgical client
      B)
      A room with air exhaust directly to the outdoor environment
      C)
      A room in the ICU
      D)
      A room that is within view of the nurses' station
    2. A nurse is discussing strategies to develop nurse-client therapeutic relationships with a newly licensed nurse. Which statement by the nurse accurately describes strategies for building a therapeutic relationship?
      A)
      "Listen attentively to a client and summarize their comments"
      B)
      "Asking questions easily answered with one-word responses is important with mental health clients."
      C)
      "Avoid asking clients direct questions regarding suicidal behaviors or thoughts."
      D)
      "Allow the client's family to attend all group therapies with the client."
    3. A nurse working in a community health center is speaking with a client who has a serious mental illness. The client states that they are unable to find employment and they do not understand why. Which of the following questions should the nurse ask? (Select all that apply.)
      (SATA)
      A)
      "What is your expected salary range?"
      B)
      "Have you served time in prison?"
      C)
      "What type of vehicle do you drive?"
      D)
      "Do you use drugs?"
      E)
      "Are you taking antipsychotic medication?"
    4. A nurse is caring for a client who has schizophrenia with an exacerbation of hallucinations. The client states, "I do not understand why the hallucinations have come back." The nurse should explain that which of the following is the reason for the exacerbation of hallucinations?
      A)
      Boundaries
      B)
      Relapse
      C)
      The SE model
      D)
      Stigma
    Page 1 of 20

    Exam Review

    1. A nurse is providing care for a client who has recently returned from active combat and experienced the loss of a close friend during combat. Which of the following client statements indicates that the client is experiencing traumatic grief?
      A)
      "It has been more than a year, and I still don't want to leave the house."
      B)
      "When I have flashbacks, it feels like my heart is going to beat through my chest."
      C)
      "I can't cry when I talk about my friend because soldiers aren't supposed to show emotions."
      D)
      "I should have been the one who had been killed instead of my friend."
    2. A nurse is caring for a client who has schizophrenia and diabetes mellitus. The nurse is reviewing a list of the client's prescribed medications and has questions about interactions. To which of the following members of the interprofessional team should the nurse direct their questions?
      A)
      Psychiatric pharmacist
      B)
      Laboratory technician
      C)
      Primary provider
      D)
      Psychologist
    3. A nurse is assessing a client before administering a unit of packed RBCs. The nurse should identify which of the following data as most important to obtain prior to the infusion?
      A)
      Skin color
      B)
      Hemoglobin level
      C)
      Fluid intake
      D)
      Temperature
    4. A nurse is teaching a newly licensed nurse about the importance of therapeutic communication. Which of the following statements should the nurse include in the teaching?
      A)
      "Therapeutic communication is not as important as medication in the care of our clients."
      B)
      "Therapeutic communication is a key component of mental health nursing and the therapeutic nurse-client relationship that improves the emotional well-being of the client."
      C)
      "Therapeutic communication is important for nurse-to-nurse interactions, but is not as critical for nurse-to-client interactions."
      D)
      "Therapeutic communication is no different than how we communicate in general conversation outside of health care."
    Page 2 of 20

    Exam Review

    1. A nurse is caring for a client. Which of the following client statements should the nurse identify as an indication of anorexia nervosa?
      A)
      "I spend lots of time searching for new recipes."
      B)
      "I have so much energy."
      C)
      "I enjoy wearing form-fitting clothes to show off my body."
      D)
      "I know I am skinny."
    2. A charge nurse on a mental health unit is describing assessments for suicide risks to a group of newly licensed nurses. Which of the following tests should the nurse include?(Select All that Apply.)
      (SATA)
      A)
      Harvard Implicit Association Test (IAT)
      B)
      PHQ-9
      C)
      Altman Self-Rating Mania Scale
      D)
      SAD PERSONS
      E)
      SAFE-T
    3. A nurse is preparing to care for a client who is experiencing complicated grief. Which of the following actions demonstrates grief-informed care?
      A)
      Contact the provider for directions on how to proceed.
      B)
      Support the privacy of the client and do not discuss the loss.
      C)
      Stand when speaking to the client with door of the room open.
      D)
      Acknowledge and recognize that the client has experienced a loss
    4. A staff nurse reports an observation of a coworker injecting themselves with a syringe in the bathroom. The coworker admits to stealing narcotics from the medication room. The staff nurse should take which of the following courses of action?
      A)
      Report the incident to the other RNS on the shift.
      B)
      Agree to not report the incident if the coworker seeks treatment.
      C)
      Report the incident to the appropriate person in the chain of communication
      D)
      Agree to not report the incident if the coworker promises to report
    Page 3 of 20

    Exam Review

    1. A nurse on an acute care mental health unit is examining the belongings of a client who is being admitted following a suicide attempt. Which of the following belongings should the nurse ask the client's partner to take back home?(Select All that Apply.)
      A)
      Nylon socks
      B)
      Glass framed picture of the client's partner
      C)
      Lace-up tennis shoes
      D)
      Cotton underwear
      E)
      Necklace
    2. A nurse is caring for a client who has illness anxiety disorder. Which of the following medications should the nurse expect the provider to prescribe?
      A)
      Escitalopram
      B)
      Haloperidol
      C)
      Olanzapine
      D)
      Carbamazepine
    3. A nurse asks a client if they prefer to attend the morning or afternoon group therapy session. The nurse should identify that this as an example of which of the following ethical principles?
      A)
      Beneficence
      B)
      Nonmaleficence
      C)
      Justice
      D)
      Autonomy
    4. A nurse is preparing for the admission of client who has suspected active tuberculosis. Which of the following precautions should the nurse plan to implement to safely care for this client?
      A)
      Assign the client to a room with other clients who require droplet precautions.
      B)
      Modify the protocol for donning and removing personal protective equipment before entering or leaving the client's room.
      C)
      Have staff and visitors wear gowns, masks, and gloves while in the client's room.
      D)
      Place the client in a private room with a special ventilation system.
    Page 4 of 20

    Exam Review

    1. A nurse is caring for a client who is receiving total parenteral nutrition via a peripherally inserted central catheter (PICC). When assessing the client, the nurse notes swelling of the client's arm above the PICC insertion site. Which of the following actions should the nurse take first?
      A)
      Remove the PICC line.
      B)
      Measure the circumference of both upper arms.
      C)
      Notify the provider who inserted the PICC line.
      D)
      Apply a cold pack to the client's upper arm.
    2. A nurse is planning care for a client who has been brought to the inpatient mental health unit by law enforcement officers after becoming aggressive in a local bar. The nurse should identify that this finding is consistent with which of the following disorders?
      A)
      Narcissistic personality disorder
      B)
      Antisocial personality disorder
      C)
      Histrionic personality disorder
      D)
      Borderline personality disorder
    3. A nurse is caring for a client who has depression. Which of the following noninvasive treatments should the nurse recommend to the client?
      A)
      Cognitive behavioral therapy
      B)
      Deep-brain stimulation
      C)
      Electroconvulsive therapy
      D)
      Vagal nerve stimulation
    4. A nurse is assessing a newly admitted client who states that they do not want to live anymore and plan to end their life. Which of the following actions should the nurse take?
      A)
      Reassure the client that everything is going to work out.
      B)
      Ask the client about the lethality of their plan.
      C)
      Allow the client time alone to self-reflect
      D)
      Encourage the client to focus on the positive aspects of life.
    Page 5 of 20

    Exam Review

    1. A nurse has successfully completed a drug treatment program and is returning to work 3 months later. Which of the following best describes a program designed for a nurse returning to work after treatment?
      A)
      A drug recovery support group
      B)
      An early-release incarceration program
      C)
      An Alternative-to-Discipline (ATD) program
      D)
      An involuntary long-term residential treatment
    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)
      Anabolic steroids
      B)
      Hallucinogens
      C)
      Stimulants
      D)
      Opioids
    3. A nurse is planning care for a client who has chronic substance use disorder. Which of the following is the most therapeutic response to help the client cease alcohol consumption?
      A)
      "Let me tell you how I struggled to stop drinking whiskey over the years, but finally succeeded."
      B)
      "You have stopped drinking, haven't you?"
      C)
      "The physician has ordered you to stop drinking all alcoholic beverages. Are you going to make us happy?"
      D)
      "Let's work together on a plan that includes medication, group support, and counseling."
    4. A nurse is providing dietary teaching to a client who has chronic kidney disease (CKD).The nurse should instruct the client to limit which of the following nutrients? (Select all that apply.)
      A)
      Protein
      B)
      Calories
      C)
      Sodium
      D)
      Phosphorous
      E)
      Calcium
    Page 6 of 20