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    Exam Review

    1. A client has just presented at the emergency department after being raped. The initial nursing action would be to:
      A)
      Refer the client to a rape crisis hotline.
      B)
      Encourage the client to file charges immediately.
      C)
      Perform a nursing history and physical as quickly as possible.
      D)
      Provide emotional support.
    2. A client who has been grieving the loss of his wife two weeks ago says to the nurse, "The best part of my day is when I am back at work. Is that wrong?" Which of the following statements by the nurse is correct regarding the purpose of work and other daily activities?
      A)
      "Working is letting you take an emotional break from grieving. There's nothing wrong with that."
      B)
      "Working is your way of avoiding grief, which will make it harder for you to move on."
      C)
      "Working reminds you of your loss. It may be too early to go back."
      D)
      "You cannot work effectively this soon. You should finish grieving first."
    3. A client with terminal cancer has been told he has 3–4 months to live. Which of the following would indicate to the nurse that further interventions are needed?
      A)
      The client is reviewing his life and talking about death.
      B)
      The client says he wants to live life to the fullest.
      C)
      The client hopes for a peaceful and dignified death.
      D)
      The client says he is well and is making future plans.
    4. A woman has just had a therapeutic abortion to end an unintended pregnancy. Afterward, the woman cries because, although she wanted to have children in future years, this pregnancy was not well-timed. Which type of grief is this woman most likely to experience?
      A)
      Disenfranchised grief
      B)
      Absence of grief
      C)
      Complicated grief
      D)
      Anticipatory grief
    Page 1 of 13

    Exam Review

    1. A child who has witnessed the murder of his classmate while at school would experience which kind of loss?
      A)
      Physiologic loss
      B)
      Safety loss
      C)
      Loss of self-esteem
      D)
      Loss related to self-actualization
    2. A student nurse is assigned to administer oral medications to a client. Which of the following actions should a student nurse take if the client refuses to take prescribed oral medications?
      A)
      Ask the client's reason for refusing and report it to the primary care nurse.
      B)
      Document the client's refusal on the medication administration record without comment.
      C)
      Tell the client that refusal is not permitted, and staff will require the client to take the medication.
      D)
      Tell the client that the nurse will receive a poor grade if they do not administer the medication.
    3. A client was brought to the emergency department by police after neighbors complained that he was loud and disruptive. The client is paranoid and upset and states, “No one can be trusted." Which of the criteria for involuntary admission does this client meet?
      A)
      Gravely disabled
      B)
      Dangerous to self
      C)
      Dangerous to others
      D)
      He does not meet any of the necessary criteria
    4. When is a nurse legally obligated to breach confidentiality?
      A)
      When the client violates the nurse's boundaries.
      B)
      If threats are made to an identifiable third party.
      C)
      Whenever the client becomes aggressive.
      D)
      At any time a client is threatening.
    Page 2 of 13

    Exam Review

    1. A client made threats to harm his parents if they come too close to him. The parents called 911, and the client is now held involuntarily for a psychiatric evaluation. During this time of involuntary admission, the client retains all client rights, except:
      A)
      Confidentiality
      B)
      Periodic treatment review
      C)
      Choice of providers
      D)
      Right to freedom
    2. A nurse observes a client talking to himself at the end of the hall. The client states, “No, I don't want to go." What does the nurse suspect regarding this information?
      A)
      The client is expressing attention-seeking behavior.
      B)
      The client has schizophrenia.
      C)
      The client is having auditory hallucinations.
      D)
      The client has multiple personalities.
    3. A client reported to the nurse that, on his way to the clinic, a policeman in a patrol car turned on his lights and pulled him over. When asked what he did next, the client stated, "I pulled over, of course." Which of the following was the nurse trying to assess?
      A)
      The client’s insight.
      B)
      The client’s concentration.
      C)
      The client’s self-concept.
      D)
      The client's judgment.
    4. During a therapy session, the client states that he is 14 trillion years old and created the world. The nurse documents this statement as an example of which type of thinking displayed by the client?
      A)
      Delusional thinking
      B)
      Hallucination
      C)
      Ideas of reference
      D)
      Word salad
    Page 3 of 13

    Exam Review

    1. A client is showing no facial expression when engaging in a game with peers during an outing at a park. The nurse uses which of the following terms when documenting the client's affect?
      A)
      Absent affect
      B)
      Restricted affect
      C)
      Flat affect
      D)
      Broad affect
    2. During the initial interview with a client in crisis, the initial priority is to:
      A)
      Determine the precrisis level of functioning.
      B)
      Assess for substance use.
      C)
      Evaluate the potential for self-harm.
      D)
      Assess the adequacy of the support system.
    3. Confidentiality means respecting the client’s right to keep their information private. When can the nurse share information about the client? Select all that apply.
      A)
      The client is discharged to the parent's care.
      B)
      The client threatens to harm a family member.
      C)
      The client admits to domestic abuse.
      D)
      The client's legal guardian asks for information.
      E)
      The client gives written permission.
      F)
      Sharing the information is in the client's best interest.
    4. Which of the following assessments indicates positive growth and development for a 30-year-old adult?
      A)
      Is dissatisfied with body image.
      B)
      Enjoys social activities with three or four close friends.
      C)
      Frequently changes jobs to find the right one.
      D)
      Plans to move from parental home in the near future.
    Page 4 of 13

    Exam Review

    1. Which of the following statements would cause concern for achievement of developmental tasks in a 55-year-old woman?
      A)
      "When I retire, I want a smaller house to take care of."
      B)
      "My children need me now just as much as when they were small."
      C)
      "I feel like I'm taking care of my parents now."
      D)
      "I really enjoy just sitting around visiting with friends."
    2. Which of the following client statements would indicate self-efficacy?
      A)
      "I like to get several opinions before deciding on a course of action."
      B)
      "I know if I can learn to relax, I will feel better.”
      C)
      "No matter how hard I try to relax, something always comes up.”
      D)
      "I'm never sure if I'm making the right decision."
    3. Assessment data about the client's speech patterns are categorized in which of the following areas?
      A)
      General appearance and motor behavior
      B)
      Sensorium and intellectual processes
      C)
      History
      D)
      Self-concept
    4. When the nurse is assessing whether or not the client’s ideas are logical and make sense, the nurse is examining which of the following?
      A)
      Memory
      B)
      Thought content
      C)
      Sensorium
      D)
      Thought process
    Page 5 of 13

    Exam Review

    1. The client’s belief that a news broadcast has special meaning for them is an example of:
      A)
      Ideas of reference
      B)
      Abstract thinking
      C)
      Thought broadcasting
      D)
      Flight of ideas
    2. To assess a client’s ability to concentrate, the nurse would instruct the client to do which of the following?
      A)
      Repeat the days of the week backward.
      B)
      Describe what their typical day is like.
      C)
      Explain what "a rolling stone gathers no moss" means.
      D)
      Name the last three presidents.
    3. The client who believes everyone is out to get them is experiencing a(n):
      A)
      Idea of reference
      B)
      Hallucination
      C)
      Delusion
      D)
      Loose association
    4. The client tells the nurse, "I never do anything right. I make a mess of everything. Ask anyone, they’ll tell you the same thing." The nurse recognizes these statements as examples of:
      A)
      Negative thinking
      B)
      Poor problem-solving
      C)
      Emotional issues
      D)
      Relationship difficulties
    Page 6 of 13