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    Exam Review

    1. A nurse is assessing a client who has post-traumatic stress disorder. Which of the following findings should the nurse expect? (Select all that apply).
      (SATA)
      A)
      Difficulty falling or staying asleep
      B)
      Persistent negative beliefs about self
      C)
      Blames others for own mistakes
      D)
      Difficulty concentrating on set tasks
      E)
      Talks excessively
    2. A nurse is assessing a client who is scheduled to begin electroconvulsive therapy. Which of the following client health conditions should the nurse report to the provider?
      A)
      Rheumatoid arthritis
      B)
      Congestive heart failure
      C)
      Kidney failure
      D)
      Diabetes mellitus
    3. A nurse is assessing a client who is scheduled to begin electroconvulsive therapy. Which of the following client health conditions should the nurse report to the provider?
      (SATA)
      A)
      Rheumatoid arthritis
      B)
      Congestive heart failure
      C)
      Kidney failure
      D)
      Diabetes mellitus
    4. A nurse is assessing a client who recently began taking fluphenazine. Which of the following findings should the nurse identify as a manifestation of neuroleptic malignant syndrome?
      A)
      Decreased temperature
      B)
      Bradycardia
      C)
      Muscle rigidity
      D)
      Hyperthermia
    Page 1 of 3

    Exam Review

    1. A nurse is caring for a client who has Alzheimer's disease and is experiencing sundown syndrome with anxiety. Which of the following actions should the nurse take?
      A)
      Question the client often about their orientation.
      B)
      Provide a low-stimulation environment.
      C)
      Offer the client multiple activities to choose from.
      D)
      Provide consistency in the client’s routine.
    2. A nurse is caring for a client who has a depressive disorder. The client states, “I don’t always go to bed at night, so I get in trouble for falling asleep at work.” Which of the following interventions should the nurse recommend?
      A)
      Keep a sleep diary to promote a consistent sleep schedule.
      B)
      Discontinue any meditation until your sleep disruption is addressed.
      C)
      Take a 1-hour nap every day.
      D)
      Exercise late in the day, preferably before bedtime.
    3. A nurse is reviewing the medical record of a client who has a prescription for clozapine. Which of the following findings is an adverse effect of clozapine?
      A)
      Hypertension
      B)
      Neutropenia
      C)
      Hypocalcemia
      D)
      Bradycardia
    4. A nurse is planning to conduct a support group for adolescents who have cancer. Which of the following actions should the nurse include during the orientation phase?
      A)
      Encourage the use of problem-solving skills.
      B)
      Maintain the group’s focus on identified issues.
      C)
      Summarize the achievement of the group’s goals.
      D)
      Explain confidentiality to the group members.
    Page 2 of 3

    Exam Review

    1. A nurse is caring for a client who begins yelling and pacing around the room. Which of the following actions should the nurse take? (Select all that apply).
      (SATA)
      A)
      Stand directly in front of the client
      B)
      Identify the client’s stressors
      C)
      Request that security guards restrain the client
      D)
      Talk to the client using short, simple sentences
      E)
      Speak to the client in a loud voice
    2. A nurse is caring for a client on an inpatient mental health unit. Which of the following findings is the nurse’s priority?
      A)
      The client refuses to eat breakfast stating, “The food is poisoned.”
      B)
      The client displays flat affect in conversations with staff.
      C)
      The client states, “Everyone is out to get me.”
      D)
      The client is experiencing command hallucinations.
    Page 3 of 3