1. Ac b malec b clientc b withc b schizophreniac b whoc b isc b takingc b fluphenazinec b decanoatec b (
Pro-
cblixin)c b isc b beingc b dischargedc b inc b thec b morning.c b Ac b repeatc b dosec b ofc b medicationc b is
c b sched-
cbuledcbforcb20cbdayscbaftercbdischarge.cbThecbclientcbtellscbthecbnurse cbthatcbhecbiscbgoing cb
oncbvacationcbincbthecbBahamascbandcbwillcbreturncbincb18cbdays.cbWhichcbstatementcbby
cbthecbclientcbindicates cbacbneedcbfor cbhealthcbteaching?
a. WhencbIcbreturncbfromcbmycbtropicalcbislandcbvacation,cbIcbwillcbgocbtocbthecbcliniccbto
cbgetcbmycbProlixin cbinjection.
b. WhilecbIcbamcboncbvacationcbandcbwhencbIcbreturn,cbIcbwillcbnotcbeatcborcbdrinkcbanythingcbth
atcbcontainscbalcohol.
c. IcbwillcbnotifycbthecbhealthcarecbprovidercbifcbIcbhavecbacbsorecbthroatcborcbflu-
likecbsymp-cbtoms.
d. Icbwillcbcontinuecbtocbtakecbmycbbenztropinecbmesylatecb(Cogentin)cbeverycbday.:cba.cbw
henc b Icbreturncbfromcbmycbtropicalcbislandcbvacation,cbIcbwillcbgocbtocbthecbcliniccbtocbgetcbmycbprolixincbinjection.
2. Acbchildcbiscbbroughtcbtocbthecbemergencycbroomcbwithcbacbbrokencbarm.cbBecausecbof
cbotherc b injuries,c b thec b nursec b suspectsc b thec b childc b mayc b bec b ac b victimc b ofc b abuse.c b W
henc b thecbnursec b triesc b toc b givec b thec b childc b anc b injection,c b thec b child'sc b motherc b bec
omesc b veryc b loudcbandc b shouts,c b "Ic b won'tc b leavec b myc b son!c b Don'tc b youc b touchc b him
!c b You'llc b hurtc b myc b child!"cbWhatcbiscbthecbbestcbbehavioralcbinterpretationcbofcbthecb
mother'scbstatements?
a. Regressingc b toc b anc b earlierc b behaviorc b pattern.
b. Sublimatingc b anger.
c. Projectingc b feelingsc b ontoc b thec b nurse.
d. Suppressingcbfear.:cbc.cbprojectcbfeelingscbontocbthecbnurse.
3. Basedcboncbnoncompliancecbwithcbthecbmedicationcbregimen,cbancbadultcbclientcbwit
hcbacbdiagnosiscbofcbsubstancecbabusecbandcbschizophreniacbrecentlycbhadcbacbchang
ecbincbprescriptionsc b fromc b oralc b fluphenazinec b HClc b (Prolixin)c b toc b fluphenazinec b
decanoatecb(Prolixinc b IM).c b Whatc b isc b mostc b importantc b toc b teachc b thec b clientc b andc b
familyc b aboutc b thiscbchangecbincbmedicationcbregimen?
a. Signsc b andc b symptomsc b ofc b extrapyramidalc b effectsc b (EPS).
b. Informationc b aboutc b substancec b abusec b andc b schizophrenia.
,c. Thec b effectsc b ofc b alcoholc b andc b drugc b interaction.
d. Thecbavailabilitycbofcbsupportcbgroupscbforcbthosecbwithcbdualcbdiagnoses.:cbc.cbThecbettectscb
ofcbalcoholcbandcbdrugcbinteraction.
,4. Ac b malec b clientc b withc b mentalc b illnessc b andc b substancec b dependencyc b tellsc b thec b m
entalcbhealthcbnursecbthatcbhecbhascbstartedcbusingcbillegalcbdrugscbagaincbandcbwantscb
tocbseekcbtreatment.c b Sincec b hec b hasc b ac b dualc b diagnosis,c b whichc b personc b isc b bestc b f
orc b thec b nursec b tocbrefercbthiscbclientcbtocbfirst?
a. Thec b emergencyc b roomc b nurse.
b. Hiscbcasecbmanager.
c. Thecbcliniccbhealthcarecbprovider.
d. Hiscbsupportcbgroupcbsponsor.:cbb.cbHiscbcasecbmanager.
5. Thec b nursec b isc b planningc b carec b forc b ac b 32-year-
oldc b malec b clientc b diagnosedc b withc b HIVcbinfectioncbwhocbhascbacbhistorycbofcbchroniccb
depression.cbRecently,cbthecbclient'scbviralcbloadc b hasc b begunc b toc b increasec b ratherc b
thanc b decreasec b despitec b hisc b adherencec b toc b thecbHIVcbdrugcbregimen.cbWhatcbsho
uldcbthecbnursecbdocbfirstcbwhilecbtakingcbthecbclient'scbhistorycboncbadmissioncbtocbthec
bhospital?
a. Determinec b ifc b thec b clientc b attendsc b ac b supportc b groupc b weekly.
b. Holdc b allc b antidepressantc b medicationsc b untilc b furtherc b notice.
c. AskcbthecbclientcbifcbhecbtakescbSt.cbJohn'scbWortcbroutinely.
d. Havecbthecbclientcbdescribecbanycbrecentcbchangescbincbmood.:cbc.cbAskcbthecbclientcbifcbhecbtakescb
St.cbJohn'scbWortcbroutinely.
6. Thecbnursecbiscbassessingcbthecbparentscbofcbacbnuclearcbfamilycbwhocbarecbattendingcb
acbsupportc b groupc b forc b parentsc b ofc b adolescents.c b Accordingc b toc b Erikson,c b thesec b p
arentsc b whocbarecbadaptingcbtocbmiddlecbadulthoodcbshouldcbexhibitcbwhichcbcharact
eristic?
a. Lossc b ofc b independence.
b. Increasedcb self-understanding.
c. Isolationc b fromc b society.
d. Developmentcbofcbintimatecbrelationships.:cbb.cbIncreasedcbselfcbunderstanding
7. Onc b admission,c b ac b clientc b whoc b isc b highlyc b anxiousc b describesc b ac b delusion.c b Thec
b nursecbunderstands cbthatcbdelusions cbarecbmostcblikelycbtocboccur cbwithcbwhichcbclasscb
ofcbdisor-cbder?
a. Neurotic.
b. Personality.
, c. Anxiety.
d. Psychotic.:cbd.cbPsychotic
Pro-
cblixin)c b isc b beingc b dischargedc b inc b thec b morning.c b Ac b repeatc b dosec b ofc b medicationc b is
c b sched-
cbuledcbforcb20cbdayscbaftercbdischarge.cbThecbclientcbtellscbthecbnurse cbthatcbhecbiscbgoing cb
oncbvacationcbincbthecbBahamascbandcbwillcbreturncbincb18cbdays.cbWhichcbstatementcbby
cbthecbclientcbindicates cbacbneedcbfor cbhealthcbteaching?
a. WhencbIcbreturncbfromcbmycbtropicalcbislandcbvacation,cbIcbwillcbgocbtocbthecbcliniccbto
cbgetcbmycbProlixin cbinjection.
b. WhilecbIcbamcboncbvacationcbandcbwhencbIcbreturn,cbIcbwillcbnotcbeatcborcbdrinkcbanythingcbth
atcbcontainscbalcohol.
c. IcbwillcbnotifycbthecbhealthcarecbprovidercbifcbIcbhavecbacbsorecbthroatcborcbflu-
likecbsymp-cbtoms.
d. Icbwillcbcontinuecbtocbtakecbmycbbenztropinecbmesylatecb(Cogentin)cbeverycbday.:cba.cbw
henc b Icbreturncbfromcbmycbtropicalcbislandcbvacation,cbIcbwillcbgocbtocbthecbcliniccbtocbgetcbmycbprolixincbinjection.
2. Acbchildcbiscbbroughtcbtocbthecbemergencycbroomcbwithcbacbbrokencbarm.cbBecausecbof
cbotherc b injuries,c b thec b nursec b suspectsc b thec b childc b mayc b bec b ac b victimc b ofc b abuse.c b W
henc b thecbnursec b triesc b toc b givec b thec b childc b anc b injection,c b thec b child'sc b motherc b bec
omesc b veryc b loudcbandc b shouts,c b "Ic b won'tc b leavec b myc b son!c b Don'tc b youc b touchc b him
!c b You'llc b hurtc b myc b child!"cbWhatcbiscbthecbbestcbbehavioralcbinterpretationcbofcbthecb
mother'scbstatements?
a. Regressingc b toc b anc b earlierc b behaviorc b pattern.
b. Sublimatingc b anger.
c. Projectingc b feelingsc b ontoc b thec b nurse.
d. Suppressingcbfear.:cbc.cbprojectcbfeelingscbontocbthecbnurse.
3. Basedcboncbnoncompliancecbwithcbthecbmedicationcbregimen,cbancbadultcbclientcbwit
hcbacbdiagnosiscbofcbsubstancecbabusecbandcbschizophreniacbrecentlycbhadcbacbchang
ecbincbprescriptionsc b fromc b oralc b fluphenazinec b HClc b (Prolixin)c b toc b fluphenazinec b
decanoatecb(Prolixinc b IM).c b Whatc b isc b mostc b importantc b toc b teachc b thec b clientc b andc b
familyc b aboutc b thiscbchangecbincbmedicationcbregimen?
a. Signsc b andc b symptomsc b ofc b extrapyramidalc b effectsc b (EPS).
b. Informationc b aboutc b substancec b abusec b andc b schizophrenia.
,c. Thec b effectsc b ofc b alcoholc b andc b drugc b interaction.
d. Thecbavailabilitycbofcbsupportcbgroupscbforcbthosecbwithcbdualcbdiagnoses.:cbc.cbThecbettectscb
ofcbalcoholcbandcbdrugcbinteraction.
,4. Ac b malec b clientc b withc b mentalc b illnessc b andc b substancec b dependencyc b tellsc b thec b m
entalcbhealthcbnursecbthatcbhecbhascbstartedcbusingcbillegalcbdrugscbagaincbandcbwantscb
tocbseekcbtreatment.c b Sincec b hec b hasc b ac b dualc b diagnosis,c b whichc b personc b isc b bestc b f
orc b thec b nursec b tocbrefercbthiscbclientcbtocbfirst?
a. Thec b emergencyc b roomc b nurse.
b. Hiscbcasecbmanager.
c. Thecbcliniccbhealthcarecbprovider.
d. Hiscbsupportcbgroupcbsponsor.:cbb.cbHiscbcasecbmanager.
5. Thec b nursec b isc b planningc b carec b forc b ac b 32-year-
oldc b malec b clientc b diagnosedc b withc b HIVcbinfectioncbwhocbhascbacbhistorycbofcbchroniccb
depression.cbRecently,cbthecbclient'scbviralcbloadc b hasc b begunc b toc b increasec b ratherc b
thanc b decreasec b despitec b hisc b adherencec b toc b thecbHIVcbdrugcbregimen.cbWhatcbsho
uldcbthecbnursecbdocbfirstcbwhilecbtakingcbthecbclient'scbhistorycboncbadmissioncbtocbthec
bhospital?
a. Determinec b ifc b thec b clientc b attendsc b ac b supportc b groupc b weekly.
b. Holdc b allc b antidepressantc b medicationsc b untilc b furtherc b notice.
c. AskcbthecbclientcbifcbhecbtakescbSt.cbJohn'scbWortcbroutinely.
d. Havecbthecbclientcbdescribecbanycbrecentcbchangescbincbmood.:cbc.cbAskcbthecbclientcbifcbhecbtakescb
St.cbJohn'scbWortcbroutinely.
6. Thecbnursecbiscbassessingcbthecbparentscbofcbacbnuclearcbfamilycbwhocbarecbattendingcb
acbsupportc b groupc b forc b parentsc b ofc b adolescents.c b Accordingc b toc b Erikson,c b thesec b p
arentsc b whocbarecbadaptingcbtocbmiddlecbadulthoodcbshouldcbexhibitcbwhichcbcharact
eristic?
a. Lossc b ofc b independence.
b. Increasedcb self-understanding.
c. Isolationc b fromc b society.
d. Developmentcbofcbintimatecbrelationships.:cbb.cbIncreasedcbselfcbunderstanding
7. Onc b admission,c b ac b clientc b whoc b isc b highlyc b anxiousc b describesc b ac b delusion.c b Thec
b nursecbunderstands cbthatcbdelusions cbarecbmostcblikelycbtocboccur cbwithcbwhichcbclasscb
ofcbdisor-cbder?
a. Neurotic.
b. Personality.
, c. Anxiety.
d. Psychotic.:cbd.cbPsychotic
