COMPREHENSIVE ASSESMENT ACTUAL
EXAM WITH QUESTIONS AND WELL
VERIFIED CORRECT ANSWERS [GRADED A+]
LATEST VERSION 2026
A client who has bipolar disorder approaches the nurse and reveals fresh, self-
inflicted, superficial cuts going up and down his right arm. Which of the following
actions should the nurse take first?
a. Implement the client's behavioral modification plan.
b. Document the size and location of the cuts.
c. Inspect the cuts for debris.
d. Administer a tetanus antitoxin. - ANSWER-c. Inspect the cuts for debris.
The first action the nurse should take when using the nursing process is to assess
the client, therefore inspecting the cuts is the first action the nurse should take.
,A nurse is caring for a client who lost all his possessions in a house fire and states,
"I have no idea what I am going to do. I cannot think right now." Which of the
following actions should the nurse take?
a. Identify other housing options and sources of transportation.
b. Notify the facility chaplain to request scheduling an appointment.
c. Confirm that everything will be alright because belongings can be replaced.
, d. Maintain eye contact with client and summarize the client's feeings. -
ANSWER-d. Maintain eye contact with the client and summarize the client's
feelings.
The nurse is caring for a client who is extremely suspicious of the nursing staff and
other clients. Which of the following nursing approaches is appropriate when
establishing a therapeutic relationship with this client?
a. Disclose some personal information to the client to demonstrate approachability.
b. Wait for the client to initiate interaction.
c. Approach the client frequently throughout the day for brief interactions.
d. Adopt a neutral attitude when providing care. - ANSWER-d. Adopt a neutral
attitude when providing care.
To promote a therapeutic relationship, the nurse should use a neutral,
nonthreatening attitude during care and communication.
A nurse is teaching a female client who has anxiety disorder about alprazolam.
Which of the following information should the nurse include in the teaching?
a. "Use a reliable form of contraception while taking this medication."
b. "If a dose is missed, double the next dose of medication."
c. "This medication may increase your blood pressure."
d. "Do not eat aged cheeses while taking this medication." - ANSWER-a. "Use a
reliable form of contraception while taking this medication."
Alprazolam is a pregnancy category D medication, indicating it causes definitive
adverse effects on a fetus.