VERIFIED ANSWERS (2025-2026)|A+ GRADED | 100 %
GUARANTEED PASS ( VERIFIED QUESTIONS AND ANSWERS)
| BRANDNEW!!!!
A client in substance addiction therapy says, “I don’t think I will ever be able to kick this
habit.” What is the best nurse response?
A. “You are not trying hard enough.”
B. “Recovery is impossible for most people.”
C. “You must participate in decisions about your care.”
D. “You should stop thinking negatively.”
Correct Answer: C
Rationale:
This response promotes autonomy and participation in treatment while avoiding judgment
or false reassurance.
What is the priority nursing action during the termination phase of a nurse-client
relationship?
A. Establishing trust
B. Exploring childhood experiences
C. Summarizing accomplishments
D. Setting future goals only
Correct Answer: C
Rationale:
Termination focuses on reviewing progress and reinforcing gains made during therapy.
A child with severe disabilities presents with a suspected fracture. What is the priority
nursing action?
A. Discharge immediately
B. Evaluate for additional injuries
C. Document caregiver report only
D. Apply splint only
, Correct Answer: B
Rationale:
Possible abuse requires full assessment for multiple injuries.
An intoxicated client becomes agitated, diaphoretic, and confused. Priority intervention is:
A. Offer oral fluids
B. Begin one-on-one supervision
C. Encourage sleep
D. Restrict all visitors
Correct Answer: B
Rationale:
Safety is priority due to risk of withdrawal complications and delirium.
Priority assessment in major depression is:
A. Appetite changes
B. Sleep pattern
C. Suicidal ideation
D. Energy level
Correct Answer: C
Rationale:
Suicide risk is the highest priority.
When a nurse recalls personal feelings during client interaction, the nurse is demonstrating:
A. Countertransference
B. Self-awareness
C. Projection
D. Transference
Correct Answer: B
Rationale:
Recognizing personal emotional reactions is self-awareness.
Most important health teaching for a lesbian client:
,A. Fertility treatments
B. Domestic violence screening
C. Weight loss
D. Smoking cessation
Correct Answer: B
Rationale:
Intimate partner violence risk exists in all relationships.
A rape survivor in acute phase shows numbness and disbelief. First nursing action:
A. Ask detailed trauma questions
B. Explain rape protocol
C. Leave client alone
D. Encourage decision-making
Correct Answer: B
Rationale:
Provides structure and reduces anxiety.
Early stage Alzheimer’s disease includes:
A. Total memory loss
B. Inability to recognize location
C. Complete dependency
D. Hallucinations only
Correct Answer: B
Rationale:
Early disorientation to place is common.
A rape victim becomes distressed when male staff enters. Best nursing action:
A. Continue routine care
B. Assign all-female staff
C. Ignore behavior
D. Restrain patient
Correct Answer: B
, Rationale:
Reduces trauma triggers and promotes safety.
A client overdosed on acetaminophen. Priority medication:
A. Naloxone
B. Activated charcoal
C. Acetylcysteine
D. Flumazenil
Correct Answer: C
Rationale:
Acetylcysteine is the antidote for acetaminophen toxicity.
A client in alcohol recovery says, “I’m completely cured now.” Best nurse response:
A. “That’s correct.”
B. “You are mistaken.”
C. “Tell me more about what you mean.”
D. “You will relapse soon.”
Correct Answer: C
Rationale:
Encourages exploration of unrealistic beliefs.
An elderly client reports caregiver abuse. Priority outcome:
A. Client avoids all contact
B. Client feels safe with care
C. Client refuses help
D. Client moves away immediately
Correct Answer: B
Rationale:
Safety is the priority goal.
Lab value to report immediately in depression: