Question 1
A client with depression remains in bed most of the day, and declines activities. Which
nursing problem has the greatest priority for this client?
A. Loss of interest in diversional activity.
B. Social isolation.
C. Refusal to address nutritional needs.
D. Low self-esteem.
CORRECT ANSWER
C. Refusal to address nutritional needs.
Question 2
The RN is preparing medications for a client with bipolar disorder and notices that the
client discontinued antipsychotic medication for several days. Which medication should
also be discontinued?
A. Lithium. (Lithotabs)
B. Benzotropine (Cogentin).
C. Alprazolam (Xanax).
D. Magnesium (Milk of Magnesia).
CORRECT ANSWER
B. Benzotropine
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,Question 3
The RN is teaching a client about the initiation of the prescribed abstinence therapy using
disulfiram (Antabuse). What information should the client acknowledge understanding?
A. Completely abstain from heroin or cocaine use.
B. Remain alcohol free for 12 hours prior to the first dose. C. Attend monthly meetings of
alcoholics anonymous. D. Admit to others that he is a substance user
CORRECT ANSWER
B. Remain alcohol free for 12 hours prior to the first dose.
Question 4
A male client with schizophrenia is admitted to the mental health unit after abruptly
stopping his prescription for ziprasidone (Geodon) one month ago. Which question is most
important for the RN to ask the client? A. Have you lost interest in the things that you used
to enjoy? B. Is your ability to think or concentrate decreased? C. How many continuous
hours do you sleep at night? D. Do you hear sounds or voices that others do not hear?
CORRECT ANSWER
D. Do you hear sounds or voices that others do not hear
Question 5
A female client requests that her husband be allowed to stay in the room during the
admission assessment. When interviewing the client, the RN notes a discrepancy between
the client's verbal and nonverbal communication. What action does the RN take? A. Pay
close attention and document the nonverbal messages. B. Ask the client's husband to
interpret the discrepancy. C. Ignore the nonverbal behavior and focus on the client's verbal
messages. D. Integrate the verbal and nonverbal messages and interpret them as one.
CORRECT ANSWER
A. Pay close attention and document the nonverbal messages.
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, Question 6
A male client approaches the RN with an angry expression on his face and raises his voice,
saying "My roommate is the most selfish, self-centered, angry person I have ever met. If
he loses his temper one more time with me, I am going to punch him out!" The RN
recognizes that the client is using which defense mechanism? A. Denial. B. Projection. C.
Rationalization. D. Splitting.
CORRECT ANSWER
B. Projection.
Question 7
A mental health worker is caring for a client with escalating aggressive behavior. Which
action by the MHW warrant immediate intervention by the RN? A. Is attempting to
physically restrain the patient. B. Tells the client to go to the quiet area of the unit. C. Is
using a loid voice to talk to the client. D. Remains at a distance of 4 feet from the client.
CORRECT ANSWER
A. Is attempting to physically restrain the patient.
Question 8
A client on the mental health unit is becoming more agitated, shouting at the staff, and
pacing in the hallway. When the PRN medication is offered, the client refuses the
medication and defiantly sits on the floor in the middle of the unit hallway. What nursing
intervention should the RN implement first? A. Transport of the client to the seclusion
room. B. Quietly approach the client with additional staff members. C. Take other clients in
the area to the client lounge. D. Administer medication to chemically restrain the patient.
CORRECT ANSWER
C. Take other clients in the area to the client lounge.
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A client with depression remains in bed most of the day, and declines activities. Which
nursing problem has the greatest priority for this client?
A. Loss of interest in diversional activity.
B. Social isolation.
C. Refusal to address nutritional needs.
D. Low self-esteem.
CORRECT ANSWER
C. Refusal to address nutritional needs.
Question 2
The RN is preparing medications for a client with bipolar disorder and notices that the
client discontinued antipsychotic medication for several days. Which medication should
also be discontinued?
A. Lithium. (Lithotabs)
B. Benzotropine (Cogentin).
C. Alprazolam (Xanax).
D. Magnesium (Milk of Magnesia).
CORRECT ANSWER
B. Benzotropine
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,Question 3
The RN is teaching a client about the initiation of the prescribed abstinence therapy using
disulfiram (Antabuse). What information should the client acknowledge understanding?
A. Completely abstain from heroin or cocaine use.
B. Remain alcohol free for 12 hours prior to the first dose. C. Attend monthly meetings of
alcoholics anonymous. D. Admit to others that he is a substance user
CORRECT ANSWER
B. Remain alcohol free for 12 hours prior to the first dose.
Question 4
A male client with schizophrenia is admitted to the mental health unit after abruptly
stopping his prescription for ziprasidone (Geodon) one month ago. Which question is most
important for the RN to ask the client? A. Have you lost interest in the things that you used
to enjoy? B. Is your ability to think or concentrate decreased? C. How many continuous
hours do you sleep at night? D. Do you hear sounds or voices that others do not hear?
CORRECT ANSWER
D. Do you hear sounds or voices that others do not hear
Question 5
A female client requests that her husband be allowed to stay in the room during the
admission assessment. When interviewing the client, the RN notes a discrepancy between
the client's verbal and nonverbal communication. What action does the RN take? A. Pay
close attention and document the nonverbal messages. B. Ask the client's husband to
interpret the discrepancy. C. Ignore the nonverbal behavior and focus on the client's verbal
messages. D. Integrate the verbal and nonverbal messages and interpret them as one.
CORRECT ANSWER
A. Pay close attention and document the nonverbal messages.
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, Question 6
A male client approaches the RN with an angry expression on his face and raises his voice,
saying "My roommate is the most selfish, self-centered, angry person I have ever met. If
he loses his temper one more time with me, I am going to punch him out!" The RN
recognizes that the client is using which defense mechanism? A. Denial. B. Projection. C.
Rationalization. D. Splitting.
CORRECT ANSWER
B. Projection.
Question 7
A mental health worker is caring for a client with escalating aggressive behavior. Which
action by the MHW warrant immediate intervention by the RN? A. Is attempting to
physically restrain the patient. B. Tells the client to go to the quiet area of the unit. C. Is
using a loid voice to talk to the client. D. Remains at a distance of 4 feet from the client.
CORRECT ANSWER
A. Is attempting to physically restrain the patient.
Question 8
A client on the mental health unit is becoming more agitated, shouting at the staff, and
pacing in the hallway. When the PRN medication is offered, the client refuses the
medication and defiantly sits on the floor in the middle of the unit hallway. What nursing
intervention should the RN implement first? A. Transport of the client to the seclusion
room. B. Quietly approach the client with additional staff members. C. Take other clients in
the area to the client lounge. D. Administer medication to chemically restrain the patient.
CORRECT ANSWER
C. Take other clients in the area to the client lounge.
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