Exam 2026 | Trusted Questions &
Answers
,1. A nurse is caring for a client who lost all his Maintain eye contact with client and
possessions in a house fire and states, "i have no summarize the client's feelings;
idea what i am going to do. I cannot even think
right now". Which of the following actions should This demonstrates therapeutic
the nurse take? communication. During the initial
interview, it is important for the
Identify other housing options and sources of nurse to provide an atmosphere
transportation. of support and safety. If a person
Notify the facility chaplain to request scheduling believes that someone is genuine-
an appointment. ly concerned, then he may believe
Confirm that everything will be all right because that help is available. Maintaining
belongings can be replaced. eye contact demonstrates support,
Maintain eye contact with client and summarize empathy, and advocacy.
the client's feelings.
2. A nurse is discussing obsessive-compulsive dis- "The ritualistic behavior temporarily
order (OCD) with a newly licensed nurse. Which relieves anxiety.";
of the following statements by the newly li-
censed nurse indicates an understanding of the Clients with OCD perform ritualistic
underlying reason clients with OCD perform rit- behaviors to provide a temporary
ualistic behaviors? relief from anxiety related to obses-
sions.
"The ritualistic behavior provides sexual satisfac-
tion."
"The client performs ritualistic behavior to boost
self-esteem."
"The ritualistic behavior temporarily relieves
anxiety."
"The client performs ritualistic behavior to de-
crease feelings of shame."
, A nurse is teaching a female client who has anx- "Use a reliable form of contracep-
iety disorder about alprazolam. Which of the fol- tion while taking this medication.";
lowing information should the nurse include in
the teaching? Alprazolam is a pregnancy category
D medication, indicating it causes
"Use a reliable form of contraception while tak- definitive adverse ettects on a fetus.
ing this medication."
"If a dose is missed, double the next dose of
medication."
"This medication may increase your blood pres-
sure."
"Do not eat aged cheeses while taking this med-
ication."
3. A nurse is providing discharge teaching for a "Let's work together to devise a
client who has multiple medication prescriptions time schedule that is convenient for
and must take the medications at specific inter- you on a daily basis.";
vals when at home. Which of the following in-
structions should the nurse include in the teach- This response illustrates the ther-
ing? apeutic communication technique
of formulating a plan of action. It
"You really shouldn't change the schedule we demonstrates the nurse's willing-
established here in the facility." ness to work with the client to mod-
"Let's work together to devise a time schedule ify the schedule so that it meets the
that is convenient for you on a daily basis." client's needs at this time.
"We'll have to talk to your provider about switch-
ing to an alternative schedule."
"It doesn't really matter what time you take your
medications as long as you don't skip any doses."
4. A nurse is conducting a group therapy meet- Ideas of reference;
ing and is sharing a humorous story. When the
Ideas of reference occur when a
, group laughs at the story, a client who has schiz- client believes that conversations of
ophrenia jumps up and runs out while yelling, others always concern him and that
"you are all making fun of me." Which of the ff others are ridiculing him.
behaviors is this client displaying?
Grandeur
Flight of ideas
Erotomania
Ideas of reference
5. A nurse is teaching a client who has a new pre- "I may not feel like eating as
scription for paroxetine. Which of the follow- much.";
ing statements by the client indicates an under-
standing of the teaching? Anorexia and a decreased appetite
are adverse ettects of paroxetine.
"I may experience an increased desire to have
sex."
"My blood pressure may increase."
"I may notice excess saliva."
"I may not feel like eating as much."
6. A nurse is caring for a client on an acute care Assist the charge nurse in placing
mental health unit. Client has a history of bipolar the client in restraints;
disorder and self-injurious behavior. 1330: Monitoring the client's behavior for
Client pacing rapidly across their room and their ability to be reintegrated into
shouting loudly at nursing staff. Client appears unit activities is correct.
agitated. Verbal de-escalation measures imple-
mented. Client returned to their bed and is re- De-escalation techniques failed to
fusing to talk or make eye contact. help the client and the client is now
1345: Client displays self-injurious behavior by attempting to harm themselves. In
attempting to cut themselves with plastic uten- emergency situations, such as client
sils from their lunch tray. self-harm, the charge nurse is al-
lowed to place the client in re-