WITH VERIFIED SOLUTIONS AND RATIONALE/A+
SCORE ASSURED
Question 1:
A client with schizophrenia is experiencing auditory hallucinations.
What is the priority nursing action?
a) Distract the client from the hallucinations
b) Ask the client to describe the hallucinations
c) Ensure the client's safety
d) Provide a quiet environment
Rationale: Ensuring the client's safety is the priority, as hallucinations
can lead to unpredictable behaviors that may harm the client or others.
Question 2:
Which of the following is a therapeutic communication technique?
a) Reflecting
b) Giving advice
c) Defending
d) Rejecting
Rationale: Reflecting is a therapeutic communication technique that
helps the client feel understood and encourages further communication.
,Question 3:
A nurse is caring for a client with major depressive disorder. Which of
the following symptoms should the nurse expect?
a) Anhedonia
b) Hyperactivity
c) Euphoric mood
d) Increased socialization
Rationale: Anhedonia, or loss of interest in previously enjoyed
activities, is a common symptom of major depressive disorder.
Question 4:
A client is prescribed lithium for bipolar disorder. Which of the
following is important to teach the client?
a) Increase salt intake
b) Maintain consistent fluid and sodium intake
c) Avoid all caffeine
d) Take on an empty stomach
Rationale: Consistent fluid and sodium intake is crucial for clients
taking lithium to maintain therapeutic drug levels and prevent toxicity.
Question 5:
Which of the following medications is classified as an antipsychotic?
a) Fluoxetine
b) Haloperidol
c) Lorazepam
d) Sertraline
,Rationale: Haloperidol is an antipsychotic medication used to treat
schizophrenia and other psychotic disorders.
Question 6:
A nurse is caring for a client with generalized anxiety disorder. Which of
the following interventions should the nurse implement?
a) Encourage avoidance of stressful situations
b) Teach relaxation techniques
c) Provide frequent distractions
d) Encourage dependence on family members
Rationale: Teaching relaxation techniques can help the client manage
anxiety symptoms and improve coping mechanisms.
Question 7:
A client with PTSD is experiencing flashbacks. Which of the following
should the nurse do first?
a) Stay with the client and offer reassurance
b) Encourage the client to talk about the trauma
c) Provide a quiet and dark environment
d) Give the client a sedative
Rationale: Staying with the client and offering reassurance helps to
provide a sense of safety and support during a flashback.
, Question 8:
Which of the following is an expected finding in a client with anorexia
nervosa?
a) Bradycardia
b) Hyperactivity
c) Hypertension
d) Obesity
Rationale: Bradycardia, or slow heart rate, is a common finding in
clients with anorexia nervosa due to severe malnutrition.
Question 9:
A nurse is planning care for a client with OCD. Which intervention is
appropriate?
a) Allowing time for the client to perform rituals
b) Forcing the client to stop rituals immediately
c) Ignoring the rituals
d) Punishing the client for rituals
Rationale: Allowing time for rituals can help reduce the client's anxiety;
a gradual approach to change is more effective.
Question 10:
A client with bipolar disorder is in a manic phase. What is the priority
intervention?
a) Provide a safe environment
b) Encourage group activities