WITH VERIFIED ANSWERS. {A PASS A STUDY
GUIDE}.
REAL EXAM!
A nurse is discussing a 12-step program with a client who has alcohol use disorder and is in
an acute care facility undergoing detoxification. Which of the following information should the
nurse include in the teaching? - ANS✔✔-The client should obtain a sponsor before
discharge for an increased chance of recovery.
A nurse is creating a plan of care for a client who has been placed in seclusion after
threatening to harm others on the unit. Which of the following interventions should the nurse
include in the plan? - ANS✔✔-Renew the prescription for the client every 4 hr.
A nurse is performing an admission assessment on a client and notices that the client
appears withdrawn and fearful. To establish a trusting nurse-client relationship, which of the
following actions should the nurse take first? - ANS✔✔-Inform the client that this admission
is confidential.
A nurse is planning discharge teaching for a client who has severe schizoaffective disorder.
The nurse should identify that which of the following treatment options can offer
interdisciplinary services for the client at home? - ANS✔✔-Assertive community treatment
A nurse on a mental health unit is caring for a group of clients. Which of the following actions
by the nurse is an example of the ethical principle of justice? - ANS✔✔-Spending adequate
time with a client who is verbally abusive.
A nurse is teaching the guardians of a client about their adolescent child's diagnosis of
bulimia nervosa. Which of the following statements made by the guardians indicates an
understanding of their child's illness? - ANS✔✔-"It is important for our child to have regular
dental checkups."
, A nurse is assessing a client who has major depressive disorder and has been receiving
amitriptyline for 1 week. Which of the following outcomes should the nurse expect? -
ANS✔✔-Greater risk of attempting suicide as affect and energy improve
A nurse is planning care for a client who has generalized anxiety disorder. At which of the
following levels of anxiety should the nurse plan to teach the client relaxation techniques? -
ANS✔✔-Mild
A nurse is updating the plan of care for a client who has bulimia nervosa and is 5% above
their ideal body weight. Which of the following interventions should the nurse include in the
plan? - ANS✔✔-Identify the client's trigger foods.
A nurse is teaching coping strategies to a client who is experiencing depression related to
partner violence. Which of the following statements by the client indicates an understanding
of the teaching? - ANS✔✔-"I will talk about my feelings with a close friend."
A nurse is caring for a child who is taking methylphenidate. The nurse should monitor the
child for which of the following findings as an adverse effect of methylphenidate? - ANS✔✔-
Tachycardia
A nurse is caring for a child who has conduct disorder and is behaving in a destructive
manner, throwing objects, and kicking others. Which of the following therapeutic nursing
interventions is the priority? - ANS✔✔-Reduce environmental stimuli
A nurse is preparing to discharge to home an older adult client who attempted suicide. The
client lives alone and has difficulty performing ADLs. Which of the following referrals should
the nurse initiate? (Select all that apply.) - ANS✔✔-Occupational therapy
Meal delivery services
Physical therapy
Home health services
A nurse is assessing a client for risk factors for the development of depression. The nurse
should identify that which of the following factors places the client at an increased risk for
depression? - ANS✔✔-The client has COPD.