EXIT K 9 Q&A
A client was recently given a diagnosis of a manic episode of a bipolar I disorder. What
activity is most therapeutic for this client at this time? - (correct answer)Walking around
the unit with a nurse
A nurse is planning care for a client with substance-induced persisting dementia
resulting from long-term alcohol use. Which nutritional problem, in addition to the effect
of alcohol on brain tissue, has contributed to substance-induced persisting dementia? -
(correct answer)Deficiency of thiamine
A client who was in an automobile accident is admitted to the hospital with multiple
injuries. Approximately 14 hours after admission, the client begins to experience signs
and symptoms of withdrawal from alcohol. Which signs and symptoms should the nurse
connect to alcohol withdrawal? Select all that apply. - (correct answer)Anxiety
Diaphoresis
Psychomotor agitation
A client with a bipolar mood disorder, manic episode, says to the nurse, "I don't know
what I'm doing here. I never felt better in my life; I've got the world on a string around
my finger." What is the nurse's most therapeutic response to this comment? - (correct
answer)"You're feeling pretty elated right now."
A 65-year-old man is admitted to a mental health facility with a diagnosis of substance-
induced persisting dementia resulting from chronic alcoholism. When conducting the
admitting interview, the nurse determines that the client is using confabulation. The
nurse recalls that the use of confabulation is precipitated by a client's: - (correct
answer)Marked memory loss
A client has the diagnosis of histrionic personality disorder. Which behavior should the
nurse expect when assessing this client? - (correct answer)Extroverted and dramatic
,A client who has severe anxiety starts to cry while talking with the nurse. The client is so
upset that the crying becomes uncontrollable. What is the best response by the nurse? -
(correct answer)"It's OK to cry; I'll just stay with you for now."
A nurse is caring for a client with vascular dementia. What does the nurse expect of this
client's mental status? - (correct answer)Difficulty recalling recent events related to
cerebral hypoxia
A client is admitted to the surgical unit with superficial wounds of both wrists, the result
of a suicide attempt. When the nurse enters the room, the client says, "I suppose you're
going to ask me about my suicide attempt." What is the best response by the nurse? -
(correct answer)"Tell me how you feel about it."
The nurse believes that an emotionally disturbed client is ready to begin participating in
therapeutic activities. What should the nurse initially suggest? - (correct
answer)Drawing pictures with the nurse
When talking with a female client with a history of panic disorder who is displaying many
of the emotional and physiological symptoms of a panic attack, the nurse should do
what? - (correct answer)Use short sentences and an authoritative voice
A client paces back and forth across the floor, speaks incoherently, and continually talks
to and verbally fights with people who are not present. What is the nurse's initial
therapeutic intervention? - (correct answer)Providing emotional support while
demonstrating acceptance of the client
A client with a history of chronic alcoholism is admitted to the mental health unit. What
does the nurse identify as the cause of a client's use of confabulation? - (correct
answer)Marked loss of memory
A client with a history of alcoholism is found to have Wernicke encephalopathy
associated with Korsakoff syndrome. What does the nurse anticipate will be prescribed -
(correct answer)Intramuscular injections of thiamine
, A hospitalized, depressed, suicidal client has been taking a mood-elevating medication
for several weeks. The client's energy is returning and the client no longer talks about
suicide. What should the nurse do in response to this client's behavior? - (correct
answer)Keep the client under closer observation.
A male client with paranoid schizophrenia wraps his legs in toilet paper, believing that
this will protect him from deadly germs contaminating the floor. What is the best nursing
intervention? - (correct answer)Talking with the client about anxiety that focuses on
health
The nurse manager is evaluating a primary nurse who is working with a hospitalized
adolescent client with the diagnosis of conduct disorder. Which intervention by the
primary nurse should the nurse manager question? - (correct answer)Encouraging the
verbalization of negative feel
Two depressed clients are sharing a room. The health team has established a goal of
increased socialization for each client. Which action will be most effective in facilitating
interaction between these two clients?. - (correct answer)Putting a puzzle together with
them in their room
A client who was forced into early retirement is found to have severe depression. The
client says, "I feel useless, and I've got nothing to do." What is the best initial response
by the nurse? - (correct answer)Tell me more about your feeling useless.
A nurse recalls that language development in the autistic child resembles: - (correct
answer)Echolalia
A nurse is assessing an adolescent client with the diagnosis of schizophrenia,
undifferentiated type. Which signs and symptoms should the nurse expect the client to
experience? - (correct answer)Loosened associations and hallucinations
A client was recently given a diagnosis of a manic episode of a bipolar I disorder. What
activity is most therapeutic for this client at this time? - (correct answer)Walking around
the unit with a nurse
A nurse is planning care for a client with substance-induced persisting dementia
resulting from long-term alcohol use. Which nutritional problem, in addition to the effect
of alcohol on brain tissue, has contributed to substance-induced persisting dementia? -
(correct answer)Deficiency of thiamine
A client who was in an automobile accident is admitted to the hospital with multiple
injuries. Approximately 14 hours after admission, the client begins to experience signs
and symptoms of withdrawal from alcohol. Which signs and symptoms should the nurse
connect to alcohol withdrawal? Select all that apply. - (correct answer)Anxiety
Diaphoresis
Psychomotor agitation
A client with a bipolar mood disorder, manic episode, says to the nurse, "I don't know
what I'm doing here. I never felt better in my life; I've got the world on a string around
my finger." What is the nurse's most therapeutic response to this comment? - (correct
answer)"You're feeling pretty elated right now."
A 65-year-old man is admitted to a mental health facility with a diagnosis of substance-
induced persisting dementia resulting from chronic alcoholism. When conducting the
admitting interview, the nurse determines that the client is using confabulation. The
nurse recalls that the use of confabulation is precipitated by a client's: - (correct
answer)Marked memory loss
A client has the diagnosis of histrionic personality disorder. Which behavior should the
nurse expect when assessing this client? - (correct answer)Extroverted and dramatic
,A client who has severe anxiety starts to cry while talking with the nurse. The client is so
upset that the crying becomes uncontrollable. What is the best response by the nurse? -
(correct answer)"It's OK to cry; I'll just stay with you for now."
A nurse is caring for a client with vascular dementia. What does the nurse expect of this
client's mental status? - (correct answer)Difficulty recalling recent events related to
cerebral hypoxia
A client is admitted to the surgical unit with superficial wounds of both wrists, the result
of a suicide attempt. When the nurse enters the room, the client says, "I suppose you're
going to ask me about my suicide attempt." What is the best response by the nurse? -
(correct answer)"Tell me how you feel about it."
The nurse believes that an emotionally disturbed client is ready to begin participating in
therapeutic activities. What should the nurse initially suggest? - (correct
answer)Drawing pictures with the nurse
When talking with a female client with a history of panic disorder who is displaying many
of the emotional and physiological symptoms of a panic attack, the nurse should do
what? - (correct answer)Use short sentences and an authoritative voice
A client paces back and forth across the floor, speaks incoherently, and continually talks
to and verbally fights with people who are not present. What is the nurse's initial
therapeutic intervention? - (correct answer)Providing emotional support while
demonstrating acceptance of the client
A client with a history of chronic alcoholism is admitted to the mental health unit. What
does the nurse identify as the cause of a client's use of confabulation? - (correct
answer)Marked loss of memory
A client with a history of alcoholism is found to have Wernicke encephalopathy
associated with Korsakoff syndrome. What does the nurse anticipate will be prescribed -
(correct answer)Intramuscular injections of thiamine
, A hospitalized, depressed, suicidal client has been taking a mood-elevating medication
for several weeks. The client's energy is returning and the client no longer talks about
suicide. What should the nurse do in response to this client's behavior? - (correct
answer)Keep the client under closer observation.
A male client with paranoid schizophrenia wraps his legs in toilet paper, believing that
this will protect him from deadly germs contaminating the floor. What is the best nursing
intervention? - (correct answer)Talking with the client about anxiety that focuses on
health
The nurse manager is evaluating a primary nurse who is working with a hospitalized
adolescent client with the diagnosis of conduct disorder. Which intervention by the
primary nurse should the nurse manager question? - (correct answer)Encouraging the
verbalization of negative feel
Two depressed clients are sharing a room. The health team has established a goal of
increased socialization for each client. Which action will be most effective in facilitating
interaction between these two clients?. - (correct answer)Putting a puzzle together with
them in their room
A client who was forced into early retirement is found to have severe depression. The
client says, "I feel useless, and I've got nothing to do." What is the best initial response
by the nurse? - (correct answer)Tell me more about your feeling useless.
A nurse recalls that language development in the autistic child resembles: - (correct
answer)Echolalia
A nurse is assessing an adolescent client with the diagnosis of schizophrenia,
undifferentiated type. Which signs and symptoms should the nurse expect the client to
experience? - (correct answer)Loosened associations and hallucinations
