x x x x x x
2024 x
x
A xcharge xnurse xis xdiscussing xmental xstatus xexams xwith xa xnewly xlicensed
xnurse. x
x
Which xof xthe xfollowing xstatements xby xthe xnewly xlicensed xnurse xindicates
xan
x x
understanding xof xthe xteaching? x(Select xall xthat
xapply).
x
A. x"To xassess xcognitive xability, xI xshould xask xthe xclient xto xcount xbackward xby
xsevens."
x
B. x"To xassess xaffect, xI xshould xobserve xthe xclient's xfacial
xexpression.
x
C. x"To xassess xlanguage xability, xI xshould xinstruct xthe xclient xto xwrite xa
xsentence."
D. x"To xassess xremote xmemory, xI xshould xhave xthe xc x- xA. x"To xassess xcognitive
xability, xI x
x
should xask xthe xclient xto xcount xbackward xby
xsevens."
x
B. x"To xassess xaffect, xI xshould xobserve xthe xclient's xfacial
xexpression.
x
C. x"To xassess xlanguage xability, xI xshould xinstruct xthe xclient xto xwrite xa
xsentence."
x
A xnurse xis xplanning xcare xfor xa xclient xwho xhas xa xmental xhealth xdisorder. xWhich
xof xthe x
x
following xactions xshould xthe xnurse xinclude xas xa xpsychobiological
xintervention?
x
A. xAssist xthe xclient xwith xsystematic xdesensitization xtherapy.
xB. xTeach xthe xclient xappropriate xcoping xmechanisms x
C. Assess xthe xclient xfor xcomorbid xhealth xconditions. x
D. Monitor xthe xclient xfor xadverse xeffects xof xthe xmedications. x- xD. xMonitor xthe
xclient xfor xadverse xeffects xof xthe xmedications. x
x
A xnurse xin xan xoutpatient xmental xhealth xclinic xis xpreparing xto xconduct xan xinitial
xclient
interview. xWhen xconducting xthe xinterview, xwhich xof xthe xfollowing xactions xshould
xthe x
x
nurse xidentify xas xthe
xpriority?
x
A. Coordinate xholistic xcare xwith xsocial xservices x
B. Identify xthe xclient's xperception xof xher xmental xhealth xstatus. x
C. Include xthe xclient's xfamily xin xthe xinterview. x
,D. Teach xthe xclient xabout xher xcurrent xmental xhealth xdisorder. x- xB. xIdentify xthe
xclient's xperception xof xher xmental xhealth xstatus. x
x
A xnurse xis xtold xduring xchange xof xshift xreport xthat xa xclient xis xstuporous. xWhen
xassessing xthe xclient, xwhich xof xthe xfollowing xfindings xshould xthe xnurse xexpect? x
x
A. The xclient xarouses xbriefly xin xresponse xto xa xsternal xrub. x
B. The xclient xhas xa xglasgow xcoma xscale xscore xless xthan x7. x
C. The xclient xexhibits xdecorticate xrigidity. x
D. The xclient xis xalert xbut xdisoriented xto xtime xand xplace. x- xA. xThe xclient xarouses
xbriefly xin xresponse xto xa xsternal xrub. x
x
A xnurse xis xplanning xa xpeer xgroup xdiscussion xabout xthe xDSM-5. xWhich xof xthe
xfollowing x
x
information xis xappropriate xto xinclude xin xthe xdiscussion? x(Select xall xthat
xapply)
x
A. The xDSM-5 xincludes xclient xeducation xhandouts xfor xmental xhealth xdisorders. x
B. The xDSM-5 xestablishes xdiagnostic xcriteria xfor xindividual xmental xhealth
xdisorders. x
C. The xDSM-5 xindicates xrecommended xpharmacological xtreatment xfor xmental
xhealth xdisorders. x
D. The xDSM-5 xassists xnurses xin xplanning xcare xfor xclient's xwho xhave xmental
xhealth xd x- x
B. xThe xDSM-5 xestablishes xdiagnostic xcriteria xfor xindividual xmental xhealth
xdisorders. xD. xThe xDSM-5 xassists xnurses xin xplanning xcare xfor xclient's xwho xhave
xmental xhealth xdisorders. x
E. xThe xDSM-5 xindicates xexpected xassessment xfindings xof xmental xhealth
xdisorders. x
x
A xnurse xin xan xemergency xmental xhealth xfacility xis xcaring xfor xa xgroup xof xclients.
xThe x
x
nurse xshould xidentify xthat xwhich xof xthe xfollowing xclients xrequires xa
xtemporary
x
emergency
xadmission?
x
A. A xclient xwho xhas xschizophrenia xwith xdelusions xof xgrandeur x
B. A xclient xwho xhas xmanifestations xof xdepression xand xattempted xsuicide xa xyear
xago xC. xA xclient xwho xhas xborderline xpersonality xdisorder xand xassaulted xa
xhomeless xman xwith xa xmetal xrod x
D. xA xclient xwho xhas xbipolar xdisorder xand xpaces xquickly xaround xthe xroom xwh x- xC.
xA xclient xwho xhas xborderline xpersonality xdisorder xand xassaulted xa xhomeless xman
xwith xa xmetal xrod x
x
A xnurse xdecides xto xput xa xclient xwho xhas xa xpsychotic xdisorder xin xseclusion
xovernight x
x
because xthe xunit xis xvery xshort-staffed, xand xthe xclient xfrequently xfights xwith
xother
, x
clients. xThe xnurse's xactions xare xan xexample xof xwhich xof xthe xfollowing
xtorts?
x
A. Invasion xof xprivacy x
B. False ximprisonment x
C. Assault x
D. Battery x- xB. xFalse ximprisonment x
x
A xclient xtells xa xnurse, x"Don't xtell xanyone xbut xI xhid xa xsharp xknife xunder xmy
xmattress xin x
x
order xto xprotect xmyself xfrom xmy xroommate, xwho xis xalways xyelling xat xme
xand
x
threatening xme." xWhich xof xthe xfollowing xactions xshould xthe xnurse
xtake?
x
A. xKeep xthe xclient's xcommunication xconfidential, xbut xtalk xto xthe xclient xdaily,
xusing xtherapeutic xcommunication xto xconvince xhim xto xadmit xto xhiding xthe
xknife xB. xKeep xthe xclient's xcommunication xconfidential, xbut xwatch xthe xclient
xand xhis xroommate xclosely. x
C. xTell xthe xcl x- xD. xReport xthe xincident xto xthe xhealth xcare xteam, xbut xdo xnot xinform
xthe xclient xof xthe xintention xto xdo xso. x
x
A xnurse xis xcaring xfor xa xclient xwho xis xin xmechanical xrestraints. xWhich xof xthe
xfollowing xstatements xshould xthe xnurse xinclude xin xthe xdocumentation? x(Select xall
xthat xapply) x
x
A. "Client xate xmost xof xhis xbreakfast." x
B. "Client xwas xoffered x8 xoz xof xwater xevery xhr." x
C. "Client xshouted xobscenities xat xassistive xpersonnel." x
D. "Client xreceived xchlorpromazine x15 xmg xby xmouth xat x1000." x
E. "Client xacted xout xafter xlunch." x- xB. x"Client xwas xoffered x8 xoz xof xwater xevery xhr."
x
C. "Client xshouted xobscenities xat xassistive xpersonnel." x
D. "Client xreceived xchlorpromazine x15 xmg xby xmouth xat x1000. x
x
A xnurse xhears xa xnewly xlicensed xnurse xdiscussing xa xclient's xhallucinations xin xthe
xhallway xwith xanother xnurse. xWhich xof xthe xfollowing xactions xshould xthe xnurse xtake
xfirst? x
x
x
A. xNotify xthe xnurse
xmanager.
x
B. xTell xthe xnurse xto xstop xdiscussing xthe
xbehavior.
x
C. xProvide xan xin-service xprogram xabout
xconfidentiality.
D. xComplete xan xincident xreport. x- xB. xTell xthe xnurse xto xstop xdiscussing xthe
xbehavior
x
x
A xnurse xis xcaring xfor xthe xparents xof xa xchild xwho xhas xdemonstrated
xchanges xin
, x
behavior xand xmood. xWhen xthe xmother xof xthe xchild xasks xthe xnurse xfor
xreassurance
about xher xson's xcondition, xwhich xof xthe xfollowing xresponses xshould xthe xnurse
xmake?
x
A. "I xthink xyour xson xis xgetting xbetter. xWhat xhave xyou xnoticed." x
B. "I'm xsure xeverything xwill xbe xokay. xIt xjust xtakes xtime xto xheal." x
C. "I'm xnot xsure xwhats xwrong. xHave xyou xasked xthe xdoctor xabout xyour xconcerns?"
xD. x"I xunderstand xyou're xconcerned. xLet's xdiscuss xwh x- xD. x"I xunderstand xyou're
xconcerned. xLet's xdiscuss xwhat xconcerns xyou xspecifically." x
x
A xnurse xis xcaring xfor xa xclient xwho xsmokes xand xhas xlung xcancer. xThe xclient
xreports, x"I'm xcoughing xbecause xI xhave xthat xcold xthat xeveryone xhas xbeen xgetting."
xThe xnurse xshould xidentify xthat xthe xclient xis xusing xwhich xof xthe xfollowing xdefense
xmechanisms? x
x
x
A. xReaction
xformation
x
B.
xDenial
x
C.
xDisplacement
D. xSublimation x- xB.
xDenial
x
A xnurse xis xproviding xpreoperative xteaching xfor xa xclient xwho xwas xjust xinformed xthat
xshe x
requires xemergency xsurgery. xThe xclient xhas xa xrespiratory xrate x30/min xand xsays,
x"This x
is xdifficult xto xcomprehend. xI xfeel xshaky xand xnervous." xThe xnurse xshould xidentifyt x
xtha
x
the xclient xis xexperiencing xwhich xof xthe xfollowing xlevels xof
xanxiety?
x
x
A.
xMild
x
B.
xModerate
x
C.
xSevere
D. xPanic x - x B.
xModerate
x
A xnurse xis xcaring xfor xa xclient xwho xis xexperiencing xmoderate xanxiety. xWhich xof xthe
xfollowing xactions xshould xthe xnurse xtake xwhen xtrying xto xgive xnecessary
xinformation xto xthe xclient? x(Select xall xthat xapply.) x
x
A. Reassure xthe xclient xthat xeverything xwill xbe xokay. x
B. Discuss xprior xuse xof xcoping xmechanisms xwith xthe xclient. x
C. Ignore xthe xclient's xanxiety xso xthat xshe xwill xnot xbe xembarrassed. x