x x x x x x
2024 x
x
A xnurse xis xplanning xoverall xstrategies xto xaddress xproblems xfor xa xclient xwho xhas
xa xborderline xpersonality xdisorder. xWhich xof xthe xfollowing xstrategies xis xthe xpriority
xfor xthe xnurse xto xincorporate xinto xthe xplan xof xcare? x
a. discuss xthe xappropriate xuse xof xassertive xbehavior xwith xthe xclient x x
b. encourage xthe xclient xto xattend xweekly xsupport xgroup xmeetings x x
c. assist xthe xclient xto xmaintain xawareness xof xher xthoughts xand xfeelings x x
d. implement xmeasures xto xprevent xintentional xself-inflicted xinjury: x- xd. ximplement
xmeasures xto xprevent xintentional xself-inflicted xinjury x
x
A xnurse xis xadmitting xa xclient xwho xhas xa xgeneralized xanxiety xdisorder. xWhich
xof xthe xfollowing xactions xshould xthe xnurse xplan xto xtake xfirst? x xa. xProvide xthe
xclient xwith xa xquiet xenvironment x x
b. Determine xhow xthe xclient xhandles xstress. x x
c. Teach xthe xclient xto xuse xguided ximagery. x x
d. Ask xthe xclient xto xidentify xher xstrengths x- xa. xProvide xthe xclient xwith xa xquiet
xenvironment x
x
A xnurse xis xconducting xan xadmission xinterview xwith xa xclient xwho xis
xexperiencing xmania. xWhich xof xthe xfollowing xshould xthe xnurse xreport xto xthe
xprovider? x xa. xStates xthat xhe xhasn't xbathed xin x2 xdays x x
b. Reports xeating xtwice xin xthe xpast xtwo xweeks. x x
c. Makes xinappropriate xsexual xcomments. x x
d. Speaks xin xrhyming xsentences. x- xb. xReports xeating xtwice xin xthe xpast xtwo xweeks
x
x
A xnurse xis xplanning xcare xfor xa xclient xwho xhas xobsessive-compulsive xdisorder.
xWhich xof xthe xfollowing xrecommendation xshould xthe xnurse xinclude xin xthe xclient's
xplan xof xcare? xa. xValidation xtherapy x
b. Thought xstopping x
c. Operant xconditioning x
d. Reality xorientation xtherapy x- xb. xThought xstopping x
x
A xnurse xis xcaring xfor xa xclient xwho xhas xbipolar xdisorder xand xis xexperiencing xa
xmanic xepisode. xWhich xof xthe xfollowing xactions xshould xthe xnurse xtake? xa.
xEncourage xthe xclient xto xjoin xgroup xactivities x
b. Dim xthe xlights xin xthe xclient's xroom x
c. Provide xdetailed xexplanations xto xthe xclient x
d. Administer xmethylphenidate x- xb. xDim xthe xlights xin xthe xclient's xroom x
x
A xnurse xis xleading xa xcrisis xintervention xgroup xfor xadolescents xwho xwitnessed
xthe xsuicide xof xa xclassmate. xWhich xof xthe xfollowing xactions xshould xthe xnurse
xtake xfirst? xa. xInitiate xreferrals x
b. Review xcommunity xresources x
c. Identify xprior xcoping xskills x
d. Discuss xthe ximportance xof xconfidentiality: x- xc. xIdentify xprior xcoping xskills x
x
,A xnurse xoverhears xa xclient xsaying"I xam xa xspy, xa xspy xfor xthe xFBI.I xam xan xI, xan
xeye xfor xan xeye xin xthe xsky. x
Sky xis xup xhigh." xThe xnurse xshould xdocument xthe xclient's xstatement xas xwhich
xof xthe xfollowing xspeech xalterations? x
a. Echolalia x
b. Word xsalad x
c. Neologism x
d. Clang xassociation x- xd. xClang xassociation x
x
An xolder xadult xclient xis xbrought xto xthe xmental xhealth xclinic xby xher xdaughter. xThe
xdaughter xreports xthat xher xmother xis xnot xeating xand xseems xuninterested xin
xroutine xactivities. xThe xdaughter xstates x"Im xso xworried xthat xmy xmother xis
xdepressed" xwhich xof xthe xfollowing xresponses xshould xthe xnurse xmake? xa.
xEveryone xgets xdepressed xfrom xtime xto xtime. x
b. You xshouldn't xworry xabout xthis xbecause xthe xdepressive xdisorder xis xeasily
xtreated. x
c. Older xadults xare xusually xdiagnosed xwith xthe xdepressive xdisorder xas xthey xage. x
d. Tell xme xthe xreasons xyou xthink xyour xmother xis xdepressed x- xd. xTell xme xthe
xreasons xyou xthink xyour xmother xis xdepressed x
x
A xnurse xis xplanning xcare xfor xan xadolescent xwho xhas xautism xspectrum xdisorder.
xWhich x
x
of xthe
xfollowing
x
outcomes xshould xthe xnurse xinclude xin xthe xplan
xcare?
x
a. xMeets xown xneeds xwithout xmanipulating
xothers. x
x
b. xInitiates xsocial xinteractions xwith
xcaregivers.
c. xChanges xbehavior xas xa xresult xof xpeer
xpressure.
x
d. xAcknowledges xhis xdelusions xare xnot xreal. x- xb. xInitiates xsocial xinteractions
xwith
x
caregivers.
x
A xnurse xis xproviding xbehavior xtherapy xfor xa xclient xwho xhas xobsessive-
compulsive xdisorder. xThe xclient xrepeatedly xchecks xthat xthe xdoors xare xlocked
xat xnight. xWhich xof xthe xfollowing xinstructions xshould xthe xnurse xgive xthe xclient
xwhen xusing xthought xstopping xtechnique? x
a. Snap xa xrubber xband xon xyour xwrist xwhen xyou xthink xabout xchecking xthe xlocks. x
b. Ask xa xfamily xmember xto xcheck xthe xlocks xfor xyou xat xnight. x
c. Focus xon xabdominal xbreathing xwhenever xyou xgo xto xcheck xthe xlocks. x
d. Keep xa xjournal xof xhow xoften xyou xcheck xthe xlocks xeach xnight. x- xa. xSnap xa
xrubber xband xon xyour xwrist xwhen xyou xthink xabout xchecking xthe xlocks. x
x
A xnurse xis xcaring xfor xa xclient xwho xis xstarting xtreatment xfor xsubstance xuse
xdisorder. x
, Which xof xthe xfollowing xactions xindicates xthe xnurse xis xpracticing xthe
xethical xprinciple xof xnonmaleficence? x
a. Provide xthe xclient xwith xquality xcare xregardless xof xtheir xability xto xpay xfor
xtreatment. x
b. Educating xthe xclient xabout xlegal xrights xconcerning xtreatment. x
c. Withholding xthe xprescribed xmedication xthat xis xcausing xadverse xeffects xfor xthe
xclient. x
x
d. xBeing xtruthful xwith xthe xclient xabout xthe xmanifestations xof xwithdrawal.
x- xc.
Withholding xthe xprescribed xmedication xthat xis xcausing xadverse xeffects xfor xthe
xclient.
x
A xnurse xin xa xgroup xhome xfacility xis xcaring xfor xa xclient xwho xis
xdevelopmentally xdisabled. xThe xclient xhas xbeen xstealing xbelongings xfrom
xother xclients. xWhich xof xthe xfollowing xtechniques xshould xthe xnurse xuse? x
a. Crisis xintervention xto xdecrease xanxiety. x
b. Aversion xtherapy xto xprovide xdistraction x
c. Positive xreinforcement xto xincrease xdesired xbehavior. x
d. Systematic xdesensitization xto xextinguish xthe xbehavior x- xc. xPositive
xreinforcement xto xincrease xdesired xbehavior. x
x
A xnurse xis xcaring xfor xa xclient xwho xis xexperiencing xa xpanic xattack. xWhich
xof xthe xfollowing xactions xshould xthe xnurse xtake? x
a. Ask xthe xclient xto xdiscuss xprecipitating xevents x
b. Speaks xto xthe xclient xin xa xhigh-pitched xvoice. x
c. Place xthe xclient xin xseclusion x
d. Have xthe xclient xbreathe xinto xa xpaper xbag x- xd. xHave xthe xclient xbreathe xinto xa
xpaper xbag x
x
The xnurse xis xcaring xfor xa xclient xfollowing xa xphysical xassault. xThe xclient xstates x"I
xdon't xremember xwhat xhappened xto xme." xThe xnurse xshould xrecognize xthat xthe
xclient xis xusing xwhich xof xthe xfollowing xdefense xmechanisms? x
a. Repression x
b. Displacement x
c. Rationalization x
d. Denial x- xa. xRepression x
x
A xnurse xis xcaring xfor xa xclient xwho xhas xanorexia xnervosa. xWhich xof xthe xfollowing
xfindings xrequires ximmediate xintervention xby xthe xnurse? x
a x. x+2 xedema xof xthe xlower xextremities
xb. xBUN x21 xmg xdL x
c. Lanugo xcovering xthe xbody x
d. Blood xpH x7.60 x- xd. xBlood xpH x7.60 x
x
A xnurse xis xcaring xfor xa xclient xin xa xmental xhealth xfacility. xThe xclient xis xagitated
xand x
threatens xto xharm xherself xand xothers. xWhich xof xthe xfollowing xis xthe
xpriority x
x
intervention? x